Organization Active NPI

Robert E. Rust MD

  • Addiction Medicine (Internal Medicine) Physician
  • Sandpoint, ID
National Provider Identifier
1417513532
Registry record updated May 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Internal Medicine) PhysicianTaxonomy code 207RA0401X
Legal business name
ROBERT E. RUST MD
Practice address
1301 N Division Ave
Sandpoint, ID 83864-8268
Phone
(208) 263-1345
Fax
(208) 255-5531
NPI assigned
May 14, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2019

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

Authorized official

Name
Robert E Rust, MD, ABAM, FASAMNPI 1437214202
Title
Provider
Phone
(208) 290-3567

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X
Addiction Medicine (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RA0401X Primary

Addresses

Primary practice location

1301 N Division Ave
Sandpoint, ID 83864-8268

Mailing address

1301 N Division Ave
Sandpoint, ID 83864-8268
Phone (208) 263-1345

Other names 1

  • Partners for Recovery Other name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1557792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557792000000",
    "number": "1417513532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 N DIVISION AVE",
            "city": "SANDPOINT",
            "state": "ID",
            "postal_code": "838648268",
            "telephone_number": "208-263-1345",
            "fax_number": "208-255-5531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 N DIVISION AVE",
            "city": "SANDPOINT",
            "state": "ID",
            "postal_code": "838648268",
            "telephone_number": "208-263-1345",
            "fax_number": "208-255-5531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT E. RUST MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-14",
        "last_updated": "2019-05-14",
        "status": "A",
        "authorized_official_last_name": "RUST",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "208-290-3567",
        "authorized_official_credential": "MD, ABAM, FASAM"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RA0401X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Partners for Recovery",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Sandpoint, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.