Active NPI
Joseph Francis Kusiak, M.D.
- Plastic Surgery Physician
- Fort Myers, FL
National Provider Identifier
1477824852
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- License
- ME 92208
- Practice address
- 3320 Shady Bend
Fort Myers, FL 33905 - Phone
- (239) 693-1655
- Fax
- (239) 693-1656
- NPI assigned
- Jan 18, 2012
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Plastic Surgery Physician | 208200000X | ME 92208 | FL | Primary |
| Plastic Surgery Physician | 208200000X | MD018362E | PA |
Addresses
Primary practice location
3320 Shady Bend
Fort Myers, FL 33905
Mailing address
3320 Shady Bend
Fort Myers, FL 33905
Phone (239) 693-1655
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME 92208 | FL | MD | Plastic Surgery Physician |
| MD018362E | PA | MD | Plastic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Health Services of Fox Chase Cancer Center | Past | Accepting new patients | |
| Health Services of Fox Chase Cancer Center | Past | Accepting new patients |
Organizations & group practices 2
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.
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- NPI 1144338351
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- Philadelphia, PA
- NPI 1568564821
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1326844800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1326844800000",
"number": "1477824852",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3320 SHADY BEND",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "33905",
"telephone_number": "239-693-1655",
"fax_number": "239-693-1656"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3320 SHADY BEND",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "33905",
"telephone_number": "239-693-1655",
"fax_number": "239-693-1656"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KUSIAK",
"first_name": "JOSEPH",
"middle_name": "FRANCIS",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-01-18",
"last_updated": "2012-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "208200000X",
"taxonomy_group": "",
"desc": "Plastic Surgery",
"state": "FL",
"license": "ME 92208",
"primary": true
},
{
"code": "208200000X",
"taxonomy_group": "",
"desc": "Plastic Surgery",
"state": "PA",
"license": "MD018362E",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Myers, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.