DR. LEA MARIE TRUSH MD NPI 1619607066

NPI Information

NPI: 1619607066
Provider Name: DR. LEA MARIE TRUSH, MD
Classification: General Practice - 208D00000X
Entity Type: Individual
PECOS Registration: Yes
Address: 301 FISHER ST
KEESLER AFB, MS
ZIP 39534
Phone: (228) 376-2664

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NPI Details

DR. Lea Marie Trush, MD is a general practice in Keesler Afb, MS. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee DR. Lea Marie Trush, MD NPI is 1619607066. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

301 FISHER ST
KEESLER AFB, MS
ZIP 39534-508
Phone: (228) 376-2664

The NPI 1619607066 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/16/2022 and was last updated on 2/21/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	License Number	License State	Primary
1	171000000X	Military Health Care Provider	35.149194	OHIO	No
2	208600000X	Surgery	57.253672	OHIO	No
3	208D00000X	General Practice	35.149194	OHIO	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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