Provider Type Icon

DR. ROBERT EDWARD RUST M.D. NPI 1437214202


NPI Information

NPI: 1437214202
Provider Name: DR. ROBERT EDWARD RUST, M.D.
Classification: Family Medicine - 207QA0401X
Entity Type: Individual

Specialization: Addiction Medicine

PECOS Registration: Yes

CLIA Number: 13D2031196

Address:
1301 N DIVISION AVE
SANDPOINT, ID
ZIP 83864
Phone: (208) 263-1345
Get Directions

DR. Robert Edward Rust, M.D. is an addiction medicine family medicine in Sandpoint, ID. The provider is a family medicine physician who specializes in the diagnosis and treatment of addictions. DR. Robert Edward Rust, M.D. NPI is 1437214202. 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:

1301 N DIVISION AVE
SANDPOINT, ID
ZIP 83864-268
Phone: (208) 263-1345
Fax: (208) 255-5531

The NPI 1437214202 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 CLIA number assigned to this NPI record is 13D2031196 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/22/2006 and was last updated on 10/17/2013.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineM3004IDAHONo
2207QA0401XFamily MedicineAddiction MedicineM-3004IDAHOYes

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
1112500019MEDICAIDIDAHO
2E75470MEDICARE UPINIDAHO

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: 11/14/2023

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.