Evan Michael Rush, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH10891 Issued in FL

Practice address

2255 N Wickham Rd
Suite 109
Melbourne, FL 32935-8012

Phone

(321) 253-8511

Fax

(321) 253-8711

NPI assigned

Dec 10, 2013

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Specialty

Chiropractic

Education

Life Chiropractic College, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Rush Chiropractic Inc.

  • Chiropractor
  • Melbourne, FL
  • NPI 1164933438
  Medicare reassignment NPD Authorized official
• Priest Chiropractic Inc

  • Orthopedic Chiropractor
  • Melbourne, FL
  • NPI 1962671776
  NPD (past)
• Watt Family Chiropractic LLC

  • Chiropractor
  • Melbourne, FL
  • NPI 1134252471
  NPD (past)

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

{
    "created_epoch": "1386633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386633600000",
    "number": "1689005126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2255 N WICKHAM RD",
            "address_2": "SUITE 109",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329358012",
            "telephone_number": "321-253-8511",
            "fax_number": "321-253-8711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2255 N WICKHAM RD",
            "address_2": "SUITE 109",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329358012",
            "telephone_number": "321-253-8511",
            "fax_number": "321-253-8711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSH",
        "first_name": "EVAN",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-12-10",
        "last_updated": "2013-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH10891",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lindsay Rule, D.M.D
• Rupala Ghanshyam LLC
• Jaime Rus Alba
• Jacqueline R Rusch, CRNA
• Rush Chiropractic Inc.
• Patricia Diane Rush
• Sommer Nicole Rush, PA-C
• Rebekah Russell, APRN, PMHNP-BC, MSN
• Robert Luis Russell
• Jeanette Christine Ruth

• Chiropractor in Melbourne, FL
• Providers in Melbourne, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.