DR. ROY J RUSSELL (NPI# 1164510830) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164510830 |
| Entity Type | Individual |
| Full Name | DR. ROY J RUSSELL |
| Credential | D.C. |
| Practice Address |
9059 Madison Blvd Suite H Madison AL 35758-3109 |
| Practice Telephone | 2563251717 |
| Practice Fax Number | 2563251718 |
| Mailing Telephone | 2563251717 |
| Mailing Fax Number | 2563251718 |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2011-12-20 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111NI0013X |
Chiropractor Specialization: Independent Medical Examiner |
1815 | AL | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | BLUE CROSS BLUE SHIELD | 77146 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154821155 | Roy Anthony Russell | Registered Nurse | 9127 County Road 2035, Sinton, TX 78387-5009 | 2018-02-15 |
| 1518180561 | Roy Petterson Russell | Internal Medicine | 87 Spring Street, Laconia, NH 03246 | 2007-04-10 |
| 1962440743 | Roy Dallas Russell | Anesthesiology | 300 Highland Ave, Hanover, PA 17331-2297 | 2006-06-03 |
| 1760479570 | Roy E Russell Jr. | Family Medicine | 5111 Rogers Ave, Ste 40m, Fort Smith, AR 72903-2047 | 2005-10-06 |
| Street Address |
9059 MADISON BLVD SUITE H |
| City | MADISON |
| State | AL |
| Zip Code | 35758-3109 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497019491 | Wayne A Stephens II | Chiropractor | 9059 Madison Blvd, Suite H, Madison, AL 35758-3109 | 2012-06-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487299277 | Hanging Lanes Christian Wellness Ministries and Counseling Center | Counselor | 650 Sun Temple Drive, Madison, AL 35758 | 2019-11-15 |
| 1104487396 | Caroline Thomas Estes | Occupational Therapist | 8475 Wann Drive, Madison, AL 35758 | 2019-06-27 |
| 1265902894 | Sharinne Summers Sears | Registered Nurse | 204 Grove Village Way, Madison, AL 35758 | 2018-11-27 |
| 1013484666 | Lori Pohly | Counselor | 190 Lime Quarry Road, Suite 212, Madison, AL 35758 | 2018-10-31 |
| 1174022297 | Rhonda Marie Stalb | Marriage & Family Therapist | 650 Sun Temple Dr Ste 101, Madison, AL 35758 | 2018-02-04 |
| 1528585932 | Alabama Dental Professionals, PC | Dentist | 7666 Highway 72 W, Madison, AL 35758 | 2017-08-25 |
| 1134658537 | Diane Bierbauer | Dietitian, Registered | 520 Thoreau Spring Ct, Madison, AL 35758 | 2017-06-08 |
| 1255870408 | Maggie Collins | Nurse Practitioner | 7559 U.S. 72, Madison, AL 35758 | 2017-02-21 |
| 1649648858 | Terry A. Burgess | Dentist | 810 Palmer Plaza, # 103, Madison, AL 35758 | 2015-09-03 |
| 1063896314 | Caswall C Harrigan Physician PC | Family Medicine | Madison Medical Plaza 540 Hughes Road, Suite 14, Madison, AL 35758 | 2015-07-16 |
| Find all providers in zip 35758 | ||||
| Taxonomy Code | 111NI0013X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| Specialization | Independent Medical Examiner |
| A special evaluator not involved with the medical care of the individual examinee that impartially evaluates the care being provided by other practitioners to clarify clinical, disability, liability or other case issues. |
| Notes: Source: American Board of Independent Medical Examiners [1/1/2007: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700120003 | Estes Chiropractic LLC | Chiropractor | 4000 Meadow Lake Dr Ste 123, Birmingham, AL 35242-0311 | 2012-11-27 |
| 1780874099 | Justin D. Foster | Chiropractor | 4400b Rangeline Rd, Mobile, AL 36619-9534 | 2007-08-01 |
| 1619236833 | American Back Institute, LLC | Chiropractor | 3001 Mcclellan Blvd, Anniston, AL 36201-2724 | 2012-05-08 |
| 1023345477 | Natural Health Chiropractic | Chiropractor | 216 S Marion St, Suite B, Athens, AL 35611-2568 | 2009-11-05 |
| 1528203296 | Below Chiropractic Center | Chiropractor | 406 2nd Ave Nw, Cullman, AL 35055-2825 | 2008-12-10 |
| 1134378359 | One Way Out | Chiropractor | 1021 Oxmoor Rd, Homewood, AL 35209-5317 | 2008-09-11 |
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| 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.