Individual provider Active NPI

Joseph Eugene Tusa, M.D.

  • Family Medicine Physician
  • Mandeville, LA
National Provider Identifier
1821168808
Registry record updated Mar 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD.015330 Issued in LA
Practice address
3916 Highway 22
Suite 1
Mandeville, LA 70471-7306
Phone
(985) 778-2577
Fax
(985) 778-2580
NPI assigned
Nov 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 015330 LA
Family Medicine Physician 207Q00000X MD.015330 LA Primary

Addresses

Primary practice location

3916 Highway 22
Suite 1
Mandeville, LA 70471-7306

Mailing address

3916 Highway 22
Suite 1
Mandeville, LA 70471-7306
Phone (985) 778-2577

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

LicenseStateTypeSpecialty
015330LAMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459296000000",
    "number": "1821168808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3916 HIGHWAY 22",
            "address_2": "SUITE 1",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704717306",
            "telephone_number": "985-778-2577",
            "fax_number": "985-778-2580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3916 HIGHWAY 22",
            "address_2": "SUITE 1",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704717306",
            "telephone_number": "985-778-2577",
            "fax_number": "985-778-2580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUSA",
        "first_name": "JOSEPH",
        "middle_name": "EUGENE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-08",
        "last_updated": "2016-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "LA",
            "license": "015330",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "MD.015330",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mandeville, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2016; 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.