RUSH MEDICAL (NPI# 1316352164) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316352164 |
| Entity Type | Organization |
| Organization Name | RUSH MEDICAL |
| Practice Address |
4540 Ambassador Caffery Pkwy Suite B-110 Lafayette LA 70508-6928 |
| Practice Telephone | 3377069073 |
| Mailing Telephone | 3377069073 |
| Enumeration Date | 2014-06-30 |
| Last Update Date | 2014-06-30 |
| Authorized Official Name | JOHN BIRD (MANAGER) |
| Authorized Official Telephone | 6103345216 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208D00000X | General Practice | Allopathic & Osteopathic Physicians | ||
| Y | 207QA0401X |
Family Medicine Specialization: Addiction Medicine |
Allopathic & Osteopathic Physicians |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | RUSH MEDICAL APPLICATIONS, LLC | 9206 Sw Hill View St, Tigard, OR 97224 |
| New York State Corporations | RUSH MEDICAL TRANSPORTATION, INC. | 85 Harding Road, Rochester, New York 14612 |
| Washington State Corporations | RUSH MEDICAL, INC. | 24128 51st Ave Se, Woodinville, WA 98072 |
| Street Address |
4540 AMBASSADOR CAFFERY PKWY SUITE B-110 |
| City | LAFAYETTE |
| State | LA |
| Zip Code | 70508-6928 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053319780 | Virginia B Coreil | Pediatrics | 4540 Ambassador Caffery Pkwy, Ste B220, Lafayette, LA 70508-6928 | 2005-07-07 |
| 1609239508 | Rush Medical - Lafayette, LLC | Substance Abuse Rehabilitation Facility | 4540 Ambassador Caffery Pkwy, Ste. B110, Lafayette, LA 70508-6928 | 2016-03-30 |
| 1275993388 | Townsend Treatment Center, LLC | Substance Abuse Rehabilitation Facility | 4540 Ambassador Caffery Pkwy, Ste. C-110, Lafayette, LA 70508 | 2016-03-02 |
| 1003286998 | Geeta N Dalal Md LLC | Pediatrics | 4540 Ambassador Caffery Pkwy, Suite C-130, Lafayette, LA 70508-6928 | 2015-10-05 |
| 1285989772 | Lisa M Larochelle | Social Worker | 4540 Ambassador Caffery Pkwy, Building D, Suite B-220, Lafayette, LA 70508-6928 | 2012-07-20 |
| 1861794729 | Jessica Broussard Baudoin | Counselor | 4540 Ambassador Caffery Pkwy, Building D, Suite B-220, Lafayette, LA 70508-6928 | 2010-11-29 |
| 1104145507 | Kayla S Fanguy | Counselor | 4540 Ambassador Caffery Pkwy, Bldg. D, Suite B-220, Lafayette, LA 70508-6928 | 2010-05-25 |
| 1285864025 | Reactive Nutrition, LLC | Dietitian, Registered | 4540 Ambassador Caffery Pkwy, C240, Lafayette, LA 70508-6928 | 2009-07-14 |
| 1326274408 | Wendy J Leger | Social Worker | 4540 Ambassador Caffery Pkwy, Suite B-220, Lafayette, LA 70508-6928 | 2009-06-03 |
| 1578707097 | Katherine L Lloyd | Counselor | 4540 Ambassador Caffery Pkwy, Building D, Suite 220, Lafayette, LA 70508-6928 | 2009-04-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346868676 | Cypress Bend Oral & Maxillofacial Surgery | Dentist | 106 Rue Bastille, Lafayette, LA 70508 | 2020-07-13 |
| 1184250607 | Learning Grove Therapy LLC | Clinic/Center | 105 Anaheim Lane, Lafayette, LA 70508 | 2020-03-16 |
| 1780218727 | Jennifer Trumps | Case Manager/Care Coordinator | 200 Entergy Parkway, Lafayette, LA 70508 | 2020-02-28 |
| 1740749605 | Hunter Sy Arceneaux | Physical Therapist | 1700 Kaliste Saloom Road, Building 3, Suite 300, Lafayette, LA 70508 | 2019-03-19 |
| 1295292787 | Brad Michael Gros | Counselor | 160 South Beadle Road, Lafayette, LA 70508 | 2019-02-21 |
| 1205337581 | Alternative Perspectives, LLC | Clinic/Center | 2807 Kaliste Saloom Rd Ste B, Lafayette, LA 70508 | 2018-02-22 |
| 1124528807 | Zachariah James Hebert | Counselor | 1602 W Pinhook Rd Suite 100a, The Family Tree, Lafayette, LA 70508 | 2018-02-19 |
| 1164934477 | Ilyas Munshi, Md Apmc | Non-Pharmacy Dispensing Site | 99 W. Martial Ave, Lafayette, LA 70508 | 2017-10-26 |
| 1447761226 | Louisiana Orthopaedic Specialists, LLC | Durable Medical Equipment & Medical Supplies | 4231 Ambassador Caffery Pkwy, Suite 102, Lafayette, LA 70508 | 2017-10-19 |
| 1306365457 | Mk Dixon Counseling and Consulting | Counselor | 105 Industrial Parkway, Lafayette, LA 70508 | 2017-09-10 |
| Find all providers in zip 70508 | ||||
| Taxonomy Code | 207QA0401X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Addiction Medicine |
| A family medicine physician who specializes in the diagnosis and treatment of addictions. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) was, but is no longer issued by the American Osteopathic Board of Family Physicians. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326651480 | Scl Health Medical Group - Denver, LLC | Family Medicine | 2600 Campus Dr Ste A, Lafayette, CO 80026-3358 | 2020-08-28 |
| 1659592715 | Paul Edward Wry | Family Medicine | 37 Sunset Inn Rd, Sunrise House, Lafayette, NJ 07848-2214 | 2007-05-02 |
| 1144372863 | Robert Charles Turner | Family Medicine | 3554 Promenade Pkwy, Suite H, Lafayette, IN 47909-8417 | 2007-01-16 |
| 1356363428 | John Cedric Dauphin | Family Medicine | 809 Martin Luther King Jr Dr, Lafayette, LA 70501-1884 | 2006-07-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467927723 | Eugene and Oleander LLC | Family Medicine | 11715 Bricksome Ave Ste A6, Baton Rouge, LA 70816-2307 | 2018-10-12 |
| 1700305679 | Horizon Medical Treatment Centers | Family Medicine | 4313 Bluebonnet Blvd Ste B, Baton Rouge, LA 70809-9679 | 2017-09-12 |
| 1609002799 | Michael Philip Melcher | Family Medicine | 2116 N Bolton Ave, Alexandria, LA 71303-4405 | 2009-06-03 |
| 1952556094 | Chad W Trosclair | Family Medicine | 19411 Helenbirg Rd Ste 101, Covington, LA 70433-5199 | 2008-11-17 |
| 1750573747 | Louis Cataldie | Family Medicine | 6038 Jefferson Hwy, Baton Rouge, LA 70806-8013 | 2007-08-14 |
| 1154787554 | Ecl Group, LLC | Family Medicine | 2445 E Milton Ave, Youngsville, LA 70592-5346 | 2016-01-14 |
| 1265749519 | Clyde E. Elliott, M. D. A Professional Corporation | Family Medicine | 304 Circle Dr, West Monroe, LA 71291-5308 | 2010-09-08 |
| 1073732541 | Douglas Wayne Cook | Family Medicine | 86 Palmetto Rd, Rayville, LA 71269-6415 | 2007-04-24 |
| 1821004078 | Georgette Somjen | Family Medicine | 4836 Wabash St, Suite 202, Metairie, LA 70001-6717 | 2006-07-31 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.