Active NPI
John Florian Hussa, MD AODAC
- Addiction Medicine (Internal Medicine) Physician
- Ashland, WI
National Provider Identifier
1093739427
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction Medicine (Internal Medicine) Physician
- License
- 17169
- Practice address
- 1615 Maple LN
Ashland, WI 54806-3626 - Phone
- (715) 685-5500
- Fax
- (715) 685-5102
- NPI assigned
- Jul 27, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction Psychiatry Physician | 2084P0802X | 17169 | WI | |
| Addiction Medicine (Internal Medicine) Physician | 207RA0401X | 17169 | WI | Primary |
Addresses
Primary practice location
1615 Maple LN
Ashland, WI 54806-3626
Mailing address
1615 Maple LN
Ashland, WI 54806-3626
Phone (715) 685-5500
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2632839 10 | Other | WI | M MA |
| 391662030 | Other | ASHLAND CTY | |
| 31192600 | Medicaid | WI | |
| 0979600000 | Other | BAYFIELD CTY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17169 | WI | MD | Addiction Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Memorial Medical Center Inc | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Rural Health Clinic/Center
- Ashland, WI
- NPI 1770255937
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1093739427",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1615 MAPLE LN",
"city": "ASHLAND",
"state": "WI",
"postal_code": "548063626",
"telephone_number": "715-685-5500",
"fax_number": "715-685-5102"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1615 MAPLE LN",
"city": "ASHLAND",
"state": "WI",
"postal_code": "548063626",
"telephone_number": "715-685-5500",
"fax_number": "715-685-5102"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUSSA",
"first_name": "JOHN",
"middle_name": "FLORIAN",
"credential": "MD AODAC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-27",
"last_updated": "2023-03-07",
"certification_date": "2020-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0802X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Addiction Psychiatry",
"state": "WI",
"license": "17169",
"primary": false
},
{
"code": "207RA0401X",
"taxonomy_group": "",
"desc": "Internal Medicine, Addiction Medicine",
"state": "WI",
"license": "17169",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "M MA",
"identifier": "2632839 10",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ASHLAND CTY",
"identifier": "391662030",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "31192600",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BAYFIELD CTY",
"identifier": "0979600000",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Ashland, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.