Active NPI
Robert L Cusic, MD
- Emergency Medical Services (Emergency Medicine) Physician
- Dickinson, ND
National Provider Identifier
1851388490
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medical Services (Emergency Medicine) Physician
- License
- 4877
- Practice address
- 33 9TH St W
Dickinson, ND 58601-3950 - Phone
- (701) 483-6017
- Fax
- (701) 483-5018
- NPI assigned
- Sep 29, 2005
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medical Services (Emergency Medicine) Physician | 207PE0004X | 4877 | ND | Primary |
Addresses
Primary practice location
33 9TH St W
Dickinson, ND 58601-3950
Mailing address
629 10TH Ave W
Dickinson, ND 58601-4750
Phone (701) 483-8799
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 14342 | Medicaid | ND |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127952000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1358380800000",
"number": "1851388490",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "629 10TH AVE W",
"city": "DICKINSON",
"state": "ND",
"postal_code": "586014750",
"telephone_number": "701-483-8799"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "33 9TH ST W",
"city": "DICKINSON",
"state": "ND",
"postal_code": "586013950",
"telephone_number": "701-483-6017",
"fax_number": "701-483-5018"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CUSIC",
"first_name": "ROBERT",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-29",
"last_updated": "2013-01-17",
"status": "A"
},
"taxonomies": [
{
"code": "207PE0004X",
"taxonomy_group": "",
"desc": "Emergency Medicine, Emergency Medical Services",
"state": "ND",
"license": "4877",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "14342",
"state": "ND"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dickinson, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.