Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1669464210 Deactivated / Inactive NPI Male Practitioner

Dr. Juan Llusco , MD

Pediatrics • Phoenix, AZ

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Juan Llusco has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 19, 2005
NPI Deactivation Date March 21, 2006
Total Practice Duration ~1 Years of Practice (2005 – 2006)

Professional Overview & Biography Verified Profile Summary

Dr. Juan Llusco, MD was a registered Pediatrics practicing in Phoenix, AZ. Throughout an active medical career spanning 1 years, Dr. Llusco provided care at the practice location at 1641 E OSBORN RD until profile deactivation on 2006-03-21.

Practice Location & Contact Primary Location

Practice Address

1641 E Osborn Rd
Suite 3

Phoenix, AZ 850167146

Telephone 4802067319
Associated Practice Facility / Clinic
🏢 Pediatras Arizona Facility NPI 1427152164

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Phoenix, AZ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 14.4 Yrs
State Avg: 23.5 Yrs
Regional Practice Density
440 Specialists

Practicing in Phoenix, AZ (1353 Statewide)

Telehealth Adoption Rate
0.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License AZ AZ31758

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
805872 (AZ)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

14 Associated Practitioners
Randi Zaila , CCC-SLP

Speech-Language Pathologist

NPI 1033365739

Speech-Language Pathologist (Certificate of Clinical Competence)

Dana Wright

Speech-Language Pathologist

NPI 1043599459
Michelle Eckert

Physical Therapist - Pediatrics

NPI 1124284955
NPI 1134591159
Jerry Johnstone , LMT

Massage Therapist

NPI 1194115030

Licensed Massage Therapist

NPI 1215907720

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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Updated Practice Location May 31, 2013

Registered at 1641 E OSBORN RD, SUITE 3, PHOENIX, AZ 850167146 (Tel: 4802067319)

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Updated Business Mailing Address May 31, 2013

Registered at PO BOX 71608, PHOENIX, AZ 850501011 (Tel: 4802067319)

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Provider Name / Credentials Updated May 31, 2013

Recorded as JUAN LLUSCO, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) May 31, 2013

Pediatrics (License #AZ31758 in AZ)

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NPI Profile Reactivated April 10, 2006

Record officially reactivated for active practice on April 10, 2006

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NPI Profile Deactivated March 21, 2006

Record deactivated on March 21, 2006

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Initial NPI Registration & Enumeration August 19, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1669464210
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 19, 2005
Last Update: May 31, 2013
Deactivation Date: March 21, 2006
Sole Proprietor: Yes

Mailing Address

Po Box 71608

Phoenix, AZ 850501011

Phone: 4802067319

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.