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NPI Lookup from the NPI Registry — National Provider Identifier Database

Contact Information

ELLISA RAUSCH, MD
5366 MENDENHALL MALL
MEMPHIS, TN38115-4505
 Phone: 901-271-6100
 Fax: 901-271-6199
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for ELLISA RAUSCH · (Female)

NPI Number 1124105457
Credentials MD
Entity Individual
Enumeration date 11/01/2006
Last updated 03/15/2012 - About 4 years ago
Sole proprietor 1 No
Identifiers
SC License # LL28867
TN License # 45018
TN Medicaid 1513688
TN Medicare PIN 3041894
SC Medicare UPIN RES000
Hospital affiliation(s)
  • JPS HEALTH NETWORK - (Acute Care)
    1500 S MAIN ST
    FORT WORTH, TX 76104
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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