Individual provider Active NPI

Vivian Carol Rush, MD, MPH

  • Occupational Medicine Physician
  • Apg, MD
National Provider Identifier
1619025632
Registry record updated Mar 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Medicine PhysicianTaxonomy code 2083X0100X
License
D0043335 Issued in MD
Practice address
Usachppm
MCHB-TS-Mem(Rush)
Apg, MD 21010-5422
Phone
(410) 436-7954
Fax
(410) 436-4117
NPI assigned
Jan 8, 2007
Last updated
Mar 13, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Medicine Physician 2083X0100X D0043335 MD Primary

Addresses

Primary practice location

Usachppm
MCHB-TS-Mem(Rush)
Apg, MD 21010-5422

Mailing address

1900 Phillips Mill Rd
Forest Hill, MD 21050-2124
Phone (410) 436-7954

Other names 1

  • Dr. Vivian Carol Lichtenstein Former name

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
D0043335MDMDOccupational Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1394668800000",
    "number": "1619025632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 PHILLIPS MILL RD",
            "city": "FOREST HILL",
            "state": "MD",
            "postal_code": "210502124",
            "telephone_number": "410-436-7954",
            "fax_number": "410-436-4117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "USACHPPM",
            "address_2": "MCHB-TS-MEM(RUSH)",
            "city": "APG",
            "state": "MD",
            "postal_code": "210105422",
            "telephone_number": "410-436-7954",
            "fax_number": "410-436-4117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSH",
        "first_name": "VIVIAN",
        "middle_name": "CAROL",
        "name_prefix": "Dr.",
        "credential": "MD, MPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-08",
        "last_updated": "2014-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "MD",
            "license": "D0043335",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VIVIAN",
            "last_name": "LICHTENSTEIN",
            "middle_name": "CAROL",
            "prefix": "DR.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Apg, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 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.