Fred Wallace Rushton in Jackson - Vascular Surgery
Fred Wallace Rushton - NPI 1194825323
Fred Wallace Rushton is a Vascular Surgery in Jackson, Mississippi. Fred Wallace Rushton practices all healthcare services and medical treatments related to Vascular Surgery. The NPI Number for Fred Wallace Rushton is 1194825323. The last update date is 2014-04-22.
Fred Wallace Rushton's current location address is 2500 N State St, Jackson, Mississippi. You can contact this provider via phone number 6019846426 and fax number 6019846439. The mailing address for Fred Wallace Rushton is 2500 N State St, Jackson, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Fred Wallace Rushton |
|---|---|
| Address | 2500 N State St, Jackson, Mississippi |
| Phone Number | 6019846426 |
| Fax Number | 6019846439 |
| Sole Proprietor | Y |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1194825323 |
|---|---|
| Provider Enumeration Date | 2006-09-25 |
| Last Updated Date | 2014-04-22 |
Provider Mailing Address Detail
| Address | 2500 N State St |
|---|---|
| City | Jackson |
| State | Mississippi (MS) |
| Post Code | 392164500 |
| Phone Number | 6019846426 |
| Fax Number | 6019846439 |
Provider's Primary Taxonomy Detail
| Speciality | Vascular Surgery |
|---|---|
| Taxonomy | 2086S0129X |
| Licence No | 6237 |
|
Definition: A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 13429 | MS | -- | |
| 020046786 GRPCG | MS | RAILROAD MEDICARE | |
| 158101 | AL | -- | |
| P00462318 | MS | RR MEDICARE |
Post Comment/ Review Below
What is the unique provider identifier assigned to Fred Wallace Rushton?
The Fred Wallace Rushton has been issued the NPI (National Provider Identifier) 1194825323 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Fred Wallace Rushton's facilities are geographically located?
The facilities of Fred Wallace Rushton are physically situated at the following location: 2500 N State St, Jackson, MS, 392164500.
What is Fred Wallace Rushton's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Fred Wallace Rushton is Vascular Surgery, and the corresponding taxonomy classification code for this specialized field is 2086S0129X.
On what date did the Fred Wallace Rushton receive its 1194825323 assignment from the Centers for Medicare & Medicaid Services?
The Fred Wallace Rushton was assigned its 1194825323 by the Centers for Medicare & Medicaid Services on 2006-09-25.
As of what date were the details pertaining to Fred Wallace Rushton last refreshed?
The information related to the Fred Wallace Rushton, including its address, specialty, and other relevant details, was last updated on 2014-04-22.
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