DR. PHILLIP J CUSANO (NPI# 1619948908) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619948908 |
| Entity Type | Individual |
| Full Name | DR. PHILLIP J CUSANO |
| Credential | MD |
| Practice Address |
116 Interstate Pkwy Bradford PA 16701-1036 |
| Mailing Address |
908 Niagara Falls Blvd Suite 208 North Tonawanda NY 14120-2019 |
| Practice Telephone | 8143628674 |
| Mailing Telephone | 7166922160 |
| Mailing Fax Number | 7163323525 |
| Enumeration Date | 2006-01-27 |
| Last Update Date | 2013-08-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207L00000X | Anesthesiology | MD435560 | PA | Allopathic & Osteopathic Physicians |
| N | 207L00000X | Anesthesiology | 234708 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 1012850420 | 05 |
| Street Address |
116 INTERSTATE PKWY |
| City | BRADFORD |
| State | PA |
| Zip Code | 16701-1036 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134123060 | Nathaniel Lars Graham | Surgery | 116 Interstate Pkwy, Suite 31, Bradford, PA 16701-1036 | 2005-06-09 |
| 1063909661 | Scott Flick | Physician Assistant | 116 Interstate Pkwy, Bradford, PA 16701-1036 | 2018-04-18 |
| 1114439023 | Cynthia Simms | Registered Nurse | 116 Interstate Pkwy, Bradford, PA 16701-1036 | 2017-11-01 |
| 1396275970 | Mary Siepierski | Physician Assistant | 116 Interstate Pkwy, Bradford, PA 16701-1036 | 2017-06-15 |
| 1396287991 | Keystone Medical Services of Bradford PC | Emergency Medicine | 116 Interstate Pkwy, Bradford, PA 16701-1036 | 2016-11-14 |
| 1245781426 | Tracy Lynn Andrus | Physician Assistant | 116 Interstate Pkwy, Suite 32, Bradford, PA 16701-1036 | 2016-10-22 |
| 1184081911 | Andrew Davidson | Nurse Practitioner | 116 Interstate Pkwy, Bradford, PA 16701-1036 | 2016-01-25 |
| 1699177725 | Megan Powell | Dietitian, Registered | 116 Interstate Pkwy, Bradford, PA 16701-1036 | 2014-09-19 |
| 1588076194 | David Hefferan | Nurse Anesthetist, Certified Registered | 116 Interstate Pkwy, Bradford, PA 16701-1036 | 2014-05-30 |
| 1073956850 | Olean General Hospital | Family Medicine | 116 Interstate Pkwy, Suite 42, Bradford, PA 16701-1036 | 2013-04-11 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417557232 | Allison Keller | Pharmacist | 50 Foster Brook Bvld, Bradford, PA 16701 | 2020-10-30 |
| 1043767734 | Asim Makhdom | Orthopaedic Surgery | 195 Pleasant Street, Suite 5, Bradford, PA 16701 | 2016-09-09 |
| 1821435322 | Family Wellness Chiropractic Inc. | Chiropractor | 536 East Main Street, Bradford, PA 16701 | 2013-05-24 |
| 1285983973 | Ashley Lynn Disney | Physician Assistant | 181 Interstate Parkway, Bradford, PA 16701 | 2012-09-10 |
| 1760799563 | Paulinus Joseph Sorg | Physical Therapist | 24 West Washington Street, Bradford, PA 16701 | 2010-09-01 |
| 1215194535 | Jill Lorryn Campbell | Speech-Language Pathologist | 412 Langmaid Ln, Bradford, PA 16701 | 2008-05-22 |
| 1689890048 | Brian Alan Volpe | Dentist | 84 Boylston St, Bradford, PA 16701 | 2007-04-17 |
| 1366564098 | Lori Ann Peterson | Speech-Language Pathologist | 110 Campus Drive, Bradford, PA 16701 | 2007-04-04 |
| 1760507776 | Bruce Lee Sitler | Physical Therapist | Bradford Ecumenical Home, 100 St. Francis Drive, Bradford, PA 16701 | 2007-03-20 |
| 1932294451 | Nancy Marie Fuhrman | Chiropractor | 28 Davis Street, Union Square, Bradford, PA 16701 | 2006-10-03 |
| Find all providers in zip 16701 | ||||
| Taxonomy Code | 207L00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982637997 | Anesthetix of Bradford, LLC | Anesthesiology | 116 Interstate Pkwy, Bradford, PA 16701-1036 | 2006-07-10 |
| 1710927645 | Glenn Goldsher | Anesthesiology | 116 Interstate Parkway, Bradford, PA 16701 | 2006-06-08 |
| 1578540597 | Donghui Chen | Anesthesiology | 116 Interstate Pkwy, Bradford, PA 16701-1036 | 2005-12-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700418456 | Wsc Anesthesia LLC | Anesthesiology | 495 E Waterfront Dr Ste 110, Homestead, PA 15120-1151 | 2020-02-11 |
| 1497313332 | Marsha Metzger Silberstein | Anesthesiology | 50 S 16th St Unit 4006, Philadelphia, PA 19102-2531 | 2019-06-05 |
| 1841853827 | Charles Michael Holdsworth | Anesthesiology | 31204 Anns Choice Way, Warminster, PA 18974-3369 | 2019-04-16 |
| 1275090433 | Upmc Wellsboro | Anesthesiology | 103 West Ave Ste 203, Wellsboro, PA 16901-1311 | 2019-02-25 |
| 1730645516 | Jw Anesthesia Consultants, LLC | Anesthesiology | 790 Newtown Yardley Rd Ste 415, Newtown, PA 18940-4503 | 2019-02-16 |
| 1487157731 | Prime Anesthesia Associates PC | Anesthesiology | 810 Plaza Blvd Ste 101, Lancaster, PA 17601-2762 | 2018-03-13 |
| 1740796796 | Pain Medicine of York, LLC | Anesthesiology | 100 High Tower Blvd Ste 200, Pittsburgh, PA 15205 | 2017-12-28 |
| 1295241909 | David William Schaffer | Anesthesiology | 29 Harmony Way, Newtown, PA 18940-1260 | 2017-12-18 |
| 1861904195 | Willis Curtis Barnes Jr. | Anesthesiology | 311 Race St., West Pittston, PA 18643 | 2017-10-26 |
| 1508377656 | Pottstown Ambulatory Center, LLC | Anesthesiology | 20 N Sunnybrook Rd Ste 2, Pottstown, PA 19464-2946 | 2017-10-17 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.