Provider Demographics
NPI:1194722280
Name:KUSKIN, LOUIS FRANKLIN (MD)
Entity type:Individual
Prefix:
First Name:LOUIS
Middle Name:FRANKLIN
Last Name:KUSKIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7 DOCK HILL RD
Mailing Address - Street 2:
Mailing Address - City:MIDDLEBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17842-8910
Mailing Address - Country:US
Mailing Address - Phone:570-837-2123
Mailing Address - Fax:570-837-2185
Practice Address - Street 1:1199 COLONIAL RD
Practice Address - Street 2:
Practice Address - City:HARRISBURG
Practice Address - State:PA
Practice Address - Zip Code:17112-1952
Practice Address - Country:US
Practice Address - Phone:717-652-8436
Practice Address - Fax:717-652-8804
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-05
Last Update Date:2016-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD036007L207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0007677600002Medicaid
PA0007677600001Medicaid
PA122459F6KMedicare PIN
0000122459OtherKEYSTONE HEALTH PLANS
PA122459OtherHIGHMARK BLUE SHIELD
PA122459F6KOtherMEDICARE PTAN
479905OtherAETNA HEALTH PLANS
C30788Medicare UPIN
C30788OtherHEALTH AMERICA
PA28486 S154OtherGEISINGER HEALTH PLANS
PA0007677600002Medicaid