Mary Elizabeth Rutherford, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD.10525 Issued in AL

Practice address

4100 McClellan Blvd
Anniston, AL 36201-2132

Phone

(256) 235-2273

Fax

(256) 235-2277

NPI assigned

Apr 8, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

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

State licenses

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.

• Acsh Primary Care of Alabama, LLC

  • Internal Medicine Physician
  • Rainbow City, AL
  • NPI 1811394547
  NPD (past)

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

{
    "created_epoch": "1144454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554249600000",
    "number": "1477516797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4100 MCCLELLAN BLVD",
            "city": "ANNISTON",
            "state": "AL",
            "postal_code": "362012132",
            "telephone_number": "256-235-2273",
            "fax_number": "256-235-2277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 MCCLELLAN BLVD",
            "city": "ANNISTON",
            "state": "AL",
            "postal_code": "362012132",
            "telephone_number": "256-235-2273",
            "fax_number": "256-235-2277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUTHERFORD",
        "first_name": "MARY",
        "middle_name": "ELIZABETH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-08",
        "last_updated": "2019-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "MD.10525",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AL",
            "license": "00010525",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000018664",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "051018664",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Morgan Rae Rouse
• Atlantis Michelle Ruffin, M.S., OTR/L
• Aereal Runyans, CRNA
• Joni T Russ, M.S. CCC-SLP
• Alex Russell
• Tony L Rutledge, CRNA
• S.C.R.E.E.N.S. LLC
• Charles Henry Sabens Jr., M.D.
• Tanya Elizabeth Sadi, EDS LPC AADC
• Sara I Sadiq, MD

• Family Medicine Physician in Anniston, AL
• Providers in Anniston, AL by specialty
• Family Medicine Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2019; 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.