Individual
DR. J DOUGLAS CUSICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4601 COLLEGE BLVD, SUITE 222, LEAWOOD, KS 66211
(913) 661-0202
(913) 661-0584
Mailing address
4601 COLLEGE BLVD, SUITE 222, LEAWOOD, KS 66211
(913) 661-0202
(913) 661-0584
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
0423923
KS
208200000X
Plastic Surgery Physician
MD100181
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100458460A
—
KS
01
—
21177020
BLUE SHIELD IND #
MO
Enumeration date
08/30/2006
Last updated
07/15/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us