NPIMap

Organization Active NPI

Austin R Cushman M.D. PA

  • Surgery Physician
  • Boise, ID
National Provider Identifier
1851620520
Registry record updated Dec 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
M4521 Issued in ID
Legal business name
AUSTIN R CUSHMAN M.D. PA
Practice address
901 N Curtis Rd Ste 103
Boise, ID 83706-1339
Phone
(208) 367-2670
Fax
(208) 367-2673
NPI assigned
Dec 9, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2009

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

Authorized official

Name
Dr. Austin R Cushman, M.D.
Title
Owner
Phone
(208) 367-2670

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X M4521 ID Primary

Addresses

Primary practice location

901 N Curtis Rd Ste 103
Boise, ID 83706-1339

Mailing address

901 N Curtis Rd Ste 103
Boise, ID 83706-1339
Phone (208) 367-2670

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1260316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260316800000",
    "number": "1851620520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 N CURTIS RD STE 103",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837061339",
            "telephone_number": "208-367-2670",
            "fax_number": "208-367-2673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 N CURTIS RD STE 103",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837061339",
            "telephone_number": "208-367-2670",
            "fax_number": "208-367-2673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUSTIN R CUSHMAN M.D. PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-09",
        "last_updated": "2009-12-09",
        "status": "A",
        "authorized_official_last_name": "CUSHMAN",
        "authorized_official_first_name": "AUSTIN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-367-2670",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "ID",
            "license": "M4521",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boise, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2009; 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.