JAMES R CUSTER MD NPI 1497734446

NPI Information

NPI: 1497734446
Provider Name: JAMES R CUSTER, MD
Classification: Radiology - 2085R0202X
Entity Type: Individual

Specialization: Diagnostic Radiology

PECOS Registration: Yes

Address:
1230 E MAIN STREET
MANKATO CLINIC AT MAIN STREET
MANKATO, MN
ZIP 56002
Phone: (507) 625-1811
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James R Custer, MD is a diagnostic radiology radiology in Mankato, MN. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. James R Custer, MD NPI is 1497734446. 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:

1230 E MAIN STREET
MANKATO CLINIC AT MAIN STREET
MANKATO, MN
ZIP 56002-674
Phone: (507) 625-1811

The NPI 1497734446 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 1/10/2006 and was last updated on 8/15/2011.

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	2085R0202X	Radiology	Diagnostic Radiology	18142	MINNESOTA	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	HP24199	OTHER	MINNESOTA	HEALTH PARTNERS
2	90910	OTHER	IOWA	BCBS
3	309000488	MEDICARE ID-TYPE UNSPECIFIED	MINNESOTA
4	410849339 56001 C025	OTHER		CHAMPUS
5	928747	OTHER	IOWA	MEDICAID
6	300049064	OTHER		RR MEDICARE
7	3M374CU	OTHER	MINNESOTA	BCBS
8	764330	OTHER	MINNESOTA	AMERICAS PPO
9	232272200	MEDICAID	MINNESOTA
10	115336	OTHER	MINNESOTA	UCARE
11	1600689	OTHER	MINNESOTA	MEDICA
12	NA2951014708	OTHER	MINNESOTA	PREFERRED ONE
13	D48478	MEDICARE UPIN

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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