MEDICARE: DR. ADAM RUSCHER MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207P00000X	Emergency Medicine Physician	MD430170	PA
2	207P00000X	Emergency Medicine Physician	MD00048028	WA
3	207P00000X	Emergency Medicine Physician	N5985	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1154459188
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ADAM RUSCHER MD

Provider Business Mailing Address
First Line	:	5350 TALLMAN AVE NW
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98107-5902
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5350 TALLMAN AVE NW
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98107-5902
Country	:	US
Telephone Number	:	206-781-6341
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/01/2007
Last Update Date	:	10/16/2015

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