Rudolf Otrusinik, MD | |
1300 N 500 E, Suite 320, Logan, UT 84341-2408 | |
(435) 755-8200 | |
(435) 752-6094 |
Full Name | Rudolf Otrusinik |
---|---|
Gender | Male |
Speciality | Cardiovascular Disease (cardiology) |
Experience | 36 Years |
Location | 1300 N 500 E, Logan, Utah |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1003922394 | NPI | - | NPPES |
581997 | Other | UT | DMBA |
87-0569381 | Other | UT | TAX ID |
107008634101 | Other | UT | SELECTCARE |
805433000 | Medicaid | ID | |
060053972 | Other | UT | RR MEDICARE |
53687 | Other | UT | PEHP |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RC0000X | Internal Medicine - Cardiovascular Disease | 95-292310-1205 (Utah) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Logan Regional Hospital | Logan, UT | Hospital |
Bear River Valley Hospital | Tremonton, UT | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Intermountain Healthcare Services, Inc | 1850209420 | 3228 |
Entity Name | Ihc Health Services Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1629260880 PECOS PAC ID: 1850209420 Enrollment ID: O20031105000079 |
Entity Name | Ihc Health Services Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1942325154 PECOS PAC ID: 1850209420 Enrollment ID: O20080610000303 |
Mailing Address | Practice Location Address |
---|---|
Rudolf Otrusinik, MD Po Box 27128, Slc, UT 84127-0128 Ph: (435) 755-8200 | Rudolf Otrusinik, MD 1300 N 500 E, Suite 320, Logan, UT 84341-2408 Ph: (435) 755-8200 |
Harold Vonk, M.D. Cardiovascular Disease Medicare: Not Enrolled in Medicare Practice Location: 1350 N 500 E, Logan, UT 84341 Phone: 435-716-1980 | |
Robert M Nash, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 1350 N 500 E, Logan, UT 84341 Phone: 435-792-1980 | |
Agnieszka M Szpunar, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 1350 N 500 E, Logan, UT 84341 Phone: 435-792-1980 | |
Dr. Stephen J Ferney, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 1350 N 500 E, Logan, UT 84341 Phone: 435-752-1693 Fax: 435-792-1692 | |
Dr. Stephen Christensen, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 40 W 1250 North Suite 8a, Logan, UT 84341 Phone: 385-244-4020 Fax: 385-244-4022 | |
Ali Ben-jacob, MD Cardiovascular Disease Medicare: Not Enrolled in Medicare Practice Location: 1281 North 600 East, Logan, UT 84341 Phone: 435-752-5999 Fax: 435-752-5551 |