LEE STUART RUSAKOW MD NPI 1710973532

NPI Information

NPI: 1710973532
Provider Name: LEE STUART RUSAKOW, MD
Classification: Pediatrics - 2080P0214X
Entity Type: Individual

Specialization: Pediatric Pulmonology

PECOS Registration: Yes

Address:
4545 E 9TH AVE
SUITE 504
DENVER, CO
ZIP 80220
Phone: (303) 831-9853
Get Directions

Lee Stuart Rusakow, MD is a pediatric pulmonology pediatrics in Denver, CO. The provider is a pediatrician dedicated to the prevention and treatment of all respiratory diseases affecting infants, children and young adults. This specialist is knowledgeable about the growth and development of the lung, assessment of respiratory function in infants and children, and experienced in a variety of invasive and noninvasive diagnostic techniques. Lee Stuart Rusakow, MD NPI is 1710973532. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4545 E 9TH AVE
SUITE 504
DENVER, CO
ZIP 80220-901
Phone: (303) 831-9853
Fax: (303) 832-3533

The NPI 1710973532 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 enumeration date for this NPI number is 9/27/2005 and was last updated on 4/5/2013.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2080P0214X	Pediatrics	Pediatric Pulmonology	29525	COLORADO	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	2004704000	OTHER	WEST VIRGINIA	MEDICAID
2	64034978	OTHER	KENTUCKY	MEDICAID
3	2252093	MEDICAID	OHIO
4	RU4056801	MEDICARE ID-TYPE UNSPECIFIED	OHIO
5	E73744	MEDICARE UPIN

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

NPI Synchronization or Removal

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