Rush Alexander Youngberg, M.D.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

MD000012985 Issued in WA

Practice address

9381 NE North Shore Rd
Belfair, WA 98528-8700

Phone

(360) 277-4171

Fax

(360) 277-4135

NPI assigned

Dec 27, 2006

Last updated

Jun 11, 2008By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Phoenix Diagnostic Imaging Inc

  • Diagnostic Radiology Physician
  • Phoenix, AZ
  • NPI 1033194147
  NPD (past)

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213142400000",
    "number": "1649336611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9381 NE NORTH SHORE RD",
            "city": "BELFAIR",
            "state": "WA",
            "postal_code": "985288700",
            "telephone_number": "360-277-4171",
            "fax_number": "360-277-4135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9381 NE NORTH SHORE RD",
            "city": "BELFAIR",
            "state": "WA",
            "postal_code": "985288700",
            "telephone_number": "360-277-4171",
            "fax_number": "360-277-4135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNGBERG",
        "first_name": "RUSH",
        "middle_name": "ALEXANDER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-27",
        "last_updated": "2008-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WA",
            "license": "MD000012985",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "AB24656",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chandler James Whalen, SLPA
• Leslie Ann Whalen, D.D.S
• Lillian Michelle White, ARNP
• Jalcyn Marie Woodell, RN
• Merrie Anne Woodland, LMP
• Jennifer Zumwalt

• Diagnostic Radiology Physician in Belfair, WA
• Providers in Belfair, WA by specialty
• Diagnostic Radiology Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2008; 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.