HEIDI DANIELLE RUSK (NPI# 1366519514) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366519514 |
| Entity Type | Individual |
| Full Name | HEIDI DANIELLE RUSK |
| Other Name | HEIDI DANIELLE POTTS |
| Credential | PA-C |
| Practice Address |
1212 Garfield Ave Suite 300 Parkersburg WV 26101-3247 |
| Practice Telephone | 3048653600 |
| Practice Fax Number | 3048653700 |
| Mailing Telephone | 3048653600 |
| Mailing Fax Number | 3048653700 |
| Enumeration Date | 2006-11-30 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
2539 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
388 | WV | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
1250 | WV | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1212 GARFIELD AVE SUITE 300 |
| City | PARKERSBURG |
| State | WV |
| Zip Code | 26101-3247 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790784759 | Chester Donald Smith IIi | Family Medicine | 1212 Garfield Ave, Suite 300, Parkersburg, WV 26101-3247 | 2005-07-20 |
| 1730609942 | Leandrea Aileen Squires | Nurse Practitioner | 1212 Garfield Ave, Parkersburg, WV 26101-3247 | 2017-06-20 |
| 1336677608 | Mallory Hoff-jones | Nurse Practitioner | 1212 Garfield Ave, Parkersburg, WV 26101-3247 | 2017-05-31 |
| 1689110702 | Pars Neurosurgical Associates, Inc. | Physician Assistant | 1212 Garfield Ave, Parkersburg, WV 26101-3247 | 2017-01-12 |
| 1528439940 | Pars Neurosurgical Associates | Physician Assistant | 1212 Garfield Ave, Suite 202, Parkersburg, WV 26101-3247 | 2015-10-12 |
| 1497126825 | Casey Leigh Smith Brunetti | Physician Assistant | 1212 Garfield Ave, Suite 202, Parkersburg, WV 26101-3247 | 2015-10-12 |
| 1760873863 | Amy J. Isaly | Physical Therapist | 1212 Garfield Ave, Suite 200, Parkersburg, WV 26101-3247 | 2015-02-10 |
| 1922404318 | Michael Anthony Cox | Pharmacist | 1212 Garfield Ave, Suite 102, Parkersburg, WV 26101-3247 | 2014-11-12 |
| 1326480187 | Cherie Susan Overmiller | Physical Therapist | 1212 Garfield Ave, Suite 200, Parkersburg, WV 26101-3247 | 2013-07-22 |
| 1780980102 | Sheena K Geer | Nurse Practitioner | 1212 Garfield Ave, Suite 300, Parkersburg, WV 26101-3247 | 2011-02-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295332682 | Tana Shea | Technician | 1906 Camden Ave, Parkersburg, WV 26101 | 2020-10-08 |
| 1386241776 | Karen Sleeth-harrison | Technician | 149 Rolling Hills Ct, Parkersburg, WV 26101 | 2020-10-08 |
| 1679120786 | Hope Hill Mental Wellness Center LLC | Nurse Practitioner | 1809 Dupont Rd E. Suite #1, Parkersburg, WV 26101 | 2019-08-22 |
| 1699230128 | Sarah Marie Hendrix | Nurse Practitioner | 1013 Garfield Avenue, Parkersburg, WV 26101 | 2019-02-08 |
| 1871085787 | Jeffrey G. Minchau, Dds, Ms, Inc. | Dentist | 2601 Dudley Avenue, Bldg. 1, Parkersburg, WV 26101 | 2018-06-06 |
| 1902324544 | Medexpress Urgent Care, PC - Virginia | Family Medicine | 17 Ronald Regan Drive, Parkersburg, WV 26101 | 2017-09-05 |
| 1033634282 | Caitlin Elizabeth Lanese | Speech-Language Pathologist | 2010 Garfield Ave Ste 2, Parkersburg, WV 26101 | 2017-08-09 |
| 1386168391 | Maria Cristina Steriu | Internal Medicine | 800 Garfield Ave Rm G102, Parkersburg, WV 26101 | 2017-08-01 |
| 1003342791 | Sue Ellen Kendall | Community Health Worker | 3407 7th Ave, Parkersburg, WV 26101 | 2017-05-02 |
| 1083161400 | Total Renal Care Inc | Clinic/Center | 214 Gihon Vlg, Parkersburg, WV 26101 | 2016-09-01 |
| Find all providers in zip 26101 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023432093 | Megan Noel Blackburn | Physician Assistant | 1500 Grand Central Ave Ste 115, Parkersburg, WV 26105-1079 | 2014-02-12 |
| 1851811418 | Brandon Stewart | Physician Assistant | 800 Garfield Ave, Parkersburg, WV 26101-5340 | 2017-06-26 |
| 1528439940 | Pars Neurosurgical Associates | Physician Assistant | 1212 Garfield Ave, Suite 202, Parkersburg, WV 26101-3247 | 2015-10-12 |
| 1295104610 | Theodore R Gover | Physician Assistant | 800 Garfield Ave, Parkersburg, WV 26101-5340 | 2015-09-15 |
| 1134553175 | Shawna Renee Alloway | Physician Assistant | 600 18th Street, Suite 204, Parkersburg, WV 20101 | 2013-08-27 |
| 1144591355 | Amanda B Summerfield | Physician Assistant | 3803 Emerson Ave, Parkersburg, WV 26104-1116 | 2012-01-19 |
| 1679755409 | Shirley Kay Garvin | Physician Assistant | 517 36th St, Parkersburg, WV 26101-1006 | 2007-12-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386270908 | Bonnie Lynn Blackburn | Physician Assistant | 10 Amalia Dr Ste C5, Buckhannon, WV 26201-2270 | 2020-03-15 |
| 1922638824 | Sara B Johnson | Physician Assistant | 1000 Mon Health Medical Park Dr Ste 1100, Morgantown, WV 26505-1143 | 2020-01-19 |
| 1659835072 | Kristen Nicole Williams | Physician Assistant | 26 Portsmouth Ct N, Falling Waters, WV 25419-1430 | 2019-01-30 |
| 1629588876 | Robert Theodore Hartman | Physician Assistant | 620 National Rd Ste 300, Wheeling, WV 26003-6560 | 2017-10-02 |
| 1366967986 | Terri Leanne Belcher | Physician Assistant | 395 Emily Dr, Clarksburg, WV 26301-5505 | 2017-08-04 |
| 1760937056 | Ryan Aston | Physician Assistant | 58 16th St Fl 4, Wheeling, WV 26003-3660 | 2016-08-17 |
| 1821470113 | Lesley E. Weiss | Physician Assistant | 3200 Maccorkle Seave, Charleston, WV 25304-1227 | 2015-06-23 |
| 1891197323 | Rachelle Lyle Stewart | Physician Assistant | 1500 Terrace St Ste 105, Hinton, WV 25951-9768 | 2014-09-16 |
| 1285043224 | Sarah Gutman Brammer | Physician Assistant | 30 Medical Park Ste 211, Wheeling, WV 26003-6391 | 2014-08-04 |
| 1841603529 | Timothy Douglas | Physician Assistant | 4202 Mccorkle Ave Sw Ste 200, South Charleston, WV 25309-1513 | 2014-06-10 |
| Find all providers with the same taxonomy | ||||
| City | PARKERSBURG |
| Zip Code | 26101 |
Please comment or provide details below to improve the information on HEIDI DANIELLE RUSK.
| 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.