| Forefront-rush Medical Service Pa | |
|
1901 Medi Park Dr Ste 2058 Amarillo TX 79106-2109 | |
| (254) 624-3999 | |
| Not Available |
| Full Name | Forefront-rush Medical Service Pa |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1901 Medi Park Dr Ste 2058, Amarillo, Texas |
| 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 Service Pa 1901 Medi Park Dr Ste 2058 Amarillo TX 79106-2109 Ph: (609) 480-3109 | Forefront-rush Medical Service Pa 1901 Medi Park Dr Ste 2058 Amarillo TX 79106-2109 Ph: (254) 624-3999 |
| NPI Number | 1083036651 |
|---|---|
| Provider Enumeration Date | 01/15/2014 |
| Last Update Date | 10/18/2024 |
| Certification Date | 10/18/2024 |
| Medicare PECOS PAC ID | 4486884285 |
|---|---|
| Medicare Enrollment ID | O20140222000095 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083036651 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | James Avery Rush |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1992975841 PECOS PAC ID: 9436223609 Enrollment ID: I20080806000250 |
| Provider Name | Joshua J Warren |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1528227063 PECOS PAC ID: 3274690847 Enrollment ID: I20090325000792 |
| Provider Name | Barbara Williamson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487864211 PECOS PAC ID: 2062542129 Enrollment ID: I20100616000411 |
| Provider Name | Melinda Nelson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477840569 PECOS PAC ID: 4688847353 Enrollment ID: I20111026000238 |
| Provider Name | Roberta Lise Tumberg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790853315 PECOS PAC ID: 6608892609 Enrollment ID: I20131004000191 |
| Provider Name | Gina Louise Matteson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1356633945 PECOS PAC ID: 0547496051 Enrollment ID: I20131111000971 |
| Provider Name | Terri L Scamardo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609204247 PECOS PAC ID: 9032342209 Enrollment ID: I20140424000914 |
| Provider Name | Queeneth Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073869558 PECOS PAC ID: 6709190473 Enrollment ID: I20150810000566 |
| Provider Name | Michael V Susano |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1063440105 PECOS PAC ID: 5294768040 Enrollment ID: I20160525002520 |
| Provider Name | Donna Brunson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710434055 PECOS PAC ID: 6709168081 Enrollment ID: I20170120002315 |
| Provider Name | Afolashade Tawa Bamigbola |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679010052 PECOS PAC ID: 3476837113 Enrollment ID: I20170224001752 |
| Provider Name | Jacklyn Ashley Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457872467 PECOS PAC ID: 1759653256 Enrollment ID: I20170817003321 |
| Provider Name | Carrie Schmidt Konen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982630778 PECOS PAC ID: 5496942765 Enrollment ID: I20170918000069 |
| Provider Name | Gladys Onchwati |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669719035 PECOS PAC ID: 3375802580 Enrollment ID: I20180116001980 |
| Provider Name | Tamara Lyn Jarrous |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1366969230 PECOS PAC ID: 4486551280 Enrollment ID: I20180316001486 |
| Provider Name | Nneka Jon-ubabuco |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912274622 PECOS PAC ID: 8022363159 Enrollment ID: I20180613002971 |
| Provider Name | Jashunta Carson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760836399 PECOS PAC ID: 7113279415 Enrollment ID: I20181016000265 |
| Provider Name | Suzanne Yaws |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679136394 PECOS PAC ID: 1759624273 Enrollment ID: I20190523001436 |
| Provider Name | Jessica Cayce |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1497917678 PECOS PAC ID: 3577888262 Enrollment ID: I20190614002293 |
| Provider Name | Lourie L Winegar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578021523 PECOS PAC ID: 7719212349 Enrollment ID: I20190718000627 |
| Provider Name | Katrisa Britton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639727381 PECOS PAC ID: 7012247372 Enrollment ID: I20190930001144 |
| Provider Name | Osaretin Okoro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013561216 PECOS PAC ID: 2466886403 Enrollment ID: I20191227000260 |
| Provider Name | Blake Henchcliffe |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1982191409 PECOS PAC ID: 2062848617 Enrollment ID: I20200130002011 |
| Provider Name | Ebelechukwu Ekwenugo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710535398 PECOS PAC ID: 3375979289 Enrollment ID: I20200212000506 |
| Provider Name | Pablo Isaias Gonzalez |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1730355181 PECOS PAC ID: 3971939893 Enrollment ID: I20200212000657 |
| Provider Name | Rebecca Blackwell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326607839 PECOS PAC ID: 9638506553 Enrollment ID: I20200305000094 |
| Provider Name | Olga Gonzalez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609275312 PECOS PAC ID: 7416176821 Enrollment ID: I20200313001570 |
| Provider Name | Tahir Khwaja |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1881804938 PECOS PAC ID: 5092844928 Enrollment ID: I20200316000816 |
| Provider Name | Lloyd Esene |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013542158 PECOS PAC ID: 7911337910 Enrollment ID: I20200414003903 |
| Provider Name | Ashlea N Freeman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124492434 PECOS PAC ID: 6103257274 Enrollment ID: I20200506001343 |
| Provider Name | Shirley Billiot |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649581992 PECOS PAC ID: 4385839497 Enrollment ID: I20200619000468 |
| Provider Name | Elsie Nlerum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528693405 PECOS PAC ID: 8527481001 Enrollment ID: I20200701001329 |
| Provider Name | Allyson Stewart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225685142 PECOS PAC ID: 6901239045 Enrollment ID: I20201106001566 |
| Provider Name | Syamjith Jayadevan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033758578 PECOS PAC ID: 7719396449 Enrollment ID: I20210511000982 |
| Provider Name | Saumya Antony |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801481288 PECOS PAC ID: 1658779426 Enrollment ID: I20211008000079 |
| Provider Name | Alfredo Ramirez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043851033 PECOS PAC ID: 0941691281 Enrollment ID: I20211222000371 |
| Provider Name | Tyisha Fletcher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144687047 PECOS PAC ID: 4981909827 Enrollment ID: I20220113001461 |
| Provider Name | Kimberly Buckner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437825767 PECOS PAC ID: 4486043924 Enrollment ID: I20220324000004 |
| Provider Name | Justin Richard White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538307897 PECOS PAC ID: 1456503218 Enrollment ID: I20220428002714 |
| Provider Name | Edewor B Osevwe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386939429 PECOS PAC ID: 8426436155 Enrollment ID: I20220608000588 |
| Provider Name | Brandi Frazane Stiff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760875652 PECOS PAC ID: 3870814718 Enrollment ID: I20220723000404 |
| Provider Name | Janet Oladipo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053073114 PECOS PAC ID: 9032505177 Enrollment ID: I20230201002920 |
| Provider Name | Robin Hiner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851099329 PECOS PAC ID: 2264892215 Enrollment ID: I20230803004008 |
| Provider Name | Janice E Sweetman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184395808 PECOS PAC ID: 7618323270 Enrollment ID: I20231102001625 |
Autism Behavioral Solutions Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3726 W Amarillo Blvd, Amarillo, TX 79106 Phone: 806-342-3338 Fax: 806-359-2959 | |
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Judith E Hogg Md Pa Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1600 S Coulter St, C302, Amarillo, TX 79106 Phone: 806-350-3000 Fax: 806-353-9943 | |
Matthew M Davis Pllc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 4231 Ridgecrest Cir Ste B, Amarillo, TX 79109 Phone: 806-803-5013 Fax: 806-553-1312 | |
West Pines On Golden Pond Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7480 Golden Pond Pl, Suite 400, Amarillo, TX 79121 Phone: 806-354-9996 Fax: 806-354-9995 | |
Kleinpeter & Associates Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1901 Medi Park Dr, 1036, Amarillo, TX 79106 Phone: 806-352-5542 Fax: 806-352-5597 | |
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