Healthcare Provider Details

I. General information

NPI: 1881600492
Provider Name (Legal Business Name): STEVEN KEITH RUSHING M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/01/2006
Last Update Date: 12/08/2025
Certification Date: 12/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

700 WOODLAND DR
WINONA MS
38967-1530
US

IV. Provider business mailing address

700 WOODLAND DR
WINONA MS
38967-1530
US

V. Phone/Fax

Practice location:
  • Phone: 662-283-3060
  • Fax: 662-283-3553
Mailing address:
  • Phone: 662-283-3060
  • Fax: 662-283-3553

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number13207
License Number StateMS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: