| Paul D Ruesch, MD | |
|
10121 Se Sunnyside Rd Ste 100, Clackamas, OR 97015-5755 | |
| (503) 659-1769 | |
| (503) 659-7522 |
| Full Name | Paul D Ruesch |
|---|---|
| Gender | Male |
| Speciality | Orthopedic Surgery |
| Experience | 36 Years |
| Location | 10121 Se Sunnyside Rd Ste 100, Clackamas, Oregon |
| 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 |
|---|---|---|---|
| 1558393876 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | MD24463 (Oregon) | Primary |
| 207XX0005X | Orthopaedic Surgery - Sports Medicine | MD24663 (Oregon) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Providence Home Health | Portland, OR | Home health agency |
| Providence Milwaukie Hospital | Milwaukie, OR | Hospital |
| Legacy Mount Hood Medical Center | Gresham, OR | Hospital |
| Providence Portland Medical Center | Portland, OR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Eastside Orthopedics And Sports Medicine Llc | 7113177353 | 6 |
| Entity Name | Paul D Ruesch Md Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881818805 PECOS PAC ID: 9931189289 Enrollment ID: O20040726000736 |
| Entity Name | Eastside Orthopedics & Sports Medicine Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225567928 PECOS PAC ID: 7113177353 Enrollment ID: O20170920002002 |
| Mailing Address | Practice Location Address |
|---|---|
| Paul D Ruesch, MD 10121 Se Sunnyside Rd Ste 100, Clackamas, OR 97015-5755 Ph: (503) 659-1769 | Paul D Ruesch, MD 10121 Se Sunnyside Rd Ste 100, Clackamas, OR 97015-5755 Ph: (503) 659-1769 |
Dr. Ronald Lee Lohman, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 9900 Se Sunnyside Rd, Clackamas, OR 97015 Phone: 503-571-4227 | |
Loren Edward Jenkins, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 10100 Se Sunnyside Rd, Clackamas, OR 97015 Phone: 503-786-8435 | |
Rachel Brandl, DO Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 9900 Se Sunnyside Rd, Clackamas, OR 97015 Phone: 800-813-2000 | |
Dr. Stephen Louis Brenneke, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 10121 Se Sunnyside Rd, Suite 130, Clackamas, OR 97015 Phone: 503-766-3545 Fax: 503-342-3766 | |
Seth Leopold Goldsmith, M.D. Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 10100 Se Sunnyside Rd, Clackamas, OR 97015 Phone: 503-786-8435 | |
Robert Cecil Umberhandt, MD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 9900 Se Sunnyside Rd, Clackamas, OR 97015 Phone: 800-813-2000 | |
Dr. Edward Harlan Stark, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 10100 Se Sunnyside Rd, Clackamas, OR 97015 Phone: 503-786-8435 |