RUSH MEDICAL ARTS GROUP, PC (NPI# 1790813269) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790813269 |
| Entity Type | Organization |
| Organization Name | RUSH MEDICAL ARTS GROUP, PC |
| Other Organization Name | PREMIER PHYSICIANS |
| Practice Address |
323 Conrad Harcourt Way Rushville IN 46173-1161 |
| Mailing Address |
Po Box 127 Rushville IN 46173-0127 |
| Practice Telephone | 7659324441 |
| Practice Fax Number | 7659324906 |
| Mailing Telephone | 7659324441 |
| Mailing Fax Number | 7659324906 |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. SHERIF M SHAMAA (PRESIDENT) |
| Authorized Official Telephone | 7659324441 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | ANTHEM BCBS | 000000104494 | 01 |
| Other Name | Type Code |
|---|---|
| Premier Physicians | Doing Business As Name - Organization |
| Street Address |
323 CONRAD HARCOURT WAY |
| City | RUSHVILLE |
| State | IN |
| Zip Code | 46173-1161 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770102386 | Amanda Egilmez | Family Medicine | 323 Conrad Harcourt Way, Rushville, IN 46173-1161 | 2020-04-14 |
| 1134750276 | Melinda Miller | Nurse Practitioner | 323 Conrad Harcourt Way, Rushville, IN 46173-1161 | 2020-01-28 |
| 1689140014 | Megan Jones | Nurse Practitioner | 323 Conrad Harcourt Way, Rushville, IN 46173-1116 | 2018-10-24 |
| 1437625597 | Tracie Corn | Nurse Practitioner | 323 Conrad Harcourt Way, Rushville, IN 46173-1161 | 2018-10-16 |
| 1659825115 | Eileen Dewire | Registered Nurse | 323 Conrad Harcourt Way, Rushville, IN 46173-1116 | 2016-08-12 |
| 1376901132 | Amber Lynn Hill | Nurse Practitioner | 323 Conrad Harcourt Way, Rushville, IN 46173-1116 | 2016-02-08 |
| 1346671005 | Decatur Vein Clinic, PC | Phlebology | 323 Conrad Harcourt Way, Rushville, IN 46173-1161 | 2013-12-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396267969 | Teodora Manlangit Ordas | Physical Therapist | 1201 Smith Drive, Rushville, IN 46173 | 2017-07-14 |
| 1831394758 | Ryan S White | Family Medicine | 1300 N. Main Street, Rushville, IN 46173 | 2007-06-20 |
| 1245371715 | John Wayne Gasser | Marriage & Family Therapist | 218 North Perkins Ave, Rushville, IN 46173 | 2007-02-09 |
| 1174534887 | Orthopaedic Surgical Care Institute | Orthopaedic Surgery | 1300 North Main Street, Rushville, IN 46173 | 2006-08-10 |
| 1295775161 | Darin Wade Wallace | Chiropractor | 1520 North Main Street, Rushville, IN 46173 | 2006-06-07 |
| 1891755286 | Kurt Leon Jacobs | Family Medicine | 807 S St Rd 3, Rushville, IN 46173 | 2006-03-28 |
| 1063498343 | Gregory Edmund Hyde | Otolaryngology | 110 E. 13th Street, Rushville, IN 46173 | 2005-12-19 |
| 1396736054 | Jitendra M Amin | Family Medicine | 725 N Spencer St, Rushville, IN 46173 | 2005-11-02 |
| 1669960845 | Cheryl L Turner-romans | Social Worker | 201 Conrad Harcourt Way, Suite A, Rushville, IN 46173 | 2018-04-24 |
| 1982971016 | Teresa D Geis | Registered Nurse | 1300 N Main Street, Rushville, IN 46173 | 2011-11-17 |
| Find all providers in zip 46173 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
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| Find all providers with the same taxonomy | ||||
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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.