NPI age
20 years
Enumerated 2006-04-06
● Active
Type 1 · Individual
Douglas William Rusnack, MD
Rusnack is 1 of 62 radiology providers in Coeur D Alene and 1 of 248 in Idaho.
Primary specialty
Radiology
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2009-05-27
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file
How this provider compares
Across 248 active radiology providers in Idaho.
NPI age
20 years
≈ at median (19 yr)
State licenses
1 state
23% of peers hold multiple states
Subspecialties
0
33% of peers hold subspecialties
NPI lifetime · 2006 → 2026
2006-04Enumerated in NPPES
2006
2026
Where they practice
Practice location
601 Front Avenue, Suite #502
Coeur D Alene, ID 83814
Mailing address
601 Front Avenue, Suite #502
Coeur D Alene, ID 83814
Specialties
-
Radiology PrimaryA radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (VA) | 010394856 | |
| 01 (PA) | 2799048 | MEDICAL ASSISTANCE OH |
| 01 (KY) | 50017549 | PASSPORT |
| 01 (PA) | 1019685500001 | MEDICAL ASSISTANCE PA |
| 05 (OH) | 2799048 | |
| 01 (KY) | 000000548198 | ANTHEM |
| 05 (PA) | 1019685500001 | |
| 01 (PA) | 2501251 | MEDICAL ASSISTANCE NY |
| 01 (KY) | 3425603000 | PASSPORT ADVANTAGE |
| 05 (KY) | 7100025000 | |
| 01 (KY) | 91732 | SIHO |
Practice context
Part of a multi-provider practice. 5 other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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