Robert Rush, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

11608 Issued in LA

Practice address

108 Constitution Dr
Alexandria, LA 71303-3521

Phone

(318) 445-1196

NPI assigned

Oct 12, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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 LA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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  • NPI 1366467656
  NPD (past) Authorized official
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  • Occupational Medicine Physician
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  • NPI 1780123620
  Authorized official Same address or phone

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1831288323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 13223",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713153223",
            "telephone_number": "318-445-1196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 CONSTITUTION DR",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713033521",
            "telephone_number": "318-445-1196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSH",
        "first_name": "ROBERT",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "LA",
            "license": "11608",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Helen H Rozanski, OTR/L
• Michelle Gauthier Rozas, MSN, APRN, FNP-C
• Vanessa Rubin, LPC
• Rud & Whittington Chiropractic LLC (Rud & Whittington Chiropractic Clinic)
• Magen Runnels
• Maya Rushing
• Victoria Russell
• George Rodger Rutherford IV, CRNA
• Johnnetta Rutledge
• Crystal Marie Ryan

• General Practice Physician in Alexandria, LA
• Providers in Alexandria, LA by specialty
• General Practice Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.