Rush Hospital/Butler, Inc
Organization Active NPI Emergency Medicine Physician · Butler, AL
NPI 1811268592 · NPPES record last updated Apr 17, 2025
Key facts
- NPI
- 1811268592
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- Legal business name
- RUSH HOSPITAL/BUTLER, INC
- Practice address
- 401 Vanity Fair Lane
Butler, AL 36904 - Phone
- (205) 459-9100
- Fax
- (205) 459-9190
- NPI assigned
- Jan 26, 2012
- Organization subpart
- No
Authorized official
- Name
- Don Larkin Kennedy
- Title
- Regional Ceo
- Phone
- (601) 703-9614
Other NPIs on the same Medicare enrollment 2
Other NPIs with the same Medicare PAC ID 4
Corporate family (same tax ID) 2
Practitioners 76
-
Daniel Lee Armistead, M.D.
-
Victoria L Buck, MD
-
Jasmine P Gaines, M.D., PH.D.
-
Katherine A. Hensleigh, M.D.
-
Vernadette Laneice Horn, FNP-C
-
Lex D. Mahler, DO
-
Carla N Thomas, M.D.
-
Dwayne Henry, MD
-
Hunter B Nelson Jr., M.D.
-
Brian Anthony Ogden, M.D.
-
Perry Wallace, MD
-
Leanne Lott Tew, CRNP
-
Eniola O Fagbongbe, M.D, MBA
-
Deborah A Hester, MD
-
Tamer M Elsayed, MD
-
Roger Dale Stanmore, M.D.
-
George U Amah, MD
-
Neil Anand, M.D.
-
Carmen L Anderson, M.D.
-
Craig Audin, MD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120605000787 | AL | Part B Supplier - Clinic/Group Practice | 0244498368 |
Receives reassigned benefits from 76 practitioners 2 other NPIs on this enrollment Practice locations: Butler, AL; Gilbertown, AL |
National Provider Directory
- Tax ID family
- Rush Hospitalbutler Inc
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician |
207P00000X | Yes |
Addresses
Primary practice location
401 Vanity Fair Lane
Butler, AL 36904
Mailing address
Dept 3022, P.O. Box 1000
Memphis, TN 38148-3022
Phone (601) 213-3010
Other names
- Ochsner Choctaw General Professional Services
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service | Other | Cobius Healthcare Solutions |
Other providers in Butler, AL
- Stephanie Ommen
- Physicians Care of Clarke
- Rush Hospital/Butler, Inc
- Rush Hospital/Butler, Inc
- Rush Hospital/Butler, Inc
- Rush Hospital/Butler, Inc.
- Serenity Hospice Care, LLC
- State of Alabama
- State of Alabama Department of Public Health
- State of Alabama Department of Public Health
All providers in Butler, AL · Emergency Medicine Physician in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 17, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.