MATTHEW RUSH (NPI# 1457808990) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457808990 |
| Entity Type | Individual |
| Full Name | MATTHEW RUSH |
| Practice Address |
705 Second Street Cordova AK 99574 |
| Mailing Address |
Po Box 2204 Cordova AK 99574-2204 |
| Practice Telephone | 9074243622 |
| Mailing Telephone | 9074243622 |
| Enumeration Date | 2016-09-01 |
| Last Update Date | 2016-09-01 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
113114 | AK | Behavioral Health & Social Service Providers |
| Street Address |
705 SECOND STREET |
| City | CORDOVA |
| State | AK |
| Zip Code | 99574 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356776165 | Susan E.c. Powell | Counselor | 705 Second Street, Cordova, AK 99574 | 2013-09-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497355390 | Delia M. Reyes | Nurse Practitioner | 705 2nd St., Cordova, AK 99574 | 2020-10-29 |
| 1497376750 | Myaliesa Bingham | Massage Therapist | 622 1st St #201, Cordova, AK 99574 | 2020-04-28 |
| 1154951408 | Richard Donald Bingham | Chiropractor | 622 1st Street, 201, Cordova, AK 99574 | 2020-01-24 |
| 1497230353 | Acupuncture & Wellness of Cordova | Acupuncturist | 520 2nd Street, Cordova, AK 99574 | 2018-09-26 |
| 1659869295 | Joan Catherine Herschleb | Acupuncturist | 520 Second Street, Cordova, AK 99574 | 2018-04-30 |
| 1134534712 | Brian Iutzi | Family Medicine | Ilanka Clinic, 705 2nd Street, Cordova, AK 99574 | 2014-06-23 |
| 1962679878 | City of Cordova | Ambulance | 602 Railroad Ave, Cordova, AK 99574 | 2008-05-09 |
| 1568649374 | Laurie A Phillips | Case Manager/Care Coordinator | 602 Chase, Cordova, AK 99574 | 2008-01-23 |
| 1578749412 | Kris Susan Johnston | Case Manager/Care Coordinator | 602 Chase Ave., Cordova, AK 99574 | 2008-01-10 |
| 1952491037 | Aaron Jeffrey Holm | Radiologic Technologist | 600 Adams Street, Unit T, Cordova, AK 99574 | 2006-10-13 |
| Find all providers in zip 99574 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144836404 | Walter J. Green | Counselor | 1120 Mossy Knoll Dr, Cordova, TN 38018-6671 | 2020-09-21 |
| 1124646799 | Triscilla D'anne Johnson | Counselor | 152 Timber Creek Dr Ste 4, Cordova, TN 38018-4237 | 2020-07-10 |
| 1467956573 | Jaimie Lee Walker | Counselor | 52 Timber Creek Dr, Cordova, TN 38018-4369 | 2018-03-22 |
| 1922512441 | Fredrick Gillam Jr. | Counselor | 815 Exocet Dr Ste 107, Cordova, TN 38018-2257 | 2017-11-20 |
| 1356776165 | Susan E.c. Powell | Counselor | 705 Second Street, Cordova, AK 99574 | 2013-09-11 |
| 1881950707 | August Geeter | Counselor | 8601 Pantherburn Trce, Cordova, TN 38018-3582 | 2012-04-04 |
| 1487806683 | Janet Lee Ferrell | Counselor | 1340 Siskin Drive, Cordova, TN 38016 | 2008-10-21 |
| 1780859678 | Septuri Uhurubey | Counselor | 2751 N Rockcreek Pkwy, Cordova, TN 38016-4653 | 2008-04-23 |
| 1598939654 | Katherine Mclean Wilson | Counselor | 110 Timber Creek Dr, Cordova, TN 38018-4279 | 2008-04-18 |
| 1437374824 | John C Sample | Counselor | 23616 157th Ave N, Cordova, IL 61242-9771 | 2007-04-13 |
| Find all providers in CORDOVA | ||||
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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.