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DOUGLAS WILLIAM RUSNACK MD NPI 1336101005


NPI Information

NPI: 1336101005
Provider Name: DOUGLAS WILLIAM RUSNACK, MD
Classification: Radiology - 2085R0202X
Entity Type: Individual

Specialization: Diagnostic Radiology

PECOS Registration: Yes

Address:
601 FRONT AVENUE
SUITE #502
COEUR D ALENE, ID
ZIP 83814
Phone: (208) 415-0524
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Douglas William Rusnack, MD is a diagnostic radiology radiology in Coeur D Alene, ID with 26 years of experience. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. Douglas William Rusnack, MD NPI is 1336101005. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: COLUMBIA UNIVERSITY COLLEGE OF PHYSICIANS AND SURGEONS
Graduation Year:1998

The provider's business location address is:

601 FRONT AVENUE
SUITE #502
COEUR D ALENE, ID
ZIP 83814
Phone: (208) 415-0524
Fax: (208) 763-3644

The NPI 1336101005 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 following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • X-ray of chest, 1 view (HCPCS:71045)
  • Ct scan of abdomen and pelvis (HCPCS:74176)
  • Ct scan chest (HCPCS:71250)
  • Ct scan of abdomen and pelvis with contrast (HCPCS:74177)
  • X-ray of chest, 2 views (HCPCS:71046)
  • Nuclear medicine study with ct imaging skull base to mid-thigh (HCPCS:78815)
  • Ultrasound of head and neck (HCPCS:76536)
  • Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck (HCPCS:93880)
  • Ct scan guidance for insertion of radiation therapy fields (HCPCS:77014)
  • X-ray of hip with pelvis, 2-3 views (HCPCS:73502)
  • Ultrasound study of arteries and arterial grafts of both legs (HCPCS:93925)

The enumeration date for this NPI number is 4/6/2006 and was last updated on 5/27/2009.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12085R0202XRadiologyDiagnostic RadiologyM9059IDAHOYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
191732OTHERKENTUCKYSIHO
27100025000MEDICAIDKENTUCKY
3012551P27MEDICARE PINVIRGINIA
450017549OTHERKENTUCKYPASSPORT
5H90509MEDICARE UPINIDAHO
6RU-VN4094MEDICARE PINMAINE
7000000548198OTHERKENTUCKYANTHEM
8RU-VN4094MEDICARE PINVERMONT
91019685500001OTHERPENNSYLVANIAMEDICAL ASSISTANCE PA
101019685500001MEDICAIDPENNSYLVANIA
11RU-VN4094MEDICARE PINNEW HAMPSHIRE
122799048OTHERPENNSYLVANIAMEDICAL ASSISTANCE OH
133425603000OTHERKENTUCKYPASSPORT ADVANTAGE
142501251OTHERPENNSYLVANIAMEDICAL ASSISTANCE NY
152799048MEDICAIDOHIO
160998888MEDICARE PINKENTUCKY
17010394856MEDICAIDVIRGINIA
18115248MEDICARE PINPENNSYLVANIA

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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.