Raymond Omar Rushden, MD

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

11444 Issued in WV

Practice address

140 Stollings Ave Ste 2
Logan, WV 25601-4035

Phone

(304) 752-8400

Fax

(304) 752-8419

NPI assigned

May 4, 2006

Last updated

Feb 18, 2010By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266451200000",
    "number": "1255389342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1736",
            "address_2": "140 STOLLINGS AVE SUITE 2",
            "city": "LOGAN",
            "state": "WV",
            "postal_code": "25601",
            "telephone_number": "304-752-8400",
            "fax_number": "304-752-8419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 STOLLINGS AVE STE 2",
            "city": "LOGAN",
            "state": "WV",
            "postal_code": "256014035",
            "telephone_number": "304-752-8400",
            "fax_number": "304-752-8419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSHDEN",
        "first_name": "RAYMOND",
        "middle_name": "OMAR",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-04",
        "last_updated": "2010-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "WV",
            "license": "11444",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0128359000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Gastroenterology Physician in Logan, WV
• Providers in Logan, WV by specialty
• Gastroenterology Physician in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2010; 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.