Organization Active NPI

Rush Medical

  • Addiction Medicine (Family Medicine) Physician
  • Lafayette, LA
National Provider Identifier
1316352164
Registry record updated Jun 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Family Medicine) PhysicianTaxonomy code 207QA0401X
Legal business name
RUSH MEDICAL
Practice address
4540 Ambassador Caffery Pkwy
Suite B-110
Lafayette, LA 70508-6928
Phone
(337) 706-9073
NPI assigned
Jun 30, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2014

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

Authorized official

Name
John Bird
Title
Manager
Phone
(610) 334-5216

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Family Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207QA0401X Primary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X

Addresses

Primary practice location

4540 Ambassador Caffery Pkwy
Suite B-110
Lafayette, LA 70508-6928

Mailing address

4540 Ambassador Caffery Pkwy
Suite B-110
Lafayette, LA 70508-6928
Phone (337) 706-9073

National Provider Directory

National Provider Directory

Locations

4540 Ambassador Caffery Pkwy
Ste B110
Lafayette, LA 70508
Phone (337) 521-9289

NPI Registry JSON

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

{
    "created_epoch": "1404086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404086400000",
    "number": "1316352164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4540 AMBASSADOR CAFFERY PKWY",
            "address_2": "SUITE B-110",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705086928",
            "telephone_number": "337-706-9073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4540 AMBASSADOR CAFFERY PKWY",
            "address_2": "SUITE B-110",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705086928",
            "telephone_number": "337-706-9073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUSH MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-30",
        "last_updated": "2014-06-30",
        "status": "A",
        "authorized_official_last_name": "BIRD",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "610-334-5216"
    },
    "taxonomies": [
        {
            "code": "207QA0401X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2014; 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.