Mark William Rusnak, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH00034720 Issued in WA

Practice address

19655 1St Ave S
#205
Normandy Park, WA 98148-2166

Phone

(206) 429-2922

Fax

(206) 429-2422

NPI assigned

Oct 11, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Specialty

Chiropractic

Education

Northwestern College of Chiropractic, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Northwest Clinic of ChiropracticGroup PAC ID 6406939206, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Northwest Clinic of Chiropractic

  • Chiropractor
  • Normandy Park, WA
  • NPI 1801071576
  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209340800000",
    "number": "1073601217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19655 1ST AVE S",
            "address_2": "#205",
            "city": "NORMANDY PARK",
            "state": "WA",
            "postal_code": "981482166",
            "telephone_number": "206-429-2922",
            "fax_number": "206-429-2422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19655 1ST AVE S",
            "address_2": "#205",
            "city": "NORMANDY PARK",
            "state": "WA",
            "postal_code": "981482166",
            "telephone_number": "206-429-2922",
            "fax_number": "206-429-2422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSNAK",
        "first_name": "MARK",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-11",
        "last_updated": "2008-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00034720",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christi P Riley, DPT OCS ATC CSCS
• Sean Riley, DC
• Robert E Parker PHD PC
• Karen E Rowlee, MS, LMFT
• Ashley Brook Rusnak, DC
• Larissa K Sande, LMT
• Gloria Scott, LMT
• Sea-Mar Community Health Center
• Roger Alan Shelton, D.C.
• John D Slightam, M.D,

• Chiropractor in Normandy Park, WA
• Providers in Normandy Park, WA by specialty
• Chiropractor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.