TIMOTHY RUSTHOVEN DPM NPI 1972668325

NPI Information

NPI: 1972668325
Provider Name: TIMOTHY RUSTHOVEN, DPM
Classification: Podiatrist - 213E00000X
Entity Type: Individual
Address:
2000 LAKE AVE
WOODSTOCK, IL
ZIP 60098
Phone: (815) 337-7100
Get Directions

Timothy Rusthoven, DPM is a podiatrist in Woodstock, IL. The provider is a podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. Timothy Rusthoven, DPM NPI is 1972668325. 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:

2000 LAKE AVE
WOODSTOCK, IL
ZIP 60098-401
Phone: (815) 337-7100

The enumeration date for this NPI number is 12/26/2006 and was last updated on 7/8/2007.

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	213E00000X	Podiatrist		550	WISCONSIN	No
2	213E00000X	Podiatrist			ILLINOIS	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
1	43225700	MEDICAID	WISCONSIN
2	016003921 4	MEDICAID	ILLINOIS
3	T37697	MEDICARE UPIN
4	476690	MEDICARE ID-TYPE UNSPECIFIED	ILLINOIS

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: 5/5/2024

NPI Synchronization or Removal

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