DOUGLAS W. RUSNACK MD – NPI #1336101005
Radiology

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

DOUGLAS RUSNACK is a radiologist located in COEUR D'ALENE, ID. NPPES has assigned the NPI number 1336101005 to DOUGLAS RUSNACK on April 06, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 2085R0202X from the Health Care Provider Taxonomy code set, which is classified as Radiology, specializing in Diagnostic Radiology

The NPI profile was previously updated about 17 years ago on May 27, 2009. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for DOUGLAS RUSNACK below.

NPI Profile for
DOUGLAS W. RUSNACK

NPI Number
1336101005
Enumeration Date

(more than 20 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
DOUGLAS W. RUSNACK
Credentials
MD
Primary location
601 FRONT AVENUE
SUITE #502
COEUR D'ALENE, ID 83814
Phone: (208) 415-0524 Fax: (208) 763-3644
Mailing address
Same as primary location
Sole Proprietor
Yes
Updated
Identifiers

Identifiers for DOUGLAS RUSNACK

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

See identifiers
DescriptionIssuerStateIdentifier
OTHERANTHEMKY000000548198
OTHERMEDICAL ASSISTANCE NYPA2501251
OTHERMEDICAL ASSISTANCE OHPA2799048
OTHERMEDICAL ASSISTANCE PAPA1019685500001
OTHERPASSPORTKY50017549
OTHERPASSPORT ADVANTAGEKY3425603000
OTHERSIHOKY91732
MEDICAIDKY7100025000
MEDICAIDOH2799048
MEDICAIDPA1019685500001
MEDICAIDVA010394856
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2085R0202X
- Radiology / Diagnostic Radiology (Primary)
ID M9059

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Education
COLUMBIA UNIVERSITY COLLEGE OF PHYSICIANS AND SURGEONS - Graduated 1998
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
DOUGLAS RUSNACK is affiliated with the following medical group(s):
  • HOSPITAL
    • ANTELOPE VALLEY HOSPITAL
      1600 W AVE J
      LANCASTER, CA 93534
    • GLENDALE MEM HOSPITAL & HLTH CENTER
      1420 S CENTRAL AVE
      GLENDALE, CA 91204
    • NORTHRIDGE HOSPITAL MEDICAL CENTER
      18300 ROSCOE BLVD
      NORTHRIDGE, CA 91325
    • PROVIDENCE SAINT JOSEPH MEDICAL CTR
      501 SOUTH BUENA VISTA STREET
      BURBANK, CA 91505
    • ST MARY MEDICAL CENTER
      1050 LINDEN AVE
      LONG BEACH, CA 90813

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