Marshall Edward Cusic Jr., M.D.

Primary specialty

Allergy PhysicianTaxonomy code 207KA0200X

License

20239 Issued in WI

Practice address

1000 N Oak Ave
Marshfield, WI 54449-5703

Phone

(715) 387-5186

NPI assigned

Sep 22, 2006

Last updated

Jul 8, 2007By 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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1487753406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 N OAK AVE",
            "city": "MARSHFIELD",
            "state": "WI",
            "postal_code": "544495703",
            "telephone_number": "715-387-5186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 N OAK AVE",
            "city": "MARSHFIELD",
            "state": "WI",
            "postal_code": "544495703",
            "telephone_number": "715-387-5186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUSIC",
        "first_name": "MARSHALL",
        "middle_name": "EDWARD",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207KA0200X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology, Allergy",
            "state": "WI",
            "license": "20239",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30405200",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mark Critelli, PT
• Rebecca Ann Cronk, FNP-BC
• Adrienne M Cruz, MD
• Samuel Curtis, CRNA
• Tammy Marie Curtis, LPC
• Jonathan Eugene Cutlan, M.D.
• Kristin Marie Cutlan, M.D.
• Kathleen A Cypher, MSSW
• Brianna Czaikowski
• Aaron R Dagit, DO

• Allergy Physician in Marshfield, WI
• Providers in Marshfield, WI by specialty
• Allergy Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.