DR. JOSEPH V CUSUMANO (NPI# 1194733634) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194733634 |
| Entity Type | Individual |
| Full Name | DR. JOSEPH V CUSUMANO |
| Credential | MD |
| Practice Address |
3915 Watson Rd Ste. Ll2 Saint Louis MO 63109-1251 |
| Mailing Address |
750 S Hanley Rd Apt. 52 Saint Louis MO 63105-2670 |
| Practice Telephone | 3147819711 |
| Practice Fax Number | 3147819768 |
| Mailing Telephone | 3147819711 |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2008-06-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2085N0904X |
Radiology Specialization: Nuclear Radiology |
R9583 | MO | Allopathic & Osteopathic Physicians |
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
R9583 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 201846201 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316071889 | Joseph J Cusumano | Dentist | 4350 Fairfax Dr, Ste 135, Arlington, VA 22203-1695 | 2007-03-15 |
| 1134178288 | Joseph Dennis Cusumano | Counselor | 701 Rue St. Francois, Florissant Psychological Services, Florissant, MO 63031 | 2006-05-08 |
| Street Address |
3915 WATSON RD STE. LL2 |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63109-1251 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336133321 | James S Compton | Internal Medicine | 3915 Watson Rd, Suite 100, Saint Louis, MO 63109-1251 | 2005-09-06 |
| 1659922946 | Allison Leigh Dolan-boschert | Nurse Practitioner | 3915 Watson Rd, Saint Louis, MO 63109-1267 | 2019-09-27 |
| 1841733078 | Summers Healthcare LLC | Internal Medicine | 3915 Watson Rd, Ste 101, Saint Louis, MO 63109-1251 | 2016-11-19 |
| 1053767038 | Schnuck Markets Inc | Registered Nurse | 3915 Watson Rd, Suite101 B, Saint Louis, MO 63109-1251 | 2016-05-10 |
| 1053770701 | Sarah Ann Franssens | Nurse Practitioner | 3915 Watson Rd, Suite 101, Saint Louis, MO 63109-1251 | 2016-02-22 |
| 1215311469 | Forefront Dermatology, S.c. | Dermatology | 3915 Watson Rd, Suite 201, Saint Louis, MO 63109 | 2015-07-17 |
| 1114304565 | Renee Figura | Nurse Practitioner | 3915 Watson Rd, Suite 100, Saint Louis, MO 63109-1251 | 2015-05-05 |
| 1437597820 | Labone LLC | Clinical Medical Laboratory | 3915 Watson Rd, Suite 100, Saint Louis, MO 63109-1251 | 2013-06-07 |
| 1811268428 | Joseph M Seria Md LLC | Clinic/Center | 3915 Watson Rd, Suite 204, Saint Louis, MO 63109-1251 | 2012-01-13 |
| 1750681151 | South St Louis Medical Associates LLC | Internal Medicine | 3915 Watson Rd, Suite 100, Saint Louis, MO 63109-1251 | 2010-11-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013431907 | James Edward Trout | Community Health Worker | 3956 Wenzlick Ave, St Louis, MO 63109 | 2017-08-01 |
| 1750815023 | Andrea Hyde | Nurse Practitioner | 5302 Chippewa Street, Suite 301, St Louis, MO 63109 | 2017-04-13 |
| 1215362124 | Alex Sharifian Dds Francis Park Dentistry PC | Dentist | 6650 Chippewa Street, Saint Louis, MO 63109 | 2013-09-10 |
| 1881993962 | Rachel Elizabeth Hale Hasper | Counselor | 6555 Chippewa, St Louis, MO 63109 | 2011-03-15 |
| 1730369885 | Janis Marie Lampa | Physical Therapist | 5203 Chippewa, Suite 301, St. Louis, MO 63109 | 2007-11-06 |
| 1285753772 | James Matthew Jordan | Occupational Therapist | 32 Hampton Village Plaza, St Louis, MO 63109 | 2007-03-28 |
| 1730224478 | Mercy Health Services, LLC | Optometrist | 34 Hampton Village Plaza, St. Louis, MO 63109 | 2007-02-20 |
| 1801959903 | John Thomas Doyle | Dentist | 5400 Walsh St, St Louis, MO 63109 | 2006-12-19 |
| 1649339771 | Residencial Services Corporation | Assisted Living Facility | 5890 Eichelberger, St Louis, MO 63109 | 2006-12-06 |
| 1316039852 | Gary Raymond Rieser | Dentist | 3915 Watson Road, Suite 205, Saint Louis, MO 63109 | 2006-09-29 |
| Find all providers in zip 63109 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609130566 | Kristin Harris Drake | Radiology | 621 S New Ballas Rd Ste 23a, Saint Louis, MO 63141 | 2012-06-26 |
| 1093083016 | William G Crawford | Radiology | 61 Crestwood Dr, Saint Louis, MO 63105-3020 | 2011-12-05 |
| 1558657643 | Joseph Gary Livingston | Radiology | One Barnes-jewsih Hospital Plaza, Mailstop 90-09-355, Saint Louis, MO 63110 | 2011-06-27 |
| 1013219344 | Pure Imaging LLC | Radiology | 12345 West Bend Drive, Saint Louis, MO 63128-2104 | 2010-11-18 |
| 1881884658 | Zhengming Gu | Radiology | 9240 Radiom Dr, Saint Louis, MO 63123-5545 | 2007-07-27 |
| 1306057310 | Mohammed Ali Abbas | Radiology | 1402 S Grand Blvd Rm 260, Saint Louis, MO 63104-1004 | 2007-05-24 |
| 1104040963 | Saadoon Kadir | Radiology | 2909 Netherton Dr, Saint Louis, MO 63136-4677 | 2007-04-12 |
| 1376612739 | Carl Joseph Aschkenasi | Radiology | 898 Alanson Dr, Saint Louis, MO 63132-5039 | 2006-11-07 |
| 1629182829 | Jeffery A Hardy | Radiology | 2344 Hampton Ave, Saint Louis, MO 63139-2909 | 2006-08-18 |
| 1124132436 | Alfred D Shaplin | Radiology | 1034 S Brentwood Blvd Ste 280, Saint Louis, MO 63117-1221 | 2006-08-17 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63109 |
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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.