Erica Rush, MD

Individual provider Active NPI Internal Medicine Physician · Manchester, MI

NPI 1790742625 · NPPES record last updated Aug 26, 2008

Key facts

NPI
1790742625
Entity type
Individual (NPI type 1)
Primary specialty
Internal Medicine Physician 207R00000X
License
4301074345 (MI)
Practice address
8200 M 52
Manchester, MI 48158-9409
Phone
(734) 428-8719
NPI assigned
Apr 26, 2006
Sex
Female
Sole proprietor
No

Organizations & group practices 1

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.

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
4301074345MIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Washtenaw Medicine Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/3683/brand/1/csg/1/fhir/r4

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 4301074345 MI Yes

Addresses

Primary practice location

8200 M 52
Manchester, MI 48158-9409

Mailing address

8200 M 52
Manchester, MI 48158-9409
Phone (734) 428-8719

Other providers in Manchester, MI

All providers in Manchester, MI · Internal Medicine Physician in Michigan

Sources for this page

Verify at the official NPI Registry.