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JOSEPH R CUSTER MD NPI 1730195900


NPI Information

NPI: 1730195900
Provider Name: JOSEPH R CUSTER, MD
Classification: Pediatrics - 2080P0203X
Entity Type: Individual

Specialization: Pediatric Critical Care Medicine

Address:
1500 EAST MEDICAL CENTER DR
C.S. MOTT CHILDRENS HOSPITAL 12TH FLOOR ROOM 525
ANN ARBOR, MI
ZIP 48109
Phone: (734) 763-5302
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Joseph R Custer, MD is a pediatric critical care medicine pediatrics in Ann Arbor, MI. The provider is a pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists. Joseph R Custer, MD NPI is 1730195900. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1500 EAST MEDICAL CENTER DR
C.S. MOTT CHILDRENS HOSPITAL 12TH FLOOR ROOM 525
ANN ARBOR, MI
ZIP 48109-280
Phone: (734) 763-5302

The enumeration date for this NPI number is 7/31/2006 and was last updated on 9/17/2012.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208000000XPediatrics4301046871MICHIGANNo
22080N0001XPediatricsNeonatal-Perinatal Medicine4301046871MICHIGANNo
32080P0203XPediatricsPediatric Critical Care Medicine4301046871MICHIGANYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1A79122MEDICARE UPIN
2OH16103294MEDICARE ID-TYPE UNSPECIFIEDMICHIGAN
31500719MEDICAIDMICHIGAN

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

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