Active NPI
Rutherford Emergency Group LLC
- Emergency Medicine Physician
- Rutherfordton, NC
National Provider Identifier
1841593647
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- Legal business name
- RUTHERFORD EMERGENCY GROUP LLC
- Practice address
- 288 S Ridgecrest Ave
Rutherfordton, NC 28139-2838 - Phone
- (828) 286-5000
- NPI assigned
- Dec 16, 2010
- Last updated
- Jan 15, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lisha C Falk
- Title
- VP of Contracting
- Phone
- (800) 893-9698
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | |||
| Nurse Practitioner | 363L00000X | |||
| Emergency Medicine Physician | 207P00000X | Primary |
Addresses
Primary practice location
288 S Ridgecrest Ave
Rutherfordton, NC 28139-2838
Mailing address
200 Corporate Blvd
Lafayette, LA 70508-3870
Phone (337) 354-1153
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5916850 | Medicaid | NC |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Physician Assistant
- Jackson, TN
- NPI 1568642692
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1292457600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1452816000000",
"number": "1841593647",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 CORPORATE BLVD",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705083870",
"telephone_number": "337-354-1153"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "288 S RIDGECREST AVE",
"city": "RUTHERFORDTON",
"state": "NC",
"postal_code": "281392838",
"telephone_number": "828-286-5000"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RUTHERFORD EMERGENCY GROUP LLC",
"organizational_subpart": "NO",
"enumeration_date": "2010-12-16",
"last_updated": "2016-01-15",
"status": "A",
"authorized_official_last_name": "FALK",
"authorized_official_first_name": "LISHA",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "VP OF CONTRACTING",
"authorized_official_telephone_number": "800-893-9698"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": null,
"license": null,
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5916850",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Rutherfordton, NC
- Michael William Roberts, M.D.
- Ariel Peji Ronquillo, PT
- Zachary Ross, PHARMD
- Rutherford Anesthesiology Associates, LLP
- Rutherford Ear Nose & Throat PA
- Rutherford Emergency Medicine PA
- Rutherford Family Acupuncture
- Rutherford Family Acupuncture, LLC
- Rutherford Hospital Inc (Rutherford Anesthesiology)
- Rutherford Hospital Inc (Rutherford Children's Care)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.