Jeanne Maudlin Rush, PA

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

0110003043 Issued in VA

Practice address

2817 New Pinery Rd
Portage, WI 53901-9240

Phone

(608) 742-4131

NPI assigned

Jul 28, 2009

Last updated

Jun 20, 2013By the provider in NPPES

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 names 1

• Ms. Jeanne Allison Maudlin Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Interoperability endpoints

• Direct secure messaging: jeanne_rush@yourcarecommunity.org

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

{
    "created_epoch": "1248739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371686400000",
    "number": "1336370154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 387",
            "city": "PORTAGE",
            "state": "WI",
            "postal_code": "539010387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2817 NEW PINERY RD",
            "city": "PORTAGE",
            "state": "WI",
            "postal_code": "539019240",
            "telephone_number": "608-742-4131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSH",
        "first_name": "JEANNE",
        "middle_name": "MAUDLIN",
        "name_prefix": "Mrs.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-28",
        "last_updated": "2013-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "VA",
            "license": "0110003043",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JEANNE",
            "last_name": "MAUDLIN",
            "middle_name": "ALLISON",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Frederick W Rochacewicz, PAC
• Danielle M Rogers, FNP-C
• William S. Rogers, CRNA
• Timothy Joseph Rosin, D.D.S.
• Edward Rothbauer, PT
• Dorothy Rose Russ, RN
• Tikvah Rose Saidler
• Jessica Sailor
• Christine Savoy, A.B.O.C.
• Jessica Lee Schaub, BSN, RN

• Surgical Physician Assistant in Portage, WI
• Providers in Portage, WI by specialty
• Surgical Physician Assistant in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2013; 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.