J Douglas Cusick (NPI# 1013027374, PAC ID# 2264506385) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PLASTIC AND RECONSTRUCTIVE SURGERY.
| Nation Provider ID (NPI) | 1013027374 |
| PAC ID by PECOS | 2264506385 |
| Professional Enrollment ID | I20080806000768 |
| Full Name | J Douglas Cusick |
| Address |
4601 College Blvd Suite 222 Leawood KS 66211-1650 |
| Gender | M |
| Medical School | ORAL ROBERTS UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1986 |
| Primary Specialty | PLASTIC AND RECONSTRUCTIVE SURGERY |
| Secondary Specialties | HAND SURGERY |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 170104 | SHAWNEE MISSION MEDICAL CENTER |
| 170185 | SAINT LUKE'S SOUTH HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 4601 College Blvd, Suite 222, Leawood, KS 66211-1650 |
| Street Address |
4601 COLLEGE BLVD SUITE 222 |
| City | LEAWOOD |
| State | KS |
| Zip | 66211-1650 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Martha Diane Carolan Stegman | Clinical Social Worker | 4601 College Blvd, Suite 275, Leawood, KS 66211-1678 | |
| Susan J Anderson | Psychologist, Clinical | 4601 College Blvd, Suite 275, Leawood, KS 66211-1678 | |
| Mary A Vanderman | Clinical Social Worker | Enso Therapy Group LLC | 4601 College Blvd, Suite 275, Leawood, KS 66211-1678 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Darrell P Miller | Clinical Social Worker | 8400 W 110th, 410 Comprehensive Counseling, Overland Park, KS 66211 | |
| Janice M Scott | Psychiatry | Fss Psychiatric, LLC | 10711 Barkley St, Overland Park, KS 66211-1161 |
| Elizabeth J Friedman | Pathology | Kansas University Physicians Inc | 10720 Nall Ave, Ku Hospital Indian Creek, Leawood, KS 66211-1206 |
| Fang Fan | Pathology | Kansas University Physicians Inc | 10720 Nall Ave, Ku Hospital Indian Creek, Leawood, KS 66211-1206 |
| Janet M Woodroof | Pathology | Kansas University Physicians Inc | 10720 Nall Ave, Ku Hospital Indian Creek, Leawood, KS 66211-1206 |
| Rashna Madan | Pathology | Kansas University Physicians Inc | 10720 Nall Ave, Ku Hospital Indian Creek, Leawood, KS 66211-1206 |
| Thomas A Franey | General Surgery | Kansas City Vascular and General Surgery Group LLC | 5100 W 110th St, Suite 300, Overland Park, KS 66211-1215 |
| Brian L Mccroskey | General Surgery | Kansas City Vascular and General Surgery Group LLC | 5100 W 110th St, Suite 300, Overland Park, KS 66211-1215 |
| Juan Carlos C Correa | Vascular Surgery | Kansas City Vascular and General Surgery Group LLC | 5100 W 110th St, Suite 300, Overland Park, KS 66211-1215 |
| Chelsey L Holden | Nurse Practitioner | Kansas City Vascular and General Surgery Group LLC | 5100 W 110th St, Suite 300, Overland Park, KS 66211-1215 |
| Find all physicians in zip 66211 | |||
| City | LEAWOOD |
| Zip Code | 66211 |
| Specialty | PLASTIC AND RECONSTRUCTIVE SURGERY |
| City + Specialty | LEAWOOD + PLASTIC AND RECONSTRUCTIVE SURGERY |
Please comment or provide details below to improve the information on J Douglas Cusick.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.