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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 4301074345 | MI | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Washtenaw Medicine | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/3683/brand/1/csg/1/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
- Pamela Sue McClure
- Leo Vasserot Merle VI
- Moriah Enrichment Center, LLC
- Peaceful Mind Counseling Services LLC
- Rap Teletherapy PLLC
- Debora Spring
- William Stahly
- Margaret Anne Steeb
- Abby Sweeney
- Cheryal Tucker
All providers in Manchester, MI · Internal Medicine Physician in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 26, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.