# DR. MARK E. RUSH

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1801840806
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | 170833-1205 | UT | Yes |
| 207L00000X | Anesthesiology Physician | 1708331205 | UT | — |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | 1708331205 | UT | — |

## Other

- **Enumeration date:** 05/22/2006
- **Last updated:** 09/11/2019

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 107018852101 | SELECTHEALTH | UT |
| 01 | — | 12600 | UUHP | UT |
| 01 | — | 17083312000001 | BLUE CROSS | UT |
| 01 | — | 170901 | DMBA | UT |
| 01 | — | 73000 | PEHP | UT |
| 01 | — | QM0000030147 | ALTIUS | UT |
| 01 | — | TPRA07445 | MOLINA | UT |
