Rush Medical Group of Newton, PA

Primary specialty

Obstetrics PhysicianTaxonomy code 207VX0000X

Legal business name

RUSH MEDICAL GROUP OF NEWTON, PA

Doing business as

Rush Medical Group of Newton-Philadelphia

Practice address

1106 Central Dr
Suite 3
Philadelphia, MS 39350-8972

Phone

(601) 485-2609

Fax

(601) 484-7565

NPI assigned

Apr 4, 2012

Last updated

Mar 1, 2018By 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

Don Larkin Kennedy

Title

President

Phone

(601) 703-9614

Specialties & licenses 1

Addresses

Other names 1

• Rush Medical Group of Newton-Philadelphia Doing business as

Locations

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

{
    "created_epoch": "1333497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1519862400000",
    "number": "1851657803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 309",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393020309",
            "telephone_number": "601-485-2609",
            "fax_number": "601-484-7565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1106 CENTRAL DR",
            "address_2": "SUITE 3",
            "city": "PHILADELPHIA",
            "state": "MS",
            "postal_code": "393508972",
            "telephone_number": "601-485-2609",
            "fax_number": "601-484-7565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUSH MEDICAL GROUP OF NEWTON, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-04",
        "last_updated": "2018-03-01",
        "status": "A",
        "authorized_official_last_name": "KENNEDY",
        "authorized_official_first_name": "DON",
        "authorized_official_middle_name": "LARKIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "601-703-9614"
    },
    "taxonomies": [
        {
            "code": "207VX0000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rush Medical Group of Newton-Philadelphia",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Rush Medical Group of Newton-Philadelphia",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Obstetrics Physician in Philadelphia, MS
• Providers in Philadelphia, MS by specialty
• Obstetrics Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2018; 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.