DR. ROGER MATTHEW KUSHNER D.O. NPI 1962467621

NPI Information

NPI: 1962467621
Provider Name: DR. ROGER MATTHEW KUSHNER, D.O.
Classification: Obstetrics & Gynecology - 207VX0000X
Entity Type: Individual

Specialization: Obstetrics

PECOS Registration: Yes

Address:
20276 MIDDLEBELT RD
SUITE 2
LIVONIA, MI
ZIP 48152
Phone: (248) 476-4900
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DR. Roger Matthew Kushner, D.O. is an obstetrics obstetrics gynecology in Livonia, MI. The provider is a physician who specializes in diagnosis, treatment, and management of patients with obstetric conditions. Source: National Uniform Claim Committee DR. Roger Matthew Kushner, D.O. NPI is 1962467621. 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:

20276 MIDDLEBELT RD
SUITE 2
LIVONIA, MI
ZIP 48152-054
Phone: (248) 476-4900
Fax: (248) 476-5435

The NPI 1962467621 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 4/18/2006 and was last updated on 3/1/2018.

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	207VX0000X	Obstetrics & Gynecology	Obstetrics	5101006358	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	47523	OTHER	MICHIGAN	OMNI
2	4033701	OTHER	MICHIGAN	AETNA
3	E26610	OTHER	MICHIGAN	HEALTH ALLIANCE PLAN
4	110978	OTHER	MICHIGAN	CARE CHOICES
5	160H261380	OTHER	MICHIGAN	BCBS/BCN
6	4372550	MEDICAID	MICHIGAN

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

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