Sandpoint Family Medicine PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

SANDPOINT FAMILY MEDICINE PA

Doing business as

Sandpoint Family Medicine & Urgent Care

Practice address

302 S 1St Ave
Sandpoint, ID 83864-1258

Phone

(208) 263-5109

Fax

(208) 263-5112

NPI assigned

May 7, 2007

Last updated

Feb 27, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Robert Edward Rust Jr., M.D.NPI 1437214202

Title

President

Phone

(208) 263-5109

Specialties & licenses 1

Addresses

Other names 1

• Sandpoint Family Medicine & Urgent Care Doing business as

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Interoperability endpoints

• FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.72489

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mark Edward Hernandez, M.D.

  • Family Medicine Physician
  • Sandpoint, ID
  • NPI 1457416224
  Medicare reassignment Care Compare group NPD
• Christina Marie Rust, DPT, PA-C

  • Physician Assistant
  • Sandpoint, ID
  • NPI 1780731786
  Medicare reassignment Care Compare group
• Kathryn Colleen Robertson, FNP

  • Nurse Practitioner
  • Sandpoint, ID
  • NPI 1114082906
  Medicare reassignment NPD
• Robert Edward Rust Jr., M.D.

  • Addiction Medicine (Family Medicine) Physician
  • Sandpoint, ID
  • NPI 1437214202
  NPD Authorized official

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

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582761600000",
    "number": "1740493832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 S 1ST AVE",
            "city": "SANDPOINT",
            "state": "ID",
            "postal_code": "838641258",
            "telephone_number": "208-263-5109",
            "fax_number": "208-263-5112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 S 1ST AVE",
            "city": "SANDPOINT",
            "state": "ID",
            "postal_code": "838641258",
            "telephone_number": "208-263-5109",
            "fax_number": "208-263-5112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANDPOINT FAMILY MEDICINE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-07",
        "last_updated": "2020-02-27",
        "certification_date": "2020-02-27",
        "status": "A",
        "authorized_official_last_name": "RUST",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "208-263-5109",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sandpoint Family Medicine & Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Sandpoint Family Medicine & Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lori Sanders, LMFT
• Sandpoint Anesthesia Associates PLLC
• Sandpoint Drug Inc
• Sandpoint Family Health Center (Family Health Center)
• Sandpoint Family Health Center, PLLC
• Sandpoint Family Services, LLC
• Sandpoint Health Care, PLLC
• Sandpoint Medical Investors, LLC (Life Care Center of Sandpoint)
• Sandpoint Medical Massage and Bodyworks
• Sandpoint Orthopedics, PC

• Family Medicine Physician in Sandpoint, ID
• Providers in Sandpoint, ID by specialty
• Family Medicine Physician in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.