MEDICARE: LEE STUART RUSAKOW 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	2080P0214X	Pediatric Pulmonology Physician	72381	TN
2	2080P0214X	Pediatric Pulmonology Physician	29525	CO

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	:	1710973532
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LEE STUART RUSAKOW MD

Provider Business Mailing Address
First Line	:	4545 E 9TH AVE
Second Line	:	SUITE 504
City	:	DENVER
State	:	CO
Zip	:	80220-3901
Country	:	US
Telephone Number	:	303-831-9853
Fax Number	:	303-832-3533

Provider Business Practice Location Address
First Line	:	4545 E 9TH AVE
Second Line	:	SUITE 504
City	:	DENVER
State	:	CO
Zip	:	80220-3901
Country	:	US
Telephone Number	:	303-831-9853
Fax Number	:	303-832-3533

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

Provider Enumeration Date	:	09/27/2005
Last Update Date	:	05/09/2025

Similar Medicare Providers

1437121340 — DR. MANISH HARIKANT SHAH M.D.
Practice Location Address:

4545 E 9TH AVE , SUITE 490
DENVER, CO
80220-3901

Practice Phone: 303-399-3791
Practice Fax: 303-321-0399

1407856115 — JANE CAROLYN STEINER M.D.
Practice Location Address:

4545 E 9TH AVE , SUITE 245
DENVER, CO
80220-3901

Practice Phone: 303-320-4414
Practice Fax: 303-320-4805

1952393092 — DR. HOWARD BRIAN KRIEGER DPM
Practice Location Address:

4545 E 9TH AVE , SUITE 240
DENVER, CO
80220-3901

Practice Phone: 303-320-6221
Practice Fax: 303-320-6465

1003898883 — JAMES TREVOR MCNUTT MD
Practice Location Address:

4545 E 9TH AVE , SUITE 510
DENVER, CO
80220-3901

Practice Phone: 303-321-0700
Practice Fax: 303-321-0811

1972587228 — DR. KENNETH S GREENBERG D.O.
Practice Location Address:

4545 E 9TH AVE , SUITE 120
DENVER, CO
80220-3901

Practice Phone: 303-393-8050
Practice Fax: 303-320-1953

1619956075 — DR. GALO F GARCES MD
Practice Location Address:

4545 E 9TH AVE , 150
DENVER, CO
80220-3901

Practice Phone: 303-327-4700
Practice Fax: 303-327-4711

Directions to “ LEE STUART RUSAKOW MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.