NPIMap

Individual provider Active NPI

Richard T Rutherford, M.D.

  • Family Medicine Physician
  • Carthage, TN
National Provider Identifier
1184619124
Registry record updated Mar 31, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
015146 Issued in TN
Practice address
133 Hospital Dr
Suite 500
Carthage, TN 37030-4004
Phone
(615) 735-0700
Fax
(615) 735-5480
NPI assigned
Sep 15, 2005
Last updated
Mar 31, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 015146 TN Primary

Addresses

Primary practice location

133 Hospital Dr
Suite 500
Carthage, TN 37030-4004

Mailing address

PO Box 176
Carthage, TN 37030-0176
Phone (615) 735-0700

Other identifiers 1

IdentifierTypeStateIssuer
3019574MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070825000124 TN Practitioner - Family PracticePractitioner - Obstetrics/GynecologyPractitioner - Emergency Medicine 7012962624 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Emergency Medicine, Obstetrics/Gynecology
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sumner Physician Practices LLCGroup PAC ID 8820283260, 59 clinicians

Practice addresses (Care Compare)

133 Hospital Dr
Suite 500
Carthage, TN 37030-4020
Phone (615) 735-0700

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy27
Upper gastrointestinal (GI) endoscopy for acid reflux17
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
015146TNMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Riverview Medical Center LLC CurrentSince Oct 15, 2019 Accepting new patients
Sumner Physician Practices, LLC CurrentSince Mar 18, 2017 Accepting new patients
Emergency Coverage, LLC Family Medicine CurrentSince Jul 1, 2007 Accepting new patients
Sumner Physician Practices LLC Current Accepting new patients
Sumner Physician Practices, LLC Family Medicine CurrentSince Mar 18, 2017 Accepting new patients
Riverview Medical Center LLC Family Medicine CurrentSince Oct 15, 2019 Accepting new patients
Sumner Physician Practices LLC PastSince Dec 1, 2019 Accepting new patients
Sumner Physician Practices LLC Family Medicine Past Accepting new patients

Locations

130 Lebanon Hwy
Carthage, TN 37030
Phone (615) 444-0554

133 Hospital Dr
Ste 500
Carthage, TN 37030
Phone (615) 735-0700

158 Hospital Dr
Carthage, TN 37030
Phone (615) 735-1560

225 Big Station Camp Blvd
Gallatin, TN 37066
Phone (615) 328-3380

225 Big Station Camp Blvd
Ste 211
Gallatin, TN 37066
Phone (615) 328-3480

555 Hartsville Pike
Gallatin, TN 37066
Phone (615) 328-5067

500 Church St
Hartsville, TN 37074
Phone (615) 374-2221

502 Church St
Hartsville, TN 37074
Phone (615) 374-4371

1607 S Locust Ave
Lawrenceburg, TN 38464
Phone (731) 287-2244

Interoperability endpoints

  • Direct secure messaging: richard.rutherford.1@19363.direct.athenahealth.com

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1126742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1396224000000",
    "number": "1184619124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 176",
            "city": "CARTHAGE",
            "state": "TN",
            "postal_code": "370300176",
            "telephone_number": "615-735-0700",
            "fax_number": "615-735-5480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 HOSPITAL DR",
            "address_2": "SUITE 500",
            "city": "CARTHAGE",
            "state": "TN",
            "postal_code": "370304004",
            "telephone_number": "615-735-0700",
            "fax_number": "615-735-5480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUTHERFORD",
        "first_name": "RICHARD",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-15",
        "last_updated": "2014-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "015146",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3019574",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Carthage, TN

Sources for this page

Verify at the official NPI Registry.