Indiana Physician Management-Rush, LLC

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

Legal business name

INDIANA PHYSICIAN MANAGEMENT-RUSH, LLC

Practice address

1300 N Main St
Rushville, IN 46173-1116

Phone

(765) 932-4111

NPI assigned

Mar 27, 2012

Last updated

Jan 11, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Stewart Bick, M.D.

Title

President

Phone

(317) 848-7440

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1332806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357862400000",
    "number": "1821364654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7243 SOLUTION CTR",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606770001",
            "telephone_number": "317-802-3106",
            "fax_number": "317-870-0499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 N MAIN ST",
            "city": "RUSHVILLE",
            "state": "IN",
            "postal_code": "461731116",
            "telephone_number": "765-932-4111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDIANA PHYSICIAN MANAGEMENT-RUSH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-27",
        "last_updated": "2013-01-11",
        "status": "A",
        "authorized_official_last_name": "BICK",
        "authorized_official_first_name": "STEWART",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "317-848-7440",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201060530A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emily Hodge
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• Hook-Superx LLC (CVS Pharmacy #06645)
• Jon Monroe Hopkins, M.D.
• Gregory Edmund Hyde, M.D., PH.D.
• Amanda Michelle Jackman, LCSW
• Kurt Leon Jacobs, DO
• Adam Jarman
• Allison Nicole Ellen Jett
• Johnson Memorial Hospital (The Waters of Rushville Skilled Nursing Facility)

• Emergency Medicine Physician in Rushville, IN
• Providers in Rushville, IN by specialty
• Emergency Medicine Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2013; 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.