Individual provider Active NPI

George Rushing

  • Peer Specialist
  • Beachwood, OH
National Provider Identifier
1386308377
Registry record updated Oct 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Peer SpecialistTaxonomy code 175T00000X
License
00002767 Issued in OH
Practice address
25201 Chagrin Blvd Ste 390
Beachwood, OH 44122-5637
Phone
(216) 910-9015
Fax
(216) 910-9015
NPI assigned
Oct 26, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Peer Specialist 175T00000X 00002767 OH Primary

Addresses

Primary practice location

25201 Chagrin Blvd Ste 390
Beachwood, OH 44122-5637

Mailing address

10608 Elgin Ave
Cleveland, OH 44108-2714
Phone (216) 456-6765

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL peopleplaceanddreams.com Direct People Places and Dreams LLC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
00002767OHMDPeer Specialist

NPI Registry JSON

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

{
    "created_epoch": "1635206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635206400000",
    "number": "1386308377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10608 ELGIN AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441082714",
            "telephone_number": "216-456-6765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25201 CHAGRIN BLVD STE 390",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441225637",
            "telephone_number": "216-910-9015",
            "fax_number": "216-910-9015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSHING",
        "first_name": "GEORGE",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-10-26",
        "last_updated": "2021-10-26",
        "certification_date": "2021-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "OH",
            "license": "00002767",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "peopleplaceanddreams.com",
            "affiliation": "Y",
            "endpointDescription": "company website",
            "affiliationName": "People Places and Dreams LLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "25201 Chagrin Blvd Ste 390",
            "city": "Beachwood",
            "state": "OH",
            "country_code": "US",
            "postal_code": "441225637",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Beachwood, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2021; 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.