ALICE MARIE CUSICK M.D. NPI 1407824154

NPI Information

NPI: 1407824154
Provider Name: ALICE MARIE CUSICK, M.D.
Classification: Internal Medicine - 207RH0000X
Entity Type: Individual

Specialization: Hematology

PECOS Registration: Yes

Address:
1500 E MEDICAL CENTER DRIVE
B1 FLOOR CANCER RECP B
ANN ARBOR, MI
ZIP 48109
Phone: (734) 647-8901
Get Directions

Alice Marie Cusick, M.D. is a hematology internal medicine in Ann Arbor, MI. The provider is an internist with additional training who specializes in diseases of the blood, spleen and lymph. This specialist treats conditions such as anemia, clotting disorders, sickle cell disease, hemophilia, leukemia and lymphoma. Alice Marie Cusick, M.D. NPI is 1407824154. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1500 E MEDICAL CENTER DRIVE
B1 FLOOR CANCER RECP B
ANN ARBOR, MI
ZIP 48109-911
Phone: (734) 647-8901

The NPI 1407824154 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/9/2006 and was last updated on 12/7/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207R00000X	Internal Medicine		4301107789	MICHIGAN	No
2	207RH0000X	Internal Medicine	Hematology	MD426993	PENNSYLVANIA	No
3	207RH0000X	Internal Medicine	Hematology	4301107789	MICHIGAN	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	101381011	MEDICAID	PENNSYLVANIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »