RUSSELL ALEXANDER SHATFORD (NPI# 1073699252) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073699252 |
| Entity Type | Individual |
| Full Name | RUSSELL ALEXANDER SHATFORD |
| Credential | MD |
| Practice Address |
315 E Broadway Suite 195 Louisville KY 40202-3700 |
| Mailing Address |
Po Box 776351 Chicago IL 60677-6351 |
| Practice Telephone | 5026294263 |
| Practice Fax Number | 5026294282 |
| Mailing Telephone | 5025889490 |
| Mailing Fax Number | 5022725116 |
| Enumeration Date | 2006-10-31 |
| Last Update Date | 2016-07-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0105X |
Surgery Specialization: Surgery of the Hand |
30782 | KY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | ANTHEM - LAH | 000000694192 | 01 |
| KY | SIHO - LAH | 121306 | 01 |
| KY | PASSPORT/PASSPORT ADVANTAGE - LAH | 50030992 | 01 |
| KY | HUMANA - LAH | 000057058U | 01 |
| KY | 64307820 | 05 | |
| KY | CIGNA - LAH | 4632527 | 01 |
| Street Address |
315 E BROADWAY SUITE 195 |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40202-3700 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346234259 | Charles B Florence | Registered Nurse | 315 E Broadway, Suite 195, Louisville, KY 40202-3700 | 2005-09-07 |
| 1114550084 | Amanda Rose Lyons | Nurse Practitioner | 315 E Broadway, Louisville, KY 40202-3700 | 2020-02-19 |
| 1306488697 | Nancy Bogard | Registered Nurse | 315 E Broadway, Louisville, KY 40202-3700 | 2019-10-08 |
| 1124516729 | Katelin Ann Winiger | Nurse Practitioner | 315 E Broadway, Louisville, KY 40202 | 2018-04-29 |
| 1710412077 | Jordan Hatchett | Nurse Practitioner | 315 E Broadway, 4th Floor, Louisville, KY 40202-3700 | 2017-04-25 |
| 1104275031 | Beth Long | Nurse Practitioner | 315 E Broadway, Suite 310, Louisville, KY 40202-3700 | 2016-06-10 |
| 1801251715 | Kentucky Orthopedic Rehabilitation, LLC | Prosthetic/Orthotic Supplier | 315 E Broadway, #195, Louisville, KY 40202-3700 | 2015-12-18 |
| 1124403589 | Rachel Connors | Pharmacist | 315 E Broadway, Suite 50, Louisville, KY 40202-3700 | 2015-07-28 |
| 1740661008 | Katherine Culbertson | Nurse Practitioner | 315 E Broadway, 4th Floor, Louisville, KY 40202-3700 | 2015-06-12 |
| 1093145922 | Nancee Rae Spillman | Nurse Practitioner | 315 E Broadway, Suite 104, Louisville, KY 40202-3700 | 2013-11-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972129682 | Garvit Chhabra | Student in an Organized Health Care Education/Training Program | 550, South Jackson Street, Acb, Third Floor, Louisville, KY 40202 | 2020-06-18 |
| 1396367009 | Richele Williams | Student in an Organized Health Care Education/Training Program | 201 Abraham Flexner Way Department of Family and Pediac, Suite 690, Louisville, KY 40202 | 2020-05-15 |
| 1942822028 | Ahmed Khaled Saleh | Student in an Organized Health Care Education/Training Program | 500 S Jackson St, Room 305, Louisville, KY 40202 | 2020-05-12 |
| 1457972952 | Mir Ali Raza Talpur | Student in an Organized Health Care Education/Training Program | 401 E Chestnut Street, Suite 600 University of Louisvi, Louisville, KY 40202 | 2020-05-06 |
| 1316575533 | Abigail Hatfield | Student in an Organized Health Care Education/Training Program | Internal Medicine Training Program, 550 South Jackson Street, Acb 3rd Floor, Louisville, KY 40202 | 2020-04-01 |
| 1851929210 | Madison Harmon | Student in an Organized Health Care Education/Training Program | Uofl Department of Emergency Medicine, 530 S. Jackson Street Room C1h17, Louisville, KY 40202 | 2020-03-31 |
| 1184252041 | Marianna Weaver | Student in an Organized Health Care Education/Training Program | 550 South Jackson Street, Acb 3rd Floor, University of Louisville, Louisville, KY 40202 | 2020-03-27 |
| 1700347341 | Charles Jake Sadle | Student in an Organized Health Care Education/Training Program | Office of Medical Education C/o Brittney Luckett, 571 S. Floyd St., Ste. 412, Louisville, KY 40202 | 2019-03-27 |
| 1437616794 | Paladina Health, LLC | Family Medicine | Paladina Health Humana East, 123 E Main Street, Louisville, KY 40202 | 2019-02-22 |
| 1205393568 | Paladina Health, LLC | Family Medicine | Paladina Health Humana West, 500 W Main Street, Louisville, KY 40202 | 2019-02-22 |
| Find all providers in zip 40202 | ||||
| Taxonomy Code | 2086S0105X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Surgery of the Hand |
| A surgeon with expertise in the investigation, preservation and restoration by medical, surgical and rehabilitative means, of all structures of the upper extremity directly affecting the form and function of the hand and wrist. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447746193 | Hassan Alnaeem | Surgery | 225 Abraham Flexner Way Ste 8, Louisville, KY 40202-1882 | 2018-07-05 |
| 1467610402 | Charles A Kincaid Psc | Surgery | 4001 Dutchmans Ln Ste 6b, Suburban Medical Plaza I, Louisville, KY 40207-4738 | 2008-05-27 |
| 1447850383 | Yu-jung Su | Surgery | 225 Abraham Flexner Way Ste 850, Louisville, KY 40202-1858 | 2020-10-29 |
| 1235749227 | Monica B Pecache | Surgery | 225 Abraham Flexner Way Ste 850, Louisville, KY 40202-1858 | 2020-08-04 |
| 1932717758 | Ja Hea Gu | Surgery | 225 Abraham Flexner Way Ste 850, Louisville, KY 40202-1858 | 2020-07-17 |
| 1942851266 | Rahul Patil | Surgery | 225 Abraham Flexner Way Ste 850, Louisville, KY 40202-1858 | 2019-09-27 |
| 1275013609 | Imad Ismail Abushahin | Surgery | 225 Abraham Flexner Way Ste 850, Louisville, KY 40202-3840 | 2018-08-15 |
| 1679069991 | Elliott Smock | Surgery | 225 Abraham Flexner Way Ste 850, Louisville, KY 40202-3840 | 2018-07-10 |
| 1871089193 | Muath Hakami | Surgery | 225 Abraham Flexner Way Ste 850, Louisville, KY 40202-3840 | 2018-07-10 |
| 1942717194 | Fahad Khaled Aljindan | Surgery | 225 Abraham Flexner Way Ste 850, Louisville, KY 40202-1858 | 2018-01-09 |
| Find all providers in LOUISVILLE | ||||
| City | LOUISVILLE |
| Zip Code | 40202 |
Please comment or provide details below to improve the information on RUSSELL ALEXANDER SHATFORD.
| 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.