Mark Rukavina, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

22686 Issued in KY

Practice address

1100 Richmond Road
Irvine, KY 40336-0524

Phone

(606) 723-7706

Fax

(606) 726-9410

NPI assigned

May 26, 2006

Last updated

Mar 3, 2015By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in KY

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Southeastern Emergency Physicians LLC

  • Emergency Medicine Physician
  • Maysville, KY
  • NPI 1356379382
  Medicare reassignment NPD
• Central Emergency Physicians, PSC

  • Emergency Medicine Physician
  • Lexington, KY
  • NPI 1346371762
  NPD (past)
• Marshall Emergency Services Associates, PLLC

  • Emergency Medicine Physician
  • Lexington, KY
  • NPI 1891737185
  NPD (past)

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1425340800000",
    "number": "1619923117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 636493",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452636493",
            "telephone_number": "513-981-5130",
            "fax_number": "513-981-5015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 RICHMOND ROAD",
            "city": "IRVINE",
            "state": "KY",
            "postal_code": "403360524",
            "telephone_number": "606-723-7706",
            "fax_number": "606-726-9410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUKAVINA",
        "first_name": "MARK",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-26",
        "last_updated": "2015-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "KY",
            "license": "22686",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "22686",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• River Drive Pharmacy LLC
• Riverview Clinic PSC
• Riverview Services LLC (Riverview Health)
• Riverview Services, LLC
• Kendra B Robertson, PA-C
• Justin Andrew Sandlin, PHARM. D
• Shawn Schaeffer, LCSW, MSW
• Theresa G Schumacher, BS
• Jennifer Shepherd
• Tamera Shea Spangler, D.O.

• Family Medicine Physician in Irvine, KY
• Providers in Irvine, KY by specialty
• Family Medicine Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.