RUSSELLVILLE PHYSICIAN PRACTICES LLC (NPI# 1063634574) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063634574 |
| Entity Type | Organization |
| Organization Name | RUSSELLVILLE PHYSICIAN PRACTICES LLC |
| Other Organization Name | EDWARD H FISHER MD |
| Practice Address |
715 Gandy Street Ne Suite B Russellville AL 35653 |
| Mailing Address |
Po Box 759 Russellville AL 35653 |
| Practice Telephone | 2563321800 |
| Practice Fax Number | 2563321815 |
| Mailing Telephone | 2563321800 |
| Mailing Fax Number | 2563321815 |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. WILLIAM M GRACEY (COO) |
| Authorized Official Telephone | 6153728500 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Edward H Fisher MD | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568684926 | Russellville Physician Practices LLC | Orthopaedic Surgery | 103 Powell Court, Suite 200, Brentwood, TN 37027 | 2007-05-03 |
| 1649387523 | Russellville Physician Practices LLC | Orthopaedic Surgery | 715 Gandy St Ne, Russellville, AL 35653-1922 | 2006-08-24 |
| 1174956841 | Russellville Physician Practices LLC | Internal Medicine | 15225 Highway 43, Suite G, Russellville, AL 35653-1999 | 2013-08-16 |
| 1659712594 | Russellville Physician Practices LLC | Surgery | 15225 Highway 43, Suite I, Russellville, AL 35653-1999 | 2013-07-08 |
| 1689956500 | Russellville Physician Practices LLC | Internal Medicine | 15225 Highway 43, Suite B, Russellville, AL 35653-1999 | 2011-09-16 |
| 1528377983 | Russellville Physician Practices LLC | Surgery | 523 Gandy St Ne, Suite E, Russellville, AL 35653-1961 | 2010-10-04 |
| 1649442369 | Russellville Physician Practices LLC | Obstetrics & Gynecology | 523 Gandy St Ne, Suite F, Russellville, AL 35653-1961 | 2008-04-02 |
| Street Address |
715 GANDY STREET NE SUITE B |
| City | RUSSELLVILLE |
| State | AL |
| Zip Code | 35653 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902384720 | Randy Wade Gooch | Pharmacist | 13675 Us-43, Russellville, AL 35653 | 2018-08-02 |
| 1700301470 | Carole Ann Montgomery | Pharmacist | Walmart Pharmacy, 13675 Us-43, Russellville, AL 35653 | 2017-08-03 |
| 1548632755 | Amanda Carrie Franks | Health Educator | 265 Skyline Dr, Russellville, AL 35653 | 2015-10-27 |
| 1023411220 | Wesley Charles Mayfield | Pharmacist | 14001 Hwy 43 Suite 13, Russellville, AL 35653 | 2014-10-01 |
| 1831322841 | Family Health Care Clinic, Inc. | Clinic/Center | 318 Coffee Ave Ne, Russellville, AL 35653 | 2009-08-25 |
| 1538371075 | Eyedocs On Wheels PC | Optometrist | 15255 Hwy 43, Russellville, AL 35653 | 2007-05-04 |
| 1750404141 | Alabama Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 14695 Hwy 43, Russellville, AL 35653 | 2007-04-09 |
| 1629111703 | Franklin County Health Dept Offsite Epsdt | Public Health or Welfare | 801 Highway 48, Russellville, AL 35653 | 2007-02-15 |
| 1750457941 | Southern Rural Health Care Consortium, Inc. | Clinic/Center | 318 Coffee Avenue, Russellville, AL 35653 | 2006-11-28 |
| 1861577900 | Southern Rural Health Care Consortium | Clinic/Center | 508 St Claire Se, Russellville, AL 35653 | 2006-10-26 |
| Find all providers in zip 35653 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649387523 | Russellville Physician Practices LLC | Orthopaedic Surgery | 715 Gandy St Ne, Russellville, AL 35653-1922 | 2006-08-24 |
| 1255345195 | W. Bruce Brown Md, Pa. | Orthopaedic Surgery | 3016 W Main St, Russellville, AR 72801-2453 | 2006-07-28 |
| 1407875453 | Ted Honghiran | Orthopaedic Surgery | 2504 West Main St, Suite A, Russellville, AR 72801-2536 | 2006-07-19 |
| 1962461707 | Owen L Kelly | Orthopaedic Surgery | 401 N Phoenix Ave, Russellville, AR 72801-2844 | 2006-03-21 |
| 1154313807 | Lloyd C Dyas | Orthopaedic Surgery | 101 James Hovater Rd, Russellville, AL 35653-8004 | 2005-08-18 |
| 1831181593 | Steve G Salyers | Orthopaedic Surgery | 1623 Nashville St Ste And103, Russellville, KY 42276-8889 | 2005-08-18 |
| 1972508810 | Joseph B Zehner | Orthopaedic Surgery | 1623 Nashville St, Suite 103, Russellville, KY 42276-8889 | 2005-06-16 |
| 1780965335 | Tennessee Orthopaedic Alliance | Orthopaedic Surgery | 1623 Nashville St, Ste 104, Russellville, KY 42276-8889 | 2011-09-08 |
| 1619297850 | Owen L Kelly Md Pa | Orthopaedic Surgery | 401 N Phoenix Ave, Russellville, AR 72801-2844 | 2010-06-10 |
| 1659542082 | Lloyd C Dyas, Md, PC | Orthopaedic Surgery | 101 James Hovater Rd, Russellville, AL 35653-8004 | 2008-03-13 |
| Find all providers in RUSSELLVILLE | ||||
| City | RUSSELLVILLE |
| Zip Code | 35653 |
Please comment or provide details below to improve the information on RUSSELLVILLE PHYSICIAN PRACTICES LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.