Sandra R Rush, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

19709 Issued in WV

Practice address

6 Hospital PLZ
Clarksburg, WV 26301

Phone

(304) 623-5661

Fax

(304) 623-2180

NPI assigned

Sep 13, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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

• Premier Medical Group, Inc.

  • Family Medicine Physician
  • Bridgeport, WV
  • NPI 1679672505
  NPD (past)
• Premier Medical Group, Inc.

  • Clinical Medical Laboratory
  • Nutter Fort, WV
  • NPI 1942479084
  NPD (past)

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482192000000",
    "number": "1245335603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 HOSPITAL PLZ",
            "city": "CLARKSBURG",
            "state": "WV",
            "postal_code": "26301",
            "telephone_number": "304-623-5661",
            "fax_number": "304-623-2180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 HOSPITAL PLZ",
            "city": "CLARKSBURG",
            "state": "WV",
            "postal_code": "26301",
            "telephone_number": "304-623-5661",
            "fax_number": "304-623-2180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSH",
        "first_name": "SANDRA",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-13",
        "last_updated": "2016-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WV",
            "license": "19709",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "001721679",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1804022000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Runner Counseling Services, LLC
• Michael Runner, LPC
• Richard Runyon
• Bernadette Marie Rush, MS,CCC-SLP
• Crystal Rush
• Michelle L Ryan, APN FNP-BC
• S.T. Curry D.D.S. Inc.
• Wesley Alexander Salisbury, BS
• Sam'S East, Inc.
• Molly Samalio, LICSW

• Family Medicine Physician in Clarksburg, WV
• Providers in Clarksburg, WV by specialty
• Family Medicine Physician in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.