Active NPI
David G Rust, MD
- Anesthesiology Physician
- Meadville, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- MD052987L
- Practice address
- 20 Forest Ave
Meadville, PA 16335-1319 - Phone
- (814) 573-4335
- NPI assigned
- Aug 31, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | MD052978-L | PA | |
| Anesthesiology Physician | 207L00000X | 052978L | PA | |
| Anesthesiology Physician | 207L00000X | MD052987L | PA | Primary |
Addresses
Primary practice location
20 Forest Ave
Meadville, PA 16335-1319
Mailing address
1034 Grove St
Meadville, PA 16335-2945
Phone (814) 333-5728
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1468809 | Medicaid | PA | |
| 0014688090001 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD052978-L | PA | MD | Specialist |
| 052978L | PA | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anesthesia Consultants of Meadville PC | Anesthesiology | Current | Accepting new patients |
| SMH Physician Services Inc | Current | Accepting new patients | |
| Northwood Anesthesia Associates LLC | Anesthesiology | Current | Accepting new patients |
| Northwood Anesthesia Associates LLC | Anesthesiology | Current | Accepting new patients |
| Northwood Anesthesia Associates LLC | Anesthesiology | Current | Accepting new patients |
| Meadville Medical Center | Past | Accepting new patients |
Locations
3291 N McMullen Booth Rd
Clearwater, FL 33761
Phone (727) 725-5800
2600 Laurel Rd E
North Venice, FL 34275
Phone (941) 261-9000
1921 Waldemere St
Ste 307
Sarasota, FL 34239
Phone (941) 917-8565
1700 Tamiami Trl
Sarasota, FL 34239
Phone (941) 917-8507
1350 E Venice Ave
Venice, FL 34285
Phone (941) 484-2030
1034 Grove St
Meadville, PA 16335
Phone (814) 333-5728
Networks
- Freedom Health HMO Network
- Optimum HealthCare HMO Network
Organizations & group practices 6
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.
-
- Anesthesiology Physician
- Meadville, PA
- NPI 1508843004
-
- Anesthesiology Physician
- Venice, FL
- NPI 1811569197
-
dba First Physicians Group
- Internal Medicine Physician
- Sarasota, FL
- NPI 1346295292
-
- Anesthesiology Physician
- Tampa, FL
- NPI 1417529702
-
- Anesthesiology Physician
- Trinity, FL
- NPI 1780256073
-
- Substance Use Disorder Rehabilitation Hospital Unit
- Meadville, PA
- NPI 1639067804
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125446400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1520208000000",
"number": "1740273127",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1034 GROVE ST",
"city": "MEADVILLE",
"state": "PA",
"postal_code": "163352945",
"telephone_number": "814-333-5728",
"fax_number": "814-333-5726"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 FOREST AVE",
"city": "MEADVILLE",
"state": "PA",
"postal_code": "163351319",
"telephone_number": "814-573-4335"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUST",
"first_name": "DAVID",
"middle_name": "G",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-31",
"last_updated": "2018-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "PA",
"license": "MD052978-L",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "PA",
"license": "052978L",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "PA",
"license": "MD052987L",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1468809",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0014688090001",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Meadville, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2018; 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.