DR. WILLIAM J LUSK DO NPI 1588624068

NPI Information

NPI: 1588624068
Provider Name: DR. WILLIAM J LUSK, DO
Classification: Emergency Medicine - 207PE0004X
Entity Type: Individual

Specialization: Emergency Medical Services

Organization: DEGARA APP PLLC

PECOS Registration: Yes

Address:
6071 W OUTER DR
DETROIT, MI
ZIP 48235
Phone: (313) 966-3300
Get Directions

DR. William J Lusk, DO is an emergency medical services emergency medicine in Detroit, MI with 36 years of experience. The provider is an emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. DR. William J Lusk, DO NPI is 1588624068. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: MICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Graduation Year:1988

The provider's business location address is:

6071 W OUTER DR
DETROIT, MI
ZIP 48235-624
Phone: (313) 966-3300

The NPI 1588624068 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 3/27/2006 and was last updated on 4/20/2017.

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	207PE0004X	Emergency Medicine	Emergency Medical Services	5101010317	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	WL010317	OTHER	MICHIGAN	BC/BS OF MI
2	F02022	MEDICARE UPIN	MICHIGAN
3	113402922	MEDICAID	MICHIGAN
4	114604593	MEDICAID	MICHIGAN
5	H26348204	MEDICARE ID-TYPE UNSPECIFIED	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: 11/14/2023

NPI Synchronization or Removal

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