John A Kustan, M.D.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

ME18919 Issued in ME

Practice address

3073 White Mountain Hwy
North Conway, NH 03860-7101

Phone

(603) 356-5461

NPI assigned

Nov 9, 2005

Last updated

Nov 4, 2015By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Austintown Open MRI LLC

  • Magnetic Resonance Imaging (MRI) Clinic/Center
  • Austintown, OH
  • NPI 1114959699
  NPD (past)
• F&S Radiology, P.C.

  • Diagnostic Radiology Physician
  • Sebring, FL
  • NPI 1518299957
  NPD (past)
• Franklin & Seidelmann Inc

  • Diagnostic Radiology Physician
  • Plantation, FL
  • NPI 1972539245
  NPD (past)
• Franklin & Seidelmann Medical Corp

  • Diagnostic Radiology Physician
  • Beachwood, OH
  • NPI 1598791873
  NPD (past)
• Lima Memorial Joint Operating Company

  dba Lima Memorial Health System

  • General Acute Care Hospital
  • Lima, OH
  • NPI 1336144732
  NPD (past)
• R S & J Imaging, Inc

  dba Precision Diagnostic Imaging

  • Magnetic Resonance Imaging (MRI) Clinic/Center
  • Willoughby, OH
  • NPI 1477744225
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1131494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1446595200000",
    "number": "1386625077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "324 GANNETT DR STE 200",
            "city": "SOUTH PORTLAND",
            "state": "ME",
            "postal_code": "041063266",
            "telephone_number": "207-482-7800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3073 WHITE MOUNTAIN HWY",
            "city": "NORTH CONWAY",
            "state": "NH",
            "postal_code": "038607101",
            "telephone_number": "603-356-5461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUSTAN",
        "first_name": "JOHN",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-09",
        "last_updated": "2015-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "ME",
            "license": "ME18919",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Klementovich, RPH
• Ann-Marie Knox
• Griffin Stallard Kopp, CRNA
• John Kovalik Jr., DMD
• Anna Kramer, PT
• Daniel Kyparissis, DC
• Jennifer Anne Labudde, M.D.
• Sarah Ashley Lacey, FNP-BC
• Lakes Region Opticians Inc (Styleyes Optique)
• Jessica L. Lamontagne, APRN

• Diagnostic Radiology Physician in North Conway, NH
• Providers in North Conway, NH by specialty
• Diagnostic Radiology Physician in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.