DataLabs

datalabs.health made in the usa

Contact us Sign in | Documentation |

divider

Medicare/Medicaid Verification Programs divider

divider

Medicare Verification Program divider

divider

1013948694

NPI Code Detail

MEDICARE: JEREMY CLIFTON CUZZOURT MD

MEDICARE: JEREMY CLIFTON CUZZOURT MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Y00000X	Otolaryngology Physician	46380	TN
2	207YX0007X	Plastic Surgery within the Head & Neck (Otolaryngology) Physician	22299	WV
3	207Y00000X	Otolaryngology Physician	35.125222	OH

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	P00324289	OTHER		RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1013948694
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JEREMY CLIFTON CUZZOURT MD

Provider Business Mailing Address
First Line	:	90 JACKSON PIKE
Second Line	:
City	:	GALLIPOLIS
State	:	OH
Zip	:	45631-1560
Country	:	US
Telephone Number	:	740-886-9370
Fax Number	:	740-886-9374

Provider Business Practice Location Address
First Line	:	98 STATE ST
Second Line	:
City	:	PROCTORVILLE
State	:	OH
Zip	:	45669-8163
Country	:	US
Telephone Number	:	855-446-5937
Fax Number	:	740-886-9374

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/05/2006
Last Update Date	:	01/21/2021

Similar Medicare Providers

1427026616 — STEVEN J MERKEL M.D.
Practice Location Address:

98 STATE ST
PROCTORVILLE, OH
45669-8163

Practice Phone: 740-886-9403
Practice Fax: 740-886-3006

1053363101 — DR. C. STEVEN BATISTE M.D.
Practice Location Address:

98 STATE ST
PROCTORVILLE, OH
45669-8163

Practice Phone: 740-886-9403
Practice Fax: 740-446-5153

1053364828 — GLEN P. IMLAY M.D.
Practice Location Address:

98 STATE ST
PROCTORVILLE, OH
45669-8163

Practice Phone: 740-886-9403
Practice Fax: 740-446-5153

1770521635 — ELIZABETH D ALLEN CNP
Practice Location Address:

98 STATE ST
PROCTORVILLE, OH
45669-8163

Practice Phone: 554-465-9378
Practice Fax: 740-446-5082

1336165638 — TAMMY L. WALLS PT
Practice Location Address:

98 STATE ST
PROCTORVILLE, OH
45669-8163

Practice Phone: 740-886-9403
Practice Fax: 740-446-5153

1659397826 — MS. CHRISTA GRADY PT
Practice Location Address:

98 STATE ST
PROCTORVILLE, OH
45669-8163

Practice Phone: 740-886-9403
Practice Fax: 740-446-5153

Directions to “ JEREMY CLIFTON CUZZOURT MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.