MR. RICHARD DEWAYNE RUSSELL


Address: 3165 Boone Dr, Conway, AR 72034-7388
Phone: 5015042126

MR. RICHARD DEWAYNE RUSSELL (NPI# 1326196593) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1326196593
Entity Type Individual
Full Name MR. RICHARD DEWAYNE RUSSELL
Practice Address 3165 Boone Dr
Conway
AR 72034-7388
Practice Telephone 5015042126
Practice Fax Number 5015042126
Mailing Telephone 5015042126
Mailing Fax Number 5015042126
Enumeration Date 2007-01-06
Last Update Date 2007-07-09
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 332B00000X Durable Medical Equipment & Medical Supplies MG00708 AR Suppliers

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1902101694 Richard Rutledge Russell Psychologist 1211 Hawaii Avenue, Building B, Alamogordo, NM 88310 2011-01-11
1467529834 Richard Rawls Russell Optometrist 210 S Odom St, Bastrop, LA 71220-4631 2006-11-29
1598772923 Richard Scott Russell Ophthalmology 18 Jayson Ave, Great Neck, NY 11021-4238 2006-08-01
1689696759 Richard Harold Russell General Practice 1013 County Road 362 S, New Albany, MS 38652-8855 2006-07-24
1144213240 Richard B Russell Family Medicine 121 N Tulpehocken St, Pine Grove, PA 17963-1217 2005-08-24
1609306786 Richard Scott Russell Social Worker 16 Bush Hill Rd, Ipswich, MA 01938-1642 2017-06-12
1366993156 Richard Lim Russell Counselor 3155 E Patrick Ln Ste 1, Las Vegas, NV 89120-3481 2016-10-17

Office Location

Street Address 3165 BOONE DR
City CONWAY
State AR
Zip Code 72034-7388

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1013563758 Shelby M Perez Case Manager/Care Coordinator 3240 Stermer Rd, Conway, AR 72034 2019-08-16
1467932772 Faith J Parfait Licensed Practical Nurse 1352 Watkins St, Conway, AR 72034 2018-08-16
1043790611 David Adam Steinfeld Nurse Practitioner 855 S German Ln Ste 1, Conway, AR 72034 2018-08-14
1245728484 Conway Behavioral Health, LLC Psychiatry & Neurology 2255 Sturgis Rd, Conway, AR 72034 2018-04-24
1972007292 Eldercare of Arkansas IIi, Inc. Assisted Living Facility 1306 S. Donaghey, Conway, AR 72034 2018-03-21
1528561404 Kouhei Kobayashi Specialist/Technologist 2201 Moix Blvd., Apt. 908, Conway, AR 72034 2018-03-16
1780191015 Sydnie Thessing Nurse Practitioner 605 Dave Ward Drive #105, Conway, AR 72034 2018-01-09
1508371865 Ebony Latreace Charleston Case Manager/Care Coordinator 3240 Stermer Road, Conway, AR 72034 2017-12-08
1689190647 Denise Annette Aikman Dentist 1210 Hogan Lane, Suite 200, Conway, AR 72034 2017-08-21
1134669138 Hortons Orthotic Lab, Inc. Prosthetic/Orthotic Supplier 635 Dave Ward, Suite 103, Conway, AR 72034 2017-02-24
Find all providers in zip 72034

Taxonomy Information

Taxonomy Code 332B00000X
Grouping Suppliers
Classification Durable Medical Equipment & Medical Supplies

Taxonomy Definition

A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1073088068 Arkansas Surgical Hospital, LLC Durable Medical Equipment & Medical Supplies 605 Dave Ward Dr Ste 104, Conway, AR 72034-7138 2018-10-05
1346765401 Sleep Management Services Dme Durable Medical Equipment & Medical Supplies 5 Medical Ln Ste Candd, Conway, AR 72034-4912 2017-08-10
1922559343 Sam's West, Inc. Durable Medical Equipment & Medical Supplies 1250 Sourth Amity Rd, Conway, AR 72032 2016-10-20
1639629108 Posture Store Durable Medical Equipment & Medical Supplies 3900 Dave Ward Dr., Suite 1900-130, Conway, AR 72032 2016-10-09
1730528787 Mother Knows Best Maternity and Recuperative Wellness LLC Durable Medical Equipment & Medical Supplies 367 Modock Hill Rd, Conway, NH 03818 2013-06-21
1164763157 Walmart Inc. Durable Medical Equipment & Medical Supplies 2550 Prince St, Conway, AR 72034-3756 2013-03-15
1528331576 Joint Technology Inc. Durable Medical Equipment & Medical Supplies 825 Parkway St, Execuplex Office Center Suite #7, Conway, AR 72034-5342 2012-02-21
1275868176 Carolina Care Medical Supply LLC Durable Medical Equipment & Medical Supplies 3152 W Highway 501, Conway, SC 29526-4411 2009-10-09
1396978524 Causey Medical Supply Durable Medical Equipment & Medical Supplies 3892 2nd Loop Rd, Conway, SC 29526-4602 2009-09-04
1396988291 Wal-mart Stores East Lp Durable Medical Equipment & Medical Supplies 151 Myrtle Ridge Dr, Conway, SC 29526-2702 2009-04-08
Find all providers in CONWAY

Competitor

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City CONWAY
Zip Code 72034

Improve Information

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Dataset Information

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.

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