ROY PETTERSON RUSSELL (NPI# 1518180561) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518180561 |
| Entity Type | Individual |
| Full Name | ROY PETTERSON RUSSELL |
| Credential | MD |
| Practice Address |
87 Spring Street Laconia NH 03246 |
| Practice Telephone | 6035248896 |
| Practice Fax Number | 6035248796 |
| Mailing Telephone | 6035248896 |
| Mailing Fax Number | 6035248796 |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
9709 | NH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NH | 80004233 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154821155 | Roy Anthony Russell | Registered Nurse | 9127 County Road 2035, Sinton, TX 78387-5009 | 2018-02-15 |
| 1164510830 | Roy J Russell | Chiropractor | 9059 Madison Blvd, Suite H, Madison, AL 35758-3109 | 2006-10-10 |
| 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 |
87 SPRING STREET |
| City | LACONIA |
| State | NH |
| Zip Code | 03246 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679698765 | Central New Hampshire Kidney Center,llc | Clinic/Center | 87 Spring Street, Laconia, NH 03246 | 2007-03-20 |
| 1205952488 | Noshi A Ishak | Internal Medicine | 87 Spring Street, Laconia, NH 03246 | 2007-03-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417495391 | Leslie A Gray | Counselor | 85 Fenton Ave, Laconia, NH 03246 | 2017-02-10 |
| 1649726399 | Purvi Patel | Pharmacist | 1381 Lakeshore Rd, Gilford, NH 03246 | 2016-08-31 |
| 1619246683 | Krista Martin | Occupational Therapist | 30 County Drive, Belknap County Nursing Home, Laconia, NH 03246 | 2011-12-21 |
| 1073891057 | Amjad Farah | Internal Medicine | 85 Spring St Ste 2a1, Laconia, NH 03246 | 2011-07-25 |
| 1386935641 | Jacqueline Leigh Berg | Marriage & Family Therapist | 585 Union Ave, #7a, Laconia, NH 03246 | 2011-04-21 |
| 1689903007 | Berwick Family Health Center LLC | Family Medicine | 36 Endicott, Laconia, NH 03246 | 2009-12-14 |
| 1083856850 | Maryclaire Paicopolis Md PC | Internal Medicine | 451 Belknap Mountain Rd, Gilford, NH 03246 | 2009-03-25 |
| 1013156157 | Rodney Ed Baker | Counselor | 771 N Main Street, Laconia, NH 03246 | 2009-02-12 |
| 1902062979 | Edith J Gault | Social Worker | 67 Communications Way, Laconia, NH 03246 | 2008-07-30 |
| 1003029091 | Susan Eve Kelly | Occupational Therapist | 79 Blueberry La, Laconia, NH 03246 | 2007-05-07 |
| Find all providers in zip 03246 | ||||
| Taxonomy Code | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205952488 | Noshi A Ishak | Internal Medicine | 87 Spring Street, Laconia, NH 03246 | 2007-03-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942501564 | Thomas Edward Murphy Jr. | Internal Medicine | 445 Crowell Rd, Hopkinton, NH 03229-2618 | 2010-11-12 |
| 1336276211 | Edward B Hager | Internal Medicine | 206 Pinnacle Rd, Lyndeborough, NH 03082-5827 | 2007-02-27 |
| 1982662052 | Parkland Physician Services Inc | Internal Medicine | 18 Pelham Rd, Salem, NH 03079-4818 | 2006-05-01 |
| 1992794515 | Ana Stankovic | Internal Medicine | 31 Stiles Rd Ste 2400, Salem, NH 03079 | 2005-10-17 |
| 1861480162 | Peter T Cheung | Internal Medicine | 1750 Elm Street, Suite 201c, Manchester, NH 03104-2903 | 2005-10-11 |
| 1316597446 | Center for Kidney Disease | Internal Medicine | 12 Moonstone Ct, Nashua, NH 03062-3097 | 2019-09-20 |
| 1326400656 | Center for Kidney and Metabolic Disorders Pllc | Internal Medicine | 31 Stiles Rd Ste 2400, Salem, NH 03079 | 2016-03-25 |
| 1134412182 | Beri O Songna | Internal Medicine | 38 Tyler St, Nashua, NH 03060-2912 | 2011-05-24 |
| 1255597464 | John Patrick Aguilar Sia | Internal Medicine | 1750 Elm Street, Suite 201c, Manchester, NH 03104-2903 | 2008-08-06 |
| 1275700049 | Elizabeth Jane Brant | Internal Medicine | 1 Medical Center Dr, Lebanon, NH 03756-1000 | 2008-05-12 |
| Find all providers with the same taxonomy | ||||
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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.