Mark W Rukavina (NPI# 1619923117, PAC ID# 6002876919) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
| Nation Provider ID (NPI) | 1619923117 |
| PAC ID by PECOS | 6002876919 |
| Professional Enrollment ID | I20041014001141 |
| Full Name | Mark W Rukavina |
| Organization Legal Name | EMERGENCY MEDICINE PHYSICIANS OF ESTILL COUNTY PLLC |
| Address |
60 Mercy Ct Irvine KY 40336-1331 |
| Phone Number | 6067232115 |
| Gender | M |
| Credential | MD |
| Medical School | LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN SHREVEPORT |
| Graduation Year | 1982 |
| Primary Specialty | EMERGENCY MEDICINE |
| Group Practice PAC ID | 1850604141 |
| Number of Group Practice Members | 7 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 181301 | MARCUM AND WALLACE MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 60 Mercy Ct, Irvine, KY 40336-1331 | 6067232115 | EMERGENCY MEDICINE PHYSICIANS OF ESTILL COUNTY PLLC |
| Organization Legal Name | EMERGENCY MEDICINE PHYSICIANS OF ESTILL COUNTY PLLC |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jason R Deskins | Family Medicine | Emergency Medicine Physicians of Estill County Pllc | 60 Mercy Ct, Irvine, KY 40336-1331 |
| Russell Edward Buss | Emergency Medicine | Emergency Medicine Physicians of Estill County Pllc | 60 Mercy Ct, Irvine, KY 40336-1331 |
| Jacqueline G Eugenio | Emergency Medicine | Emergency Medicine Physicians of Estill County Pllc | 60 Mercy Ct, Irvine, KY 40336-1331 |
| Ria E Eugenio | Emergency Medicine | Emergency Medicine Physicians of Estill County Pllc | 60 Mercy Ct, Irvine, KY 40336-1331 |
| Rondal Goble | Family Medicine | Emergency Medicine Physicians of Estill County Pllc | 60 Mercy Ct, Irvine, KY 40336-1331 |
| Street Address |
60 MERCY CT |
| City | IRVINE |
| State | KY |
| Zip | 40336-1331 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jason R Deskins | Family Medicine | Emergency Medicine Physicians of Estill County Pllc | 60 Mercy Ct, Irvine, KY 40336-1331 |
| Paula W Hollingsworth | Interventional Cardiology | Baptist Health Medical Group Inc | 60 Mercy Ct, Irvine, KY 40336-1331 |
| William S Witt | Diagnostic Radiology | 60 Mercy Ct, Irvine, KY 40336-1331 | |
| Russell Edward Buss | Emergency Medicine | Emergency Medicine Physicians of Estill County Pllc | 60 Mercy Ct, Irvine, KY 40336-1331 |
| Richard A Stone | General Surgery | 60 Mercy Ct, Irvine, KY 40336-1331 | |
| Jacqueline G Eugenio | Emergency Medicine | Emergency Medicine Physicians of Estill County Pllc | 60 Mercy Ct, Irvine, KY 40336-1331 |
| Ria E Eugenio | Emergency Medicine | Emergency Medicine Physicians of Estill County Pllc | 60 Mercy Ct, Irvine, KY 40336-1331 |
| Rondal Goble | Family Medicine | Emergency Medicine Physicians of Estill County Pllc | 60 Mercy Ct, Irvine, KY 40336-1331 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| William W Wachs | Optometry | 218 Main St, Irvine, KY 40336-1026 | |
| Elizabeth Taheny | Nurse Practitioner | Estill Medical Clinic, Psc | 275 N Court St, Irvine, KY 40336-1077 |
| Donna Ruth Isfort | Nurse Practitioner | Estill Medical Clinic, Psc | 275 N Court St, Irvine, KY 40336-1077 |
| Debra Jean Wolf | Nurse Practitioner | Estill Medical Clinic, Psc | 275 N Court St, Irvine, KY 40336-1077 |
| Joyce L Puckett | Nurse Practitioner | 101 River Dr, Irvine, KY 40336-1117 | |
| Karyn N Mcguire | Nurse Practitioner | Kentuckyone Health Medical Group Inc | 417 River Dr, Irvine, KY 40336-1272 |
| Herbert Long | Family Medicine | Kentuckyone Health Medical Group Inc | 417 River Dr, Irvine, KY 40336-1272 |
| William David Longworth | Nurse Practitioner | Kentuckyone Health Medical Group Inc | 417 River Dr, Irvine, KY 40336-1272 |
| Judy Ann Renfro | Nurse Practitioner | 365 River Dr, Irvine, KY 40336-1284 | |
| John C Allen Ii | Chiropractic | 926 Richmond Rd, Irvine, KY 40336-7230 | |
| Find all physicians in zip 40336 | |||
| City | IRVINE |
| Zip Code | 40336 |
| Specialty | EMERGENCY MEDICINE |
| City + Specialty | IRVINE + EMERGENCY MEDICINE |
Please comment or provide details below to improve the information on Mark W Rukavina.
| 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.