Active NPI
Grant M Rusin MD PA
- Anesthesiology Physician
- Eugene, OR
National Provider Identifier
1801184387
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- MD22519
- Legal business name
- GRANT M RUSIN MD PA
- Practice address
- 940 Country Club Rd
Eugene, OR 97401-2208 - Phone
- (541) 344-2600
- Fax
- (541) 344-3317
- NPI assigned
- Jul 18, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Grant M Rusin, MD
- Title
- Owner
- Phone
- (541) 937-1700
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | MD22519 | OR | Primary |
Addresses
Primary practice location
940 Country Club Rd
Eugene, OR 97401-2208
Mailing address
38508 Place Rd
Fall Creek, OR 97438-9711
Phone (541) 937-1700
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Eugene, OR
- NPI 1649248527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1310947200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1310947200000",
"number": "1801184387",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "38508 PLACE RD",
"city": "FALL CREEK",
"state": "OR",
"postal_code": "974389711",
"telephone_number": "541-937-1700",
"fax_number": "541-937-1292"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "940 COUNTRY CLUB RD",
"city": "EUGENE",
"state": "OR",
"postal_code": "974012208",
"telephone_number": "541-344-2600",
"fax_number": "541-344-3317"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GRANT M RUSIN MD PA",
"organizational_subpart": "NO",
"enumeration_date": "2011-07-18",
"last_updated": "2011-07-18",
"status": "A",
"authorized_official_last_name": "RUSIN",
"authorized_official_first_name": "GRANT",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "541-937-1700",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Anesthesiology",
"state": "OR",
"license": "MD22519",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Eugene, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.