Individual provider Active NPI

Cory Rasmussen, M.D.

  • Neuroradiology Physician
  • Gastonia, NC
National Provider Identifier
1376992438
Registry record updated Jul 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neuroradiology PhysicianTaxonomy code 2085N0700X
License
2021-01979 Issued in NC
Practice address
839 Majestic CT Ste 4
Gastonia, NC 28054-5152
Phone
(800) 475-6112
NPI assigned
Jun 9, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nuclear Imaging & Therapy Physician 207UN0902X 2021-01979 NC
Neuroradiology Physician 2085N0700X 2021-01979 NC Primary
Internal Medicine Physician 207R00000X 4301109562 MI

Addresses

Primary practice location

839 Majestic CT Ste 4
Gastonia, NC 28054-5152

Mailing address

3054 Birch Creek Dr
Gastonia, NC 28054
Phone (915) 401-9319

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, MT, OR3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20230731004121 WA Practitioner - Diagnostic Radiology 7719271964 Reassigns benefits to 13 organizations
I20230913002987 MT Practitioner - Diagnostic Radiology 7719271964 Reassigns benefits to 3 organizations
I20260507003910 OR Practitioner - Diagnostic Radiology 7719271964 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Texas Tech University Health Science Center School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Inland Imaging Associates PSGroup PAC ID 7810327210, 124 clinicians
The Polyclinic PLLCGroup PAC ID 2163328196, 364 clinicians
Inland Imaging LLCGroup PAC ID 6608763016, 128 clinicians
Integra Imaging PSGroup PAC ID 1355593062, 126 clinicians
The Corvallis Clinic P CGroup PAC ID 1456244540, 128 clinicians
Oregon Healthcare Resources LLCGroup PAC ID 4486835477, 160 clinicians

Practice addresses (Care Compare)

101 W 8TH Ave
Spokane, WA 99204-2307

1145 Broadway
Seattle, WA 98122-4201
Phone (206) 329-1760

1200 12TH Ave S
Seattle, WA 98144-2712
Phone (509) 363-7788

2419 Mullan Rd
Suite D
Missoula, MT 59808-1856
Phone (509) 363-7788

2740 S Ave W
Suite 103
Missoula, MT 59804-5137
Phone (509) 363-7788

3113 S Ona LN
Veradale, WA 99037-5125
Phone (541) 754-1150

3680 NW Samaritan Dr
Corvallis, OR 97330-3737
Phone (541) 754-1150

525 S Cowley St
Spokane, WA 99202-1381
Phone (509) 747-4455

600 Country Club Rd
Eugene, OR 97401-2240
Phone (541) 345-0600

801 S Stevens St
Spokane, WA 99204-2654
Phone (509) 363-7745

Hospital & facility affiliations

  • Kadlec Regional Medical Center Hospital, Richland, WA, CCN 500058
  • Providence St Mary Medical Center Hospital, Walla Walla, WA, CCN 500002
  • St. Patrick Hospital Hospital, Missoula, MT, CCN 270014
  • St Anthony Hospital Hospital, Pendleton, OR, CCN 381319
  • Prov Sacred HRT Med Ctr & Childs Hosp. Hospital, Spokane, WA, CCN 500054

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
4301109562MIMDInternal Medicine Physician
2021-01979NCMDNuclear Imaging & Therapy Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Polyclinic PLLC Internal Medicine Current Accepting new patients
Columbia County Hospital District CurrentSince Jul 9, 2023 Accepting new patients
Okanogan Douglas County Hospital Dist 1 Current Accepting new patients
Integra Imaging, PS CurrentSince Jul 1, 2023 Accepting new patients
Inland Imaging LLC CurrentSince Jul 1, 2023 Accepting new patients
The Corvallis Clinic P C CurrentSince Mar 23, 2026 Accepting new patients
Okanogan Douglas County Hospital Dist1 CurrentSince Jul 16, 2023 Accepting new patients
Integra Imaging, PS CurrentSince Apr 20, 2024 Accepting new patients
Grant County Public Hospital District 2 CurrentSince Jul 5, 2023 Accepting new patients
Oregon Healthcare Resources, LLC CurrentSince Aug 17, 2025 Accepting new patients
Grant County Public Hospital District 3 CurrentSince Dec 4, 2025 Accepting new patients
The Corvallis Clinic P C CurrentSince Aug 11, 2025 Accepting new patients
Columbia County Hospital District CurrentSince Jul 9, 2023 Accepting new patients
The Polyclinic CurrentSince Sep 26, 2023 Accepting new patients
Moses Lake Community Health Center CurrentSince Jul 1, 2023 Accepting new patients
Inland Imaging Associates PS CurrentSince Jul 1, 2023 Accepting new patients
Moses Lake Community Health Center CurrentSince Jul 1, 2023 Accepting new patients
The Polyclinic PLLC Internal Medicine CurrentSince Sep 26, 2023 Accepting new patients
Columbia County Hospital District CurrentSince Jan 1, 2026 Accepting new patients

Locations

2419 Mullan Rd
Ste D
Missoula, MT 59808
Phone (406) 540-1512

2740 South Ave W
Missoula, MT 59804
Phone (406) 728-6010

2740 South Ave W
Ste 103
Missoula, MT 59804

3680 NW Samaritan Dr
Ste 100
Corvallis, OR 97330
Phone (541) 754-1282

3680 NW Samaritan Dr
Corvallis, OR 97330
Phone (541) 754-1282

600 Country Club Rd
Eugene, OR 97401
Phone (541) 242-4172

600 Country Club Rd
#100
Eugene, OR 97401
Phone (541) 228-3400

500 E Webster Ave
Chewelah, WA 99109
Phone (509) 482-2154

1012 S 3rd St
Dayton, WA 99328
Phone (509) 382-2531

200 Nat Washington Way
Ephrata, WA 98823
Phone (509) 754-3330

605 S Coolidge St
#101
Moses Lake, WA 98837
Phone (509) 765-0674

908 10th Ave SW
Quincy, WA 98848
Phone (509) 787-3503

1450 1st Ave SW
Quincy, WA 98848
Phone (509) 787-6423

1200 12th Ave S
Seattle, WA 98144
Phone (206) 326-2400

1145 Broadway
Seattle, WA 98122

525 S Cowley St
Spokane, WA 99202
Phone (509) 625-3397

801 S Stevens St
Spokane, WA 99204
Phone (206) 621-4316

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/3889/brand/1/csg/1/fhir/r4
  • FHIR API: https://api.platform.athenahealth.com/14349/brand/4/csg/42/fhir/r4

Organizations & group practices 20

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.

View all 20

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1465430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657670400000",
    "number": "1376992438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3054 BIRCH CREEK DR",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "28054",
            "telephone_number": "915-401-9319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "839 MAJESTIC CT STE 4",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280545152",
            "telephone_number": "800-475-6112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RASMUSSEN",
        "first_name": "CORY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-09",
        "last_updated": "2022-07-13",
        "certification_date": "2022-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207UN0902X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine, Nuclear Imaging & Therapy",
            "state": "NC",
            "license": "2021-01979",
            "primary": false
        },
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "NC",
            "license": "2021-01979",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301109562",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gastonia, NC

Sources for this page

Verify at the official NPI Registry.