ROBERT C RUSSELL M D S C (NPI# 1396835641) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396835641 |
| Entity Type | Organization |
| Organization Name | ROBERT C RUSSELL M D S C |
| Other Organization Name | ROBERT C RUSSELL M D S C |
| Practice Address |
320 E Carpenter St Springfield IL 62702-5185 |
| Practice Telephone | 2175230808 |
| Practice Fax Number | 2177535324 |
| Mailing Telephone | 2175230808 |
| Mailing Fax Number | 2177535324 |
| Enumeration Date | 2006-10-14 |
| Last Update Date | 2013-03-21 |
| Authorized Official Name | ROBERT C RUSSELL (OWNERPRESIDEN) |
| Authorized Official Telephone | 2175230808 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 036061657 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 036061657 | 05 |
| Other Name | Type Code |
|---|---|
| ROBERT C RUSSELL M D S C | Doing Business As Name - Organization |
| Street Address |
320 E CARPENTER ST |
| City | SPRINGFIELD |
| State | IL |
| Zip Code | 62702-5185 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700823879 | Robert C Russell | Plastic Surgery | 320 E Carpenter St, Springfield, IL 62702-5185 | 2006-05-31 |
| 1528226222 | Jennifer S Lee Md LLC | Plastic Surgery | 320 E Carpenter St, Springfield, IL 62702-5185 | 2008-05-29 |
| 1891987988 | Gary Gummerman | Physical Therapist | 320 E Carpenter St, Suite 1-b, Springfield, IL 62702-5185 | 2007-08-13 |
| 1730225863 | Amy Renee Garner | Registered Nurse | 320 E Carpenter St, Suite 1a, Springfield, IL 62702-5185 | 2007-01-29 |
| 1396856779 | John Aaron Woodard | Physical Therapist | 320 E Carpenter St, Springfield, IL 62702-5185 | 2006-08-31 |
| 1528070539 | Kyle Michael Johnson | Specialist/Technologist | 320 E Carpenter St, 1-b, Springfield, IL 62702-5185 | 2006-08-12 |
| 1295747863 | Watson Orthopaedics LLC | Orthopaedic Surgery | 320 E Carpenter St, Suite 1a, Springfield, IL 62702-5185 | 2006-08-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457866519 | Mohammad Jamal Uddin Ansari | Internal Medicine | 751 N Rutledge St Ste 400, Springfield, IL 62702 | 2017-12-11 |
| 1588105811 | Mickey Graphia | Surgery | 701 N 1st St # D346, Springfield, IL 62702 | 2017-03-20 |
| 1376908913 | Abdul Hannan | Internal Medicine | 315 W Carpenter St # B, Springfield, IL 62702 | 2015-12-28 |
| 1871986414 | Rachel Hoselton | Nurse Practitioner | 400 N 9th St Fl 4, Springfield, IL 62702 | 2015-03-06 |
| 1548697774 | Alyssa Wilson | Behavioral Analyst | 232 Bruns Lane, One Sparcenter Plaza, Springfield, IL 62702 | 2013-10-02 |
| 1174965446 | Amy Wilson | Speech-Language Pathologist | 2120 West Washington Street, Springfield, IL 62702 | 2013-07-26 |
| 1275898116 | Pele Boutrous Dina | Pediatrics | 415 N 9th St # 4w16, Springfield, IL 62702 | 2012-07-06 |
| 1427327733 | Brook D Croke | Genetic Counselor, MS | 400 N. 9th Street, 3rd Floor Clinic B, Springfield, IL 62702 | 2011-12-16 |
| 1629352604 | Renae M Sanchez | Pharmacist | 3216 East Clearlake Ave, Springfield, IL 62702 | 2011-10-07 |
| 1982915302 | William Leland Zelkovich | Radiology | 701 N 1st, Springfield, IL 62702 | 2010-06-30 |
| Find all providers in zip 62702 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| 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 Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184114480 | New Jersey Bariatric Group, PC | Surgery | 193 Morris Ave Fl 2, Springfield, NJ 07081-1211 | 2018-05-14 |
| 1174903488 | Samuel J Rheinhardt | Surgery | 701 N 1st St Ste D327, Springfield, IL 62702-3757 | 2015-06-02 |
| 1588099725 | Francis Milton Corry | Surgery | 2859 E. Utica, Springfield, MO 65804 | 2013-09-06 |
| 1881033926 | Frank A. Cornella Dds, Md PC | Surgery | 3237 E Sunshine St Ste B, Springfield, MO 65804-6919 | 2013-06-21 |
| 1881943678 | Roland Folse | Surgery | 2 Virginia Lane, Springfield, IL 62712 | 2012-09-07 |
| 1780939462 | Daniel Caleb Persinger | Surgery | 100 W Mccreight Ave Ste 110, Springfield, OH 45504-1890 | 2012-07-18 |
| 1154618775 | Alexandria Dailey Mcdow | Surgery | 701 N 1st St Ste D308, Springfield, IL 62702-3757 | 2011-07-04 |
| 1356655054 | Allison Melissa Key | Surgery | 1965 S Fremont Ave Ste 230, Springfield, MO 65804-2258 | 2010-08-05 |
| 1679704761 | James P Buwen | Surgery | 193 Morris Ave, 2nd Floor, New Jersey Bariatric Center, Springfield, NJ 07081 | 2009-08-06 |
| 1386871069 | Lindsey Leigh Saint | Surgery | 315 W Carpenter St Fl 2, Springfield, IL 62702 | 2009-06-19 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 62702 |
Please comment or provide details below to improve the information on ROBERT C RUSSELL M D S C.
| 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.