Individual
DR. LEO KUSUDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1900 WOODLAND DR, COOS BAY, OR 97420-0000
(541) 267-5151
(541) 266-4574
Mailing address
1900 WOODLAND DR, COOS BAY, OR 97420-0000
(541) 267-5151
(541) 266-4574
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
MD27316
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0577260001
DMERC
OR
01
—
1407812365
MEDICARE GROUP NPI NUMBER
OR
01
—
161133
NBMC GROUP MEDICAID
OR
05
—
218174
—
OR
01
—
CB3544
RR MEDICARE GROUP NUMBER
OR
01
—
P00406434
RR PTAN MEDICARE NUMBER
OR
01
—
R0000WFBTV
MEDICARE GROUP PIN NUMBER
OR
Enumeration date
01/24/2006
Last updated
02/27/2012
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