Rustad Dermatology, P.C.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

RUSTAD DERMATOLOGY, P.C.

Practice address

1919 S 40TH St
330
Lincoln, NE 68506-5243

Phone

(402) 484-6222

Fax

(402) 484-6253

NPI assigned

Aug 3, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Troy Elliott Rustad, M.D.

Title

Vice President

Phone

(402) 484-6222

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1343952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353974400000",
    "number": "1871849265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1919 S 40TH ST",
            "address_2": "330",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685065243",
            "telephone_number": "402-484-6222",
            "fax_number": "402-484-6253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1919 S 40TH ST",
            "address_2": "330",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685065243",
            "telephone_number": "402-484-6222",
            "fax_number": "402-484-6253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUSTAD DERMATOLOGY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-03",
        "last_updated": "2012-11-27",
        "status": "A",
        "authorized_official_last_name": "RUSTAD",
        "authorized_official_first_name": "TROY",
        "authorized_official_middle_name": "ELLIOTT",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "402-484-6222",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephen R Russell, MD
• Tracy Russell
• Jodi Rust
• Morgan Lynn Rust
• Tinera Marie Rust, BCBA
• Duol Wuow Rut, MA, LIMHP/LPC
• Alyssa Camille Rutan, M.D.
• Alyssa R Ruterbories
• Gabrielle R Ruth, PA-C
• Claire Rutherford

• Dermatology Physician in Lincoln, NE
• Providers in Lincoln, NE by specialty
• Dermatology Physician in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2012; 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.