NPI 1639668916 · live from the CMS NPI Registry
Alexander Mark Busko, MD, MPH
Anesthesiology, Critical Care Medicine in Lawrenceville, GA. National Provider Identifier 1639668916, active.
NPI record
| NPI | 1639668916 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Anesthesiology, Critical Care Medicine 207LC0200X |
| Practice location | 1000 Medical Center Blvd, Lawrenceville, GA 30046 |
| Practice phone | 678-312-2418 |
| Mailing address | 4725 N Federal Hwy, Fort Lauderdale, FL 33308 |
| Enumerated | May 2, 2018 |
| Last updated | July 29, 2025 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Emergency Medicine | 207P00000X | 42917 (AL) |
| Emergency Medicine | 207P00000X | MED-PHYS-LIC-143282 (MT) |
| Emergency Medicine | 207P00000X | 102475 (GA) |
| Emergency Medicine | 207P00000X | 144588 (FL) |
| Anesthesiology, Critical Care Medicine primary | 207LC0200X | 102475 (GA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.