KEITH PERRY RUSSELL (NPI# 1326335886) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326335886 |
| Entity Type | Individual |
| Full Name | KEITH PERRY RUSSELL |
| Credential | M.D. |
| Practice Address |
200 State Highway 30 W New Albany MS 38652-3112 |
| Mailing Address |
Po Box 4767 Jackson MS 39296-4767 |
| Practice Telephone | 8008898610 |
| Practice Fax Number | 6019827909 |
| Mailing Telephone | (800) 889-8610 |
| Mailing Fax Number | 6019827909 |
| Enumeration Date | 2011-07-06 |
| Last Update Date | 2017-06-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
24818 | MS | Allopathic & Osteopathic Physicians |
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
T-2483 | MS | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275798480 | Keith Russell | Physical Therapist | 1330 E Arlington Blvd, Suite A, Greenville, NC 27858-7850 | 2008-07-28 |
| 1023239662 | Keith Duncan Russell | Social Worker | 20816 E 11 Mile Rd, Suite 113, Saint Clair Shores, MI 48081-1565 | 2007-05-01 |
| 1447328752 | Keith Edmund Russell | Dentist | 495 Woodford St, Portland, ME 04103-2438 | 2006-12-04 |
| 1730270018 | Keith Wayne Russell | Psychiatry & Neurology | 1200 Ne 13th St, Oklahoma City, OK 73152-3277 | 2006-09-28 |
| Street Address |
200 STATE HIGHWAY 30 W |
| City | NEW ALBANY |
| State | MS |
| Zip Code | 38652-3112 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134178841 | Allen Lewis Jr. | Internal Medicine | 200 State Highway 30 W, New Albany, MS 38652-3112 | 2006-05-09 |
| 1376150029 | Baptist Memorial Hospital Union County, Inc. | Pharmacy | 200 State Highway 30 W, New Albany, MS 38652-3112 | 2020-09-28 |
| 1780942862 | Thomas Peter Gransinger | Registered Nurse | 200 State Highway 30 W, New Albany, MS 38652-3112 | 2012-04-26 |
| 1851670905 | Susan D. Hare | Nurse Anesthetist, Certified Registered | 200 State Highway 30 W, New Albany, MS 38652-3112 | 2011-08-08 |
| 1104971696 | Baptist Memorial Health Services, Inc. of Mississippi | Internal Medicine | 200 State Highway 30 W, New Albany, MS 38652-3112 | 2007-01-24 |
| 1467539213 | The Jones Clinic, PC | Specialist | 200 State Highway 30 W, 5th Floor, New Albany, MS 38652-3112 | 2006-11-01 |
| 1669562658 | Christopher Alan Henthorne | Nurse Anesthetist, Certified Registered | 200 State Highway 30 W, New Albany, MS 38652-3112 | 2006-10-13 |
| 1427148428 | Cheryl A Sanders | Nurse Anesthetist, Certified Registered | 200 State Highway 30 W, New Albany, MS 38652-3112 | 2006-10-13 |
| 1386732154 | Gary H Chandler | Nurse Anesthetist, Certified Registered | 200 State Highway 30 W, New Albany, MS 38652-3112 | 2006-10-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427657592 | Bradford Keith Goodwin | Pharmacist | 225 Hwy 30 W, New Albany, MS 38652 | 2020-10-20 |
| 1093228553 | Warren Pharmacy Enterprise, LLC | Pharmacist | 140 Fairfield Dr, New Albany, MS 38652 | 2017-11-07 |
| 1649798877 | Mary Ray Craig | Pharmacist | Fred's Pharmacy 126 W. Main St., New Albany, MS 38652 | 2017-09-08 |
| 1497299135 | Trina Health of New Albany, Inc | Clinic/Center | 608 West Bankhead Street, New Albany, MS 38652 | 2016-12-15 |
| 1386046472 | Renal Care Group Tupelo, LLC | Clinic/Center | 925 Denmill Rd., New Albany, MS 38652 | 2014-09-19 |
| 1104231695 | Kyle Kimbrough | Physician Assistant | 1568 Hwy 178 E, New Albany, MS 38652 | 2014-06-24 |
| 1073883062 | Reeda Greer Lyons | General Practice | 1009 County Road 341, New Albany, MS 38652 | 2012-01-06 |
| 1558670802 | West Union Family Clinic | Clinic/Center | 1561 St Hwy 30 W, New Albany, MS 38652 | 2010-10-05 |
| 1629240437 | Dr. Terry M. Joslin | Optometrist | 103 East Bankhead St., New Albany, MS 38652 | 2008-04-01 |
| 1326253725 | Ronald L Rossetti | Dentist | 110 N Camp Ave, New Albany, MS 38652 | 2007-05-11 |
| Find all providers in zip 38652 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205894235 | Northgate Medical Imaging LLC | Radiology | 807 Northgate Blvd, New Albany, IN 47150-6419 | 2006-05-01 |
| 1861822587 | Radiology Physicians of New Albany Pllc | Radiology | 200 Hwy 30 W, New Albany, MS 38652-3112 | 2013-11-15 |
| 1982605390 | David R. Cannon | Radiology | 1919 State St, New Albany, New Albany, IN 47150-4929 | 2005-08-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184185092 | North Mississippi Radiology Services LLC | Radiology | 7420 Guthrie Dr N Ste 105, Southaven, MS 38671-5857 | 2019-03-26 |
| 1063890754 | Phil Otis Nelson Jr. | Radiology | 146 Ridge Dr, Jackson, MS 39216-4109 | 2015-05-13 |
| 1851709851 | Telerad of Ms Account Management LLC | Radiology | 3201 Oakleigh Cir, Ocean Springs, MS 39564-5861 | 2014-07-23 |
| 1033532825 | Nadia Aboussouan Tyson | Radiology | 675 N Livingston Rd, Ridgeland, MS 39157-5034 | 2014-01-29 |
| 1124459490 | James Vaiden Ferguson Jr. | Radiology | 3638 Lyles Dr, Oxford, MS 38655-5709 | 2013-12-11 |
| 1487904173 | Mid Delta Radiology Associates, LLC | Radiology | 130 River Club Cir, Clarksdale, MS 38614-9725 | 2012-09-11 |
| 1043587629 | Clifton L Hester Jr. | Radiology | 607 E Leake St, Clinton, MS 39056-4300 | 2011-11-26 |
| 1912298498 | Lisa Mabry Smith | Radiology | 14257 Dedeaux Rd, Gulfport, MS 39503-3369 | 2011-05-02 |
| 1134446743 | Thomas Edward Panico | Radiology | 4213 Lakeland Drive, Flowood, MS 39232-9212 | 2010-04-23 |
| 1487808408 | Gulf Shores Radiology Assoicates | Radiology | 1207 Wood Duck Cv, Oxford, MS 38655-7347 | 2008-11-05 |
| Find all providers with the same taxonomy | ||||
| City | NEW ALBANY |
| Zip Code | 38652 |
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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.