DR. MEAGEN MARCY MCCUSKER (NPI# 1861651432) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861651432 |
| Entity Type | Individual |
| Full Name | DR. MEAGEN MARCY MCCUSKER |
| Other Name | MISS MEAGEN JEAN MARCY |
| Credential | M.D. |
| Practice Address |
21 South Rd Dermatology Farmington CT 06032-2482 |
| Mailing Address |
65 Kane St Provider Enrollment Office West Hartford CT 06119-2110 |
| Practice Telephone | 8606794600 |
| Practice Fax Number | 8606791248 |
| Mailing Telephone | 8605236421 |
| Mailing Fax Number | 8605233701 |
| Enumeration Date | 2008-06-08 |
| Last Update Date | 2011-09-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | 050238 | CT | Allopathic & Osteopathic Physicians |
| Street Address |
21 SOUTH RD DERMATOLOGY |
| City | FARMINGTON |
| State | CT |
| Zip Code | 06032-2482 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992708226 | Lynn M Firestone | Audiologist | 21 South Rd, Ste 112, Farmington, CT 06032-2410 | 2005-05-31 |
| 1316509631 | Nina Kashanian | Audiologist | 21 South Rd, Farmington, CT 06032-2482 | 2019-07-08 |
| 1760944896 | Kristin Marie Torre | Student in an Organized Health Care Education/Training Program | 21 South Rd, Farmington, CT 06032-2482 | 2019-04-06 |
| 1275027302 | Tessa Smolinski | Audiologist | 21 South Rd, Farmington, CT 06032-2482 | 2018-06-21 |
| 1861925356 | Steven Madsen | General Practice | 21 South Rd, Farmington, CT 06032-2482 | 2017-04-11 |
| 1881041556 | Malcolm Creighton-smith | Dermatology | 21 South Rd, Farmington, CT 06032-2482 | 2016-05-23 |
| 1467833202 | Michael Storonsky | Dermatology | 21 South Rd, Suite 200, Farmington, CT 06032-2482 | 2015-06-17 |
| 1083002307 | Sarah Dean | Nurse Practitioner | 21 South Rd, Farmington, CT 06032-2482 | 2015-01-08 |
| 1740412915 | Laura Holden Jaeger | Physician Assistant | 21 South Rd, Suite 112, Farmington, CT 06032-2482 | 2009-08-20 |
| 1417199316 | Neil D Parikh | Internal Medicine | 21 South Rd, Suite 100, Farmington, CT 06032-2482 | 2009-03-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508499435 | Kelsey Erin Boyne | Student in an Organized Health Care Education/Training Program | 200 Academic Way, Farmington, CT 06032 | 2020-02-19 |
| 1760024723 | Baliram Maraj | Dentist | 801 Plainville Ave., Farmington, CT 06032 | 2019-10-11 |
| 1770144958 | Dominique Feterman Jimenez | Student in an Organized Health Care Education/Training Program | Internal Medicine Associates Outpatient Pavilion 2 West, 263 Farmington Avenue, Farmington, CT 06032 | 2019-06-27 |
| 1033770698 | Tiffany Otto | Nurse Practitioner | 27o Farmington Avenue, # 309, Farmington, CT 06032 | 2019-06-25 |
| 1124683941 | Aleksandra M Sliwinska | Student in an Organized Health Care Education/Training Program | Uconn Health Im Associates, 263 Farmington Avenue, Op, 2 West, Farmington, CT 06032 | 2019-05-07 |
| 1922663889 | Sean Ag Harford | Student in an Organized Health Care Education/Training Program | Uconn Health - Internal Medicine Associates, 263 Farmington Avenue, Op, 2 West, Farmington, CT 06032 | 2019-05-07 |
| 1710450507 | Kathy Jean Campbell | Occupational Therapist | 10 Birdseye Rd, Farmington, CT 06032 | 2019-01-04 |
| 1790273373 | Cameron Seymour | Dentist | 291 Farmington Ave Ste 5, Farmington, CT 06032 | 2018-04-29 |
| 1881181790 | Robin L Shahverdian LLC | Counselor | 304 Main St Ste D428, Farmington, CT 06032 | 2018-04-16 |
| 1588160998 | Sight Sensory Rehabilitation Center, Pllc | Optometrist | 10 Birdseye Road, Farmington, CT 06032 | 2018-04-04 |
| Find all providers in zip 06032 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649724139 | University of Utah Adult Services | Dermatology | 165 N. University Ave. Farmington, Farmington, UT 84025 | 2016-08-12 |
| 1497160535 | Dean David George | Dermatology | 399 Farmington Ave Ste 260, Farmington, CT 06032-1979 | 2014-06-27 |
| 1003176934 | Aaron Michael Secrest | Dermatology | 165 N University Ave, Farmington, UT 84025-2990 | 2012-05-25 |
| 1326124652 | David A Baird | Dermatology | 23133 Orchard Lk Rd, Farmington, MI 48336 | 2006-10-30 |
| 1558321554 | Darrell L Griffin | Dermatology | 1223 Maple St, Farmington, MO 63640-7616 | 2006-03-24 |
| 1881041556 | Malcolm Creighton-smith | Dermatology | 21 South Rd, Farmington, CT 06032-2482 | 2016-05-23 |
| 1467833202 | Michael Storonsky | Dermatology | 21 South Rd, Suite 200, Farmington, CT 06032-2482 | 2015-06-17 |
| 1093193161 | Girish Chintamani Mohan | Dermatology | 399 Farmington Ave, Ste 260, Farmington, CT 06032-1979 | 2015-05-11 |
| 1649664731 | Andrew Kelsey | Dermatology | 263 Farmington Ave, Farmington, CT 06032-1956 | 2015-03-26 |
| 1033520556 | Hao Feng | Dermatology | 21 South Road, Farmington, CT 06030 | 2014-05-19 |
| Find all providers in FARMINGTON | ||||
| City | FARMINGTON |
| Zip Code | 06032 |
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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.