Individual
DOUGLAS WILLIAM RUSNACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
M9059
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000548198
ANTHEM
KY
05
—
010394856
—
VA
01
—
1019685500001
MEDICAL ASSISTANCE PA
PA
05
—
1019685500001
—
PA
01
—
2501251
MEDICAL ASSISTANCE NY
PA
01
—
2799048
MEDICAL ASSISTANCE OH
PA
05
—
2799048
—
OH
01
—
3425603000
PASSPORT ADVANTAGE
KY
01
—
50017549
PASSPORT
KY
05
—
7100025000
—
KY
01
—
91732
SIHO
KY
Enumeration date
04/06/2006
Last updated
05/27/2009
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up