| Forefront-rush Medical Services Pc | |
|
1216 Twin Lakes Dr Little Rock AR 72205-6769 | |
| (510) 201-0190 | |
| (888) 972-2903 |
| Full Name | Forefront-rush Medical Services Pc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1216 Twin Lakes Dr, Little Rock, Arkansas |
| Authorized Official Name and Position | James Avery Rush (OWNER) |
| Authorized Official Contact | 2546243999 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Forefront-rush Medical Services Pc 1717 Main St Ste 5850 Dallas TX 75201-7317 Ph: (866) 959-2008 | Forefront-rush Medical Services Pc 1216 Twin Lakes Dr Little Rock AR 72205-6769 Ph: (510) 201-0190 |
| NPI Number | 1588152649 |
|---|---|
| Provider Enumeration Date | 04/24/2018 |
| Last Update Date | 10/18/2024 |
| Certification Date | 10/18/2024 |
| Medicare PECOS PAC ID | 8628324878 |
|---|---|
| Medicare Enrollment ID | O20180702002149 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588152649 | NPI | - | NPPES |
| M7583 | Other | TX | MEDICAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Janette D Mcgaugh |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1831280593 PECOS PAC ID: 6608878350 Enrollment ID: I20070208000294 |
| Provider Name | Dahlia D Distin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346472941 PECOS PAC ID: 8527335249 Enrollment ID: I20170601000597 |
| Provider Name | Micah Ann Grant |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952880791 PECOS PAC ID: 0648521377 Enrollment ID: I20180919003054 |
| Provider Name | Tana L Allen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114334471 PECOS PAC ID: 8921365073 Enrollment ID: I20181001000453 |
| Provider Name | Brent A. Crane |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1336469287 PECOS PAC ID: 9739336058 Enrollment ID: I20181023000931 |
| Provider Name | Shamalon Johnson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1659403905 PECOS PAC ID: 5698849693 Enrollment ID: I20200108000036 |
| Provider Name | Allyson Stewart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225685142 PECOS PAC ID: 6901239045 Enrollment ID: I20200203001281 |
| Provider Name | Carrie Schmidt Konen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982630778 PECOS PAC ID: 5496942765 Enrollment ID: I20200415001979 |
| Provider Name | Chastity Stephens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588299291 PECOS PAC ID: 2961832878 Enrollment ID: I20200416002749 |
| Provider Name | Martha Shaw |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831717115 PECOS PAC ID: 5294150991 Enrollment ID: I20200728003673 |
| Provider Name | Jessica Cayce |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1497917678 PECOS PAC ID: 3577888262 Enrollment ID: I20200803000623 |
| Provider Name | Channing Hall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104464445 PECOS PAC ID: 4880013713 Enrollment ID: I20200928000275 |
| Provider Name | Mark D Gage |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1972544138 PECOS PAC ID: 3577552215 Enrollment ID: I20201222000095 |
| Provider Name | Ashley Mathias |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326588526 PECOS PAC ID: 5294012928 Enrollment ID: I20210111000875 |
| Provider Name | Tamara Laws |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841861317 PECOS PAC ID: 6204231871 Enrollment ID: I20210819001456 |
| Provider Name | Que'linda Tillman-wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821661802 PECOS PAC ID: 4284031048 Enrollment ID: I20210921001679 |
| Provider Name | Nedra Allen-jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043978422 PECOS PAC ID: 2163802802 Enrollment ID: I20220712001061 |
| Provider Name | Blake Henchcliffe |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1982191409 PECOS PAC ID: 2062848617 Enrollment ID: I20220715002402 |
| Provider Name | Felicia Nicole Nowlin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245930874 PECOS PAC ID: 7315303443 Enrollment ID: I20230516002211 |
| Provider Name | Carol G Mathews |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477267193 PECOS PAC ID: 4981061587 Enrollment ID: I20230612003175 |
| Provider Name | Robert Glenn |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1902033210 PECOS PAC ID: 9335328467 Enrollment ID: I20241018003292 |
| Provider Name | Tuvia Breuer |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1467665703 PECOS PAC ID: 6305962838 Enrollment ID: I20241114003635 |
| Provider Name | Lewis Joseph Kerwin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1952807968 PECOS PAC ID: 0143576793 Enrollment ID: I20250107004347 |
| Provider Name | Tenishia Santiago |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497254932 PECOS PAC ID: 7113277369 Enrollment ID: I20250304000589 |
| Provider Name | Suzanne Yaws |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679136394 PECOS PAC ID: 1759624273 Enrollment ID: I20250307001899 |
| Provider Name | Donna Brunson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710434055 PECOS PAC ID: 6709168081 Enrollment ID: I20250610004221 |
| Provider Name | Melinda Nelson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477840569 PECOS PAC ID: 4688847353 Enrollment ID: I20250613003477 |
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