Individual
DR. AARON J PRUSSIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
830 DAVIS ST, SUITE 1, BLACKSBURG, VA 24060-7010
(540) 381-0344
(540) 381-1462
Mailing address
127 S. 500 E, SUITE 600, SALT LAKE CITY, UT 84102-1971
(801) 587-6336
(801) 715-8228
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
FP5290337
UT
207YX0007X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
0101051964
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
006500111
VIRGINIA PREMIER
VA
05
—
006500111
—
VA
01
—
018759S56
MEDICARE INDIVIDUAL PTAN
VA
01
—
1000460
UNITED HEALTHCARE
VA
01
—
127380
SOUTHERN HEALTH
VA
01
—
140176
ANTHEM
VA
05
—
1609867266
—
VA
01
—
332829
MAMSI
VA
01
—
541982275
JOHN DEERE
VA
01
—
5860049
AETNA US HEALTHCARE
VA
01
—
6566060005
CIGNA
VA
01
—
A2283
MEDCOST
VA
01
—
C06556
MEDICARE GROUP PTAN
VA
01
—
C06637
MEDICARE GROUP #
VA
01
—
C09521
MEDICARE GROUP PTAN
VA
Enumeration date
11/02/2005
Last updated
11/12/2021
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