Todd J Rustad
SOUTHWEST IDAHO EAR NOSE AND THROAT


Address: 900 N Liberty St, Suite 400, Boise, ID 83704-8707
Phone: 2083673320

Todd J Rustad (NPI# 1306829973, PAC ID# 4486736493) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OTOLARYNGOLOGY.

Physician Overview

Nation Provider ID (NPI) 1306829973
PAC ID by PECOS 4486736493
Professional Enrollment ID I20091005000444
Full Name Todd J Rustad
Organization Legal Name SOUTHWEST IDAHO EAR NOSE AND THROAT
Address 900 N Liberty St
Suite 400
Boise
ID 83704-8707
Phone Number 2083673320
Gender M
Medical School DUKE UNIVERSITY SCHOOL OF MEDICINE
Graduation Year 1990
Primary Specialty OTOLARYNGOLOGY
Secondary Specialties PLASTIC AND RECONSTRUCTIVE SURGERY
Group Practice PAC ID 0042402034
Number of Group Practice Members 11
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
130006 ST LUKE'S REGIONAL MEDICAL CENTER
130007 SAINT ALPHONSUS REGIONAL MEDICAL CENTER
130071 ST LUKE'S NAMPA MEDICAL CENTER

Other Locations

Address Phone Organization
900 N Liberty St, Suite 400, Boise, ID 83704-8707 2083673320 SOUTHWEST IDAHO EAR NOSE AND THROAT

Organization Information

Organization Legal Name SOUTHWEST IDAHO EAR NOSE AND THROAT
Physicians 12

Physicians with the same organization

Name Specialty Organization Address
Thomas Franklin Douthit Physician Assistant Southwest Idaho Ear Nose and Throat 900 N Liberty St, Suite 400, Boise, ID 83704-8707
Lindsay M Walles Qualified Audiologist Southwest Idaho Ear Nose and Throat 900 N Liberty St, Suite 400, Boise, ID 83704-8707
Eric T Garner Otolaryngology Southwest Idaho Ear Nose and Throat 900 N Liberty St, Suite 400, Boise, ID 83704-8707
Spencer L Cheshire Qualified Audiologist Southwest Idaho Ear Nose and Throat 4424 E Flamingo Ave, Suite 320, Nampa, ID 83687-9306
Shalise Adams Qualified Audiologist Southwest Idaho Ear Nose and Throat 4424 E Flamingo Ave, Suite 320, Nampa, ID 83687-9306
Ryan L Van De Graaff Otolaryngology Southwest Idaho Ear Nose and Throat 900 N Liberty St, Suite 400, Boise, ID 83704-8707
Arthur C Jones Iii Otolaryngology Southwest Idaho Ear Nose and Throat 4424 E Flamingo Ave, Suite 320, Nampa, ID 83687-9306
Adam Reyes Qualified Audiologist Southwest Idaho Ear Nose and Throat 900 N Liberty St, Suite 400, Boise, ID 83704-8707
Peter J Killian Otolaryngology Southwest Idaho Ear Nose and Throat 900 N Liberty St, Suite 400, Boise, ID 83704-8707
Matthew B Schwarz Otolaryngology Southwest Idaho Ear Nose and Throat 4424 E Flamingo Ave, Suite 320, Nampa, ID 83687-9306

Office Location

Street Address 900 N LIBERTY ST
SUITE 400
City BOISE
State ID
Zip 83704-8707

Physicians in the same location

Name Specialty Organization Address
Thomas Franklin Douthit Physician Assistant Southwest Idaho Ear Nose and Throat 900 N Liberty St, Suite 400, Boise, ID 83704-8707
Julie A Foote Endocrinology Treasure Valley Endocrinology PC 900 N Liberty St, Suite 201, Boise, ID 83704-8707
Lindsay M Walles Qualified Audiologist Southwest Idaho Ear Nose and Throat 900 N Liberty St, Suite 400, Boise, ID 83704-8707
Eric T Garner Otolaryngology Southwest Idaho Ear Nose and Throat 900 N Liberty St, Suite 400, Boise, ID 83704-8707
James J Owen Podiatry Treasure Valley Podiatry Inc 900 N Liberty St, Suite 306, Boise, ID 83704-8729
Ryan L Van De Graaff Otolaryngology Southwest Idaho Ear Nose and Throat 900 N Liberty St, Suite 400, Boise, ID 83704-8707
Adam Reyes Qualified Audiologist Southwest Idaho Ear Nose and Throat 900 N Liberty St, Suite 400, Boise, ID 83704-8707
Tiffany C Heidt Nurse Practitioner Treasure Valley Endocrinology PC 900 N Liberty St, Suite 201, Boise, ID 83704-8707
Peter J Killian Otolaryngology Southwest Idaho Ear Nose and Throat 900 N Liberty St, Suite 400, Boise, ID 83704-8707
Dana S Owen Podiatry Treasure Valley Podiatry Inc 900 N Liberty St, Suite 306, Boise, ID 83704-8729
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Physicians in the same zip code

Name Specialty Organization Address
Tobin E Hill Nurse Practitioner Saint Alphonsus Specialty Services Inc 6140 W Curtisian Ave, 200 Samg Heart Care Boise Moreau, Boise, ID 83704-0107
Adrian J Curnow Pediatric Medicine Saint Alphonsus Specialty Services Inc 6140 W Curtisian Ave, 200 Samg Heart Care Boise Moreau, Boise, ID 83704-0107
Julia K Bouchard Obstetrics/gynecology Saint Alphonsus Specialty Services Inc 6140 W Curtisian Ave, 200 Samg Heart Care Boise Moreau, Boise, ID 83704-0107
Steven J Fonken Interventional Cardiology Saint Alphonsus Specialty Services Inc 6140 W Curtisian Ave, Boise, ID 83704-0107
Ellis J Salloum Vascular Surgery Saint Alphonsus Regional Medical Center Inc 6140 W Curtisian Ave, Boise, ID 83704-0109
Samantha J Benfield Nurse Practitioner Saint Alphonsus Specialty Services Inc 6140 W Curtisian Ave, 102 Samg Cardiothoracic Services Boise, Boise, ID 83704-0109
Calvin T Jewell General Surgery Saint Alphonsus Specialty Services Inc 6140 W Curtisian Ave, 100 Samg General Surgery Suite 100, Boise, ID 83704-0109
Noah Blue Edvalson Chiropractic 3224 N Maple Grove Rd, Boise, ID 83704-4214
Christopher A Waters Clinical Psychologist Living Hope Clinic Inc 3308 N Cole Rd A, Boise, ID 83704-4407
Charles M Rice Psychologist, Clinical 3308 N Cole Rd, Suite A, Boise, ID 83704-4407
Find all physicians in zip 83704

Competitor

Search similar physicians

City BOISE
Zip Code 83704
Specialty OTOLARYNGOLOGY
City + Specialty BOISE + OTOLARYNGOLOGY

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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