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NPISignal

Individual Healthcare Provider

David Petrovich Rusev

NPI Record: ActivePhysician Assistant
NPI1104468966
Concord, North Carolina

Provider's NPPES record last updated: July 19, 2024

Overview

Entity Type
Individual Healthcare Provider
NPI
1104468966
Primary Specialty
Physician Assistant
Practice Location
Concord, North Carolina
Sole Proprietor
No

Federal Screening

NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.

List of Excluded Individuals/Entities (LEIE)

HHS Office of Inspector General

No potential match identified

No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.

Source data
September 10, 2026
Records indexed
84,001
Screened
Sep 21, 2026, 12:09 AM UTC

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

SAM.gov Exclusions

U.S. General Services Administration

Not checked

SAM.gov Exclusions was not checked.

SAM.gov screening is not configured on this deployment. No SAM check has been performed.

Screened
Not checked

This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

Run a name-based screening

Searches OIG LEIE and SAM.gov by name and reviews every potential match.

Specialties & Taxonomies

  • Physician Assistant

    Physician Assistants & Advanced Practice Nursing Providers

    Primary

    A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

    Taxonomy code 363A00000X
  • Emergency Medicine

    Allopathic & Osteopathic Physicians

    An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

    Taxonomy code 207P00000X
  • Student in an Organized Health Care Education/Training Program

    Student, Health Care

    An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

    Taxonomy code 390200000X

Provider-Reported License Information

Physician Assistant (North Carolina)
0010-12804
Emergency Medicine (Pennsylvania)
MA06250
License numbers are reported by the provider to NPPES and are not independently verified by NPISignal against any state licensing board. Confirm current license status directly with the issuing state board.

Practice Locations

Practice Location

920 Church St N

Concord, North Carolina 28025-2927

Phone: (704) 403-3000

Additional Practice Location

1959 Ne Pacific St

Seattle, Washington 98195-0001

Phone: (206) 543-7212

Additional Practice Location

4311 11th Ave Ne Ste 200

Seattle, Washington 98105-6367

Phone: (206) 616-4001

Additional Practice Location

5501 Old York Rd Ste 1

Philadelphia, Pennsylvania 19141-3098

Phone: (215) 456-3834

Record Information

Enumeration Date
October 14, 2019
Provider's NPPES Record Last Updated
July 19, 2024
Certification Date
July 19, 2024
NPISignal NPPES Dataset
August 2026

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