KYLE EHRMAN RUSTHOVEN (NPI# 1316093081) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316093081 |
| Entity Type | Individual |
| Full Name | KYLE EHRMAN RUSTHOVEN |
| Credential | MD |
| Practice Address |
2000 Neuse Boulevard Carolina East Medical Center (cancer Care) New Bern NC 28560-3449 |
| Mailing Address |
1988 S 16th St Wilmington NC 28401-6647 |
| Practice Telephone | 2526338730 |
| Mailing Telephone | 9102511839 |
| Mailing Fax Number | 9102518286 |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2018-01-12 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174400000X | Specialist | 2010-00402 | NC | Other Service Providers |
| Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
2010-00402 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 5915503 | 05 | |
| NC | BLUE CROSS/BLUE SHIELD | 160N2 | 01 |
| Street Address |
2000 NEUSE BOULEVARD CAROLINA EAST MEDICAL CENTER (CANCER CARE) |
| City | NEW BERN |
| State | NC |
| Zip Code | 28560-3449 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841898152 | Alec James Fields | Student in an Organized Health Care Education/Training Program | Cb 7121, 2086 Bondurant Hall, Chapel Hill, NC 28560 | 2020-10-09 |
| 1285270413 | Kelsey Miller | Social Worker | 2000 Doctor M.l.k. Jr Blvd, New Bern, NC 28560 | 2019-11-22 |
| 1568942399 | Siddharth Mourya | Physical Therapist | River Point Crest Nursing and Rehabilitation, 2600 Old Cherry Point Road, New Bern, NC 28560 | 2018-08-21 |
| 1194216713 | Genoa Healthcare, LLC | Pharmacy | 1309 Tatum Dr Ste 1, New Bern, NC 28560 | 2018-05-21 |
| 1134634561 | Eastern Carolina Young Men's Christian Association, Inc. | Health Educator | 100 Ymca Lane, New Bern, NC 28560 | 2017-12-07 |
| 1740725134 | Victoria Anne Sarbin | Audiologist | 2111 Neuse Blvd. Suite 1, New Bern, NC 28560 | 2016-12-21 |
| 1194193722 | Kriebel and Associates Pa | Clinic/Center | 3680 Neuse Blvd., New Bern, NC 28560 | 2015-09-14 |
| 1013308105 | Elizabeth Benton | Specialist | 3303 Highway 70 East, New Bern, NC 28560 | 2015-02-10 |
| 1386999068 | Allison Lang Snyder | Pharmacist | 1904 M L King Jr. Blvd., New Bern, NC 28560 | 2012-07-18 |
| 1144542606 | The Zannis Center for Plastic Surgery Pa | Clinic/Center | 2021 Neuse Blvd, New Bern, NC 28560 | 2010-02-24 |
| Find all providers in zip 28560 | ||||
| Taxonomy Code | 2085R0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Radiation Oncology |
| A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417955097 | Crystal Coast Radiation Oncology | Radiology | 2000 Neuse Blvd, New Bern, NC 28560-3449 | 2005-07-08 |
| 1689234429 | Ellen Marie Dees | Radiology | 2000 Neuse Blvd, New Bern, NC 28560-3449 | 2019-06-14 |
| 1417276668 | Seth Miller | Radiology | 2000 Neuse Blvd, New Bern, NC 28560-3449 | 2010-05-27 |
| 1306024005 | Svetlana S. Kats | Radiology | 2000 Neuse Blvd, New Bern, NC 28560-3449 | 2008-02-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396121745 | Orit Kaidar - Person | Radiology | 101 Manning Drive, Cb #7512, Radiation Oncology, Chapel Hill, NC 27599-7512 | 2015-08-08 |
| 1134547201 | Zachary J Reitman | Radiology | 2301 Erwin Rd Duke University Hospital, Durham, NC 27710 | 2014-04-04 |
| 1861810756 | Susan Gr Mcduff | Radiology | Dumc 20 Duke Medical Center, Durham, NC 27710-0001 | 2014-03-28 |
| 1679830699 | Colette Joan Shen | Radiology | 101 Manning Drive Cb 7512, Chapel Hill, NC 27599-3307 | 2012-04-15 |
| 1124397328 | Aaron Tyler Wild | Radiology | 200 Queens Rd Ste 400, Charlotte, NC 28204-3264 | 2011-12-19 |
| 1891964615 | John William Nelson | Radiology | 5524 Hawthorne Park, Raleigh, NC 27613-6006 | 2008-02-26 |
| 1194905984 | Daniel G. Baseman | Radiology | 70 Neely Rd, Brevard, NC 28712-4267 | 2007-11-08 |
| 1285844183 | John S Moody | Radiology | 501 N. Elam Avenue, Greensboro, NC 27403 | 2007-05-22 |
| 1326251075 | North Carolina Oncology Associates | Radiology | 4101 Macon Pond Road, Raleigh, NC 27607-6319 | 2007-05-08 |
| 1164552865 | Christopher Ryan Kelsey | Radiology | Morris Building, Science Drive, Room 05135, Durham, NC 27710-0001 | 2007-03-06 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.