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FRED WALLACE RUSHTON JR. MD
NPI 1194825323
Surgery - Vascular Surgery in Jackson, MS

Active since September 25, 2006
2500 N STATE ST, JACKSON, MS 39216(601) 925-6805(601) 926-4978 Get Directions Write a Review

NPPES record last updated: April 22, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Fred Wallace Rushton Jr. Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FRED WALLACE RUSHTON JR. MD (NPI 1194825323) is an individual vascular surgery provider in Jackson, Mississippi, licensed in Mississippi (06237) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1194825323
Entity TypeIndividualMale
Primary Taxonomy2086S0129X
Provider Legal NameFRED WALLACE RUSHTON JR.Credential: MD
Location Address2500 N STATE STJackson, MS 39216-4500
Mailing Address2500 N State StJackson, MS 39216-4500 · (601) 984-6426 · Fax (601) 984-6439
Phone(601) 925-6805
Fax(601) 926-4978
Sole ProprietorYes
Enumeration DateSeptember 25, 2006
Last NPPES UpdateApril 22, 2014
✔ NPI 1194825323 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Vascular SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0129X
License✔ Licensed in MS · 06237
Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
2500 N STATE ST, Jackson, MS 39216
Open in Google Maps ↗

Other Identifiers 8

Medicare ID-Type Unspecified020000398MS
Medicare PIN512I770003MS
Medicaid158101AL
Medicare PIN302I775653MS
OtherP00462318MS · Rr Medicare
Medicare UPINB66038MS
Medicaid0013429MS
Other020046786 GRPCG6446MS · Railroad Medicare

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LAMAR DAVIS II M.D.
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
2500 N STATE ST
JACKSON, MS 39216
Hinds County (601) 984-5275
STEPHEN COMMISKEY M.D.
Anesthesiology
2500 N STATE ST
JACKSON, MS 39216
Hinds County (601) 984-5900
JESSICA SAFLEY MD
Anesthesiology
2500 N STATE ST
JACKSON, MS 39216
Hinds County (601) 984-5900
DR. MARY KINNEY LOWE CORLEY MD
Obstetrics & Gynecology
2500 N STATE ST
JACKSON, MS 39216
Hinds County (601) 984-5339
LAURA ELIZABETH VEARRIER M.D.
Emergency Medicine
2500 N STATE ST
JACKSON, MS 39216
Hinds County (601) 815-2005
DR. CANDICE BRITTANY APRIL DDS
Dentist
2500 N STATE ST
JACKSON, MS 39216
Hinds County (601) 984-6028
DR. LARKIN H MITCHELL M.D.
Anesthesiology
2500 N STATE ST
JACKSON, MS 39216
Hinds County (601) 984-5900
EMILY SUMRALL CHILDRESS CRNA
Nurse Anesthetist, Certified Registered
2500 N STATE ST
JACKSON, MS 39216
Hinds County (601) 984-1000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Fred Rushton's NPI number?

The NPI number for Fred Rushton is 1194825323. It was assigned to this individual provider in the NPPES registry on September 25, 2006.

Where is Fred Rushton located?

Fred Rushton practices at 2500 N State St, Jackson, MS 39216. The listed phone number is (601) 925-6805.

What is Fred Rushton's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

When was this NPI record last updated?

The NPPES record for Fred Rushton was last updated on April 22, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.