JEREMY CLIFTON CUZZOURT (NPI# 1013948694) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013948694 |
| Entity Type | Individual |
| Full Name | JEREMY CLIFTON CUZZOURT |
| Credential | MD |
| Practice Address |
98 State St Proctorville OH 45669-8163 |
| Mailing Address |
90 Jackson Pike Gallipolis OH 45631-1560 |
| Practice Telephone | 8554465937 |
| Practice Fax Number | 7408869374 |
| Mailing Telephone | 7408869370 |
| Mailing Fax Number | 7408869374 |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2018-10-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | 35.125222 | OH | Allopathic & Osteopathic Physicians |
| N | 207Y00000X | Otolaryngology | 46380 | TN | Allopathic & Osteopathic Physicians |
| N | 207YX0007X |
Otolaryngology Specialization: Plastic Surgery within the Head & Neck |
22299 | WV | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RAILROAD MEDICARE | P00324289 | 01 | |
| TN | 1519145 | 05 | |
| WV | 3810005553 | 05 | |
| KY | 64127202 | 05 | |
| OH | 2667234 | 05 |
| Street Address |
98 STATE ST |
| City | PROCTORVILLE |
| State | OH |
| Zip Code | 45669-8163 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427026616 | Steven J Merkel | Family Medicine | 98 State St, Proctorville, OH 45669-8163 | 2006-03-14 |
| 1114399474 | Mittra Esmaeili | Family Medicine | 98 State St, Proctorville, OH 45669-8163 | 2015-10-27 |
| 1134434830 | Alicia Renee Johnson | Physician Assistant | 98 State St, Proctorville, OH 45669-8163 | 2010-08-18 |
| 1588892194 | Michael R Black | Family Medicine | 98 State St, Proctorville, OH 45669-8163 | 2009-06-23 |
| 1285881649 | Christina R. Senior | Physical Therapist | 98 State St, Proctorville, OH 45669-8163 | 2008-08-27 |
| 1124168406 | Glenn Scott Davis | Internal Medicine | 98 State St, Proctorville, OH 45669-8163 | 2007-02-07 |
| 1114946886 | Larissa L. Horner | Physical Therapist | 98 State St, Proctorville, OH 45669-8163 | 2006-07-19 |
| 1336165638 | Tammy L. Walls | Physical Therapist | 98 State St, Proctorville, OH 45669-8163 | 2006-07-14 |
| 1659397826 | Christa Grady | Physical Therapist | 98 State St, Proctorville, OH 45669-8163 | 2006-07-14 |
| 1053364828 | Glen P. Imlay | Physical Medicine & Rehabilitation | 98 State St, Proctorville, OH 45669-8163 | 2006-05-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982061180 | Garrett Wireman | Specialist/Technologist | 229 Private Road 253, Proctorville, OH 45669 | 2016-01-20 |
| 1619391380 | Cabell Huntington Hospital, Inc | Nurse Practitioner | 7718 County Rd 107, Proctorville, OH 45669 | 2014-02-14 |
| 1265732812 | Advanced Neuro Diagnostics | Chiropractor | 100 Township Road 1245, Proctorville, OH 45669 | 2010-10-29 |
| 1902080047 | Gabriel Stapleton | Pharmacist | 6306 State Rt 7, Proctorville, OH 45669 | 2007-12-26 |
| 1932221819 | Lsg Hearing Aid Center Inc | Hearing Instrument Specialist | 502 State Street, Proctorville, OH 45669 | 2007-04-04 |
| 1376695130 | A & L Home Care and Training Center, LLC | Home Health | 6129 County Road 107, Proctorville, OH 45669 | 2007-01-18 |
| 1184705519 | Thomas Lambiotte | Physical Therapist | 96 Township Rd, 369 Suite 104, Proctorville, OH 45669 | 2006-10-19 |
| 1619901410 | Kroger Limited Partnership I | Durable Medical Equipment & Medical Supplies | 6306 County Road 107, Proctorville, OH 45669 | 2006-07-10 |
| 1689600496 | Michael J. Zirille | Family Medicine | 292 Township Road 1525, Proctorville, OH 45669 | 2006-06-23 |
| 1245285758 | Liberty Circle Ear Nose & Throat Inc. | Otolaryngology | 96 Township Road 369 Suite 101, Proctorville, OH 45669 | 2006-05-23 |
| Find all providers in zip 45669 | ||||
| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700821907 | Ricardo A Roa | Otolaryngology | 96 Township Road 369 Ste 101, Proctorville, OH 45669-9133 | 2006-06-19 |
| 1245285758 | Liberty Circle Ear Nose & Throat Inc. | Otolaryngology | 96 Township Road 369 Suite 101, Proctorville, OH 45669 | 2006-05-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023679271 | Gustavo Guimaraes Rangel | Otolaryngology | 5317 Adventure Dr, Dublin, OH 43017-1001 | 2019-06-27 |
| 1891358156 | Sarah Christine Nyirjesy | Otolaryngology | Eye and Ear Institute, 915 Olentangy River Rd. Suite 4000, Columbus, OH 43212 | 2019-04-22 |
| 1215401013 | Osup Clinical Physicians, LLC | Otolaryngology | 543 Taylor Ave Ste 2115, Columbus, OH 43203-1278 | 2019-01-15 |
| 1205319423 | Fadi Abbass Md | Otolaryngology | 6693 N Chestnut St Ste 215, Ravenna, OH 44266-3900 | 2018-09-13 |
| 1033616107 | Dr. Scott W. Blumer LLC | Otolaryngology | 2819 Aaronwood Ave. Nw, Massillon, OH 44646-2371 | 2018-04-06 |
| 1972959336 | Chen Lin | Otolaryngology | 915 Olentangy River Rd. Suite 4000, Columbus, OH 43212 | 2016-05-04 |
| 1679935316 | Antoine Eskander | Otolaryngology | 915 Olentangy River Road, Suite 4000, Osu Eye & Ear Institute, Columbus, OH 43212 | 2016-03-22 |
| 1841684222 | Hayley Lynn Born | Otolaryngology | 222 Piedmont Ave Ste 5200, Cincinnati, OH 45219-4222 | 2015-03-24 |
| 1275943151 | Laura Miller | Otolaryngology | 7502 State Rd Ste 4400, Cincinnati, OH 45255-2801 | 2014-05-01 |
| 1194157511 | Harvey Thomas Staton | Otolaryngology | 3115 Henderson Ct, Springfield, OH 45503-1307 | 2013-08-08 |
| Find all providers with the same taxonomy | ||||
| City | PROCTORVILLE |
| Zip Code | 45669 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.