Individual
SCOTT CASEY MCCUSKEY
Active
Individual
SCOTT CASEY MCCUSKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
01049529
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000111701
ANTHEM BCBS
IN
01
—
1084621
PASSPORT KY MEDICAID
—
01
—
200034110
MEDICARE RAILROAD
—
05
—
200194530A
—
IN
01
—
2435685000
PASSPORT ADVANTAGE
KY
01
—
4082034
AETNA
—
01
—
410814P
SIHO
IN
05
—
64799604
—
KY
Enumeration date
07/02/2006
Last updated
04/23/2015
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