DR. JOHN R. RUSSELL (NPI# 1528049939) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1528049939 |
Entity Type | Individual |
Full Name | DR. JOHN R. RUSSELL |
Credential | M.D. |
Practice Address |
5 Mobile Infirmary Cr. Ste. G-805 Mobile Infirmary Radiation Oncology Mobile AL 36607-3513 |
Mailing Address |
5 Mobile Infirmary Cr. Ste. G-805 Mobile AL 36607-3513 |
Practice Telephone | 2514352273 |
Practice Fax Number | 2514356599 |
Mailing Telephone | 2514352273 |
Mailing Fax Number | 2514356599 |
Enumeration Date | 2005-11-11 |
Last Update Date | 2016-12-30 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
11109 | AL | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AL | 000012148 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821231663 | John Russell IIi | Dentist | 206 N Brookmoore Dr, Columbus, MS 39705-2020 | 2009-04-09 |
1417106196 | John Edwin Russell | Physical Medicine & Rehabilitation | 6455 Toucan Trl, Spring Hill, FL 34607-2642 | 2008-09-17 |
1831221159 | John Clark Russell | Dentist | 2010 Court St, Beatrice, NE 68310-3209 | 2007-03-12 |
1811023963 | John Thomas Russell | Dentist | 1116 West St, Suite B, Annapolis, MD 21401-3608 | 2007-02-25 |
1003957515 | John Wesley Russell | Dentist | 3253 Mccracken St, Muskegon, MI 49441 | 2007-02-08 |
1902958077 | John Douglas Russell | Dentist | 4178 Ashby Court, Shasta Lake City, CA 96019 | 2007-01-17 |
1619066156 | John Grover Russell | Specialist | 8188 W Bartlett Rd, Casa Grande, AZ 85222-7336 | 2006-10-12 |
1003918137 | John C Russell | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2731 Oak Bluff, San Antonio, TX 78230 | 2006-09-01 |
1720013204 | John Russell | Urology | 22 Hartford St # Sr, Houlton, ME 04730-1844 | 2006-07-12 |
1619925294 | John Andrew Haws Russell | Obstetrics & Gynecology | 106 Liner Dr, Greenwood, SC 29646 | 2006-05-05 |
Street Address |
5 MOBILE INFIRMARY CR. STE. G-805 MOBILE INFIRMARY RADIATION ONCOLOGY |
City | MOBILE |
State | AL |
Zip Code | 36607-3513 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821404559 | Cindy Strahan | Occupational Therapy Assistant | 2900 Sping Hill Ave, Mobile, AL 36607 | 2014-07-02 |
1043649072 | Rebecca Clara Eskridge | Speech-Language Pathologist | 200 C East Portier Ct., Mobile, AL 36607 | 2013-11-12 |
1497016794 | Gregory Mark Quatrino | Surgery | 3 Mobile Infirmary Cir Ste 212, Mobile, AL 36607 | 2012-06-03 |
1457682197 | Joseph Michael Mckean | Dentist | 3050 Dauphin Square Connector, Mobile, AL 36607 | 2010-01-20 |
1679711956 | Sheldon Scott Bradley | Nurse Practitioner | 1 Infirmary Circle, Mobile Infirmary Er, Mobile, AL 36607 | 2009-01-26 |
1508058132 | Wanda K Miller | Occupational Therapist | 1903 Springhill Ave, Mobile, AL 36607 | 2007-08-17 |
1811035322 | George N Lukes | Dentist | 2653a Old Shell Road, Mobile, AL 36607 | 2007-02-05 |
1487702999 | Carl Maltese | Specialist | 1901 Springhill Ave, Mobile, AL 36607 | 2007-01-08 |
1790871242 | Cheryl Lambert Thames | Physical Therapist | 2006 Airport Blvd., Mobile, AL 36607 | 2006-10-04 |
1760576227 | Jane Bagwell Hale | Physical Therapist | 3202 Old Shell Road, Mobile, AL 36607 | 2006-10-02 |
Find all providers in zip 36607 |
Taxonomy Code | 2085R0001X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Radiology |
Specialization | Radiation Oncology |
A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |
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 Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366887945 | Olivia Claire Ball | Radiology | 5 Mobile Infirmary Cir Ste G805, Mobile, AL 36607-3513 | 2013-05-08 |
1295828770 | The Cancer Center of Southern Alabama, Pa | Radiology | 3 Mobile Infirmary Cir Ste 306, Mobile, AL 36607-3515 | 2006-10-02 |
1033587563 | Imc-radiation Oncology LLC | Radiology | 5 Mobile Infirmary Cir, Mobile, AL 36607-3513 | 2015-09-15 |
1689075954 | Seton Medical Management Inc. | Radiology | 6701 Airport Blvd, Suite A-t06, Mobile, AL 36608-6705 | 2014-09-05 |
1902244114 | James Orey Galle | Radiology | 6701 Airport Blvd Bldg B, Mobile, AL 36608-6705 | 2013-06-10 |
1649405028 | Weisi Yan | Radiology | 1660 Spring Hill Ave, Mobile, AL 36604-1405 | 2009-05-28 |
1578629556 | Southern Cancer Center, PC | Radiology | 6701 Airport Blvd, Mobile, AL 36608-6705 | 2006-12-28 |
1770597353 | Robert A Gilbert | Radiology | 1660 Spring Hill Ave, Mobile, AL 36604-1405 | 2006-07-28 |
1003820697 | Frank James Pitruzzello | Radiology | 6701 Airport Blvd Bldg B, Mobile, AL 36608-6705 | 2006-07-28 |
1336174242 | Roger Ove | Radiology | 1660 Spring Hill Ave, University of South Alabama Mitchell Cancer Institute, Mobile, AL 36604-1405 | 2006-07-11 |
Find all providers in MOBILE |
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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.