DR. ROBERT L RUSSELL (NPI# 1528151610) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528151610 |
| Entity Type | Individual |
| Full Name | DR. ROBERT L RUSSELL |
| Credential | MD |
| Practice Address |
305 Highway 51 Ridgeland MS 39157-3428 |
| Mailing Address |
5606 Old Canton Rd Jackson MS 39211-4217 |
| Practice Telephone | 6018569980 |
| Practice Fax Number | 6018569994 |
| Mailing Telephone | 6018569980 |
| Mailing Fax Number | 6018569994 |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2017-02-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 12039 | MS | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 0015413 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932694791 | Robert Edward Russell II | Counselor | 1590 Coal Run Rd., Zanesville, OH 43701 | 2018-06-25 |
| 1801286059 | Robert Cody Russell | Nurse Practitioner | 1118 Ross Clark Circle, Suite 100, Dothan, AL 36301 | 2015-01-27 |
| 1861813628 | Robert Russell | Psychologist | 1009 Woodlawn Park Dr, Flint, MI 48503-2762 | 2013-12-21 |
| 1861674806 | Robert Claude Russell | Internal Medicine | 802 Killion St, Louisville, TN 37777-4407 | 2007-12-01 |
| 1356538151 | Robert Ross Russell | Dentist | 2402 Loganville Hwy, Suite 500, Grayson, GA 30017-1689 | 2007-09-26 |
| 1912046533 | Robert Mark Russell | Preventive Medicine | 11210 E Calle Linda Vis, Tucson, AZ 85748-7839 | 2007-02-06 |
| 1477600328 | Robert Thomason Russell | Surgery | 1600 7th Ave S # Acc300, Birmingham, AL 35233-1711 | 2007-01-04 |
| 1104850684 | Robert Alan Russell | Chiropractor | 25 East Broad Street, Mount Vernon, NY 10552 | 2006-07-10 |
| 1700823879 | Robert C Russell | Plastic Surgery | 320 E Carpenter St, Springfield, IL 62702-5185 | 2006-05-31 |
| 1265420673 | Robert Irving Russell | Podiatrist | 1717 11th Ave South, Suite 402, Birmingham, AL 35205-4700 | 2005-10-10 |
| Street Address |
305 HIGHWAY 51 |
| City | RIDGELAND |
| State | MS |
| Zip Code | 39157-3428 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255673356 | Flowood River Oaks Hma Medical Group LLC | Family Medicine | 305 Highway 51, Ridgeland, MS 39157-3428 | 2013-03-27 |
| 1285818005 | Ridgeland Family Medical Ctr | Family Medicine | 305 Highway 51, Ridgeland, MS 39157-3428 | 2007-12-28 |
| 1215020193 | Christie C Hull | Nurse Practitioner | 305 Highway 51, Ridgeland, MS 39157-3428 | 2006-10-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124631023 | Mychell Thomas | Licensed Practical Nurse | 199 Charmant Place, Ridgeland, MS 39157 | 2020-08-28 |
| 1225680945 | Verthena Edwards | Home Health | 301 Pinehurst Cir, N/a, Ridgeland, MS 39157 | 2019-07-12 |
| 1730663469 | Essential Touchtones | Psychologist | 210 W. Jackson Street, Ridgeland, MS 39157 | 2018-09-19 |
| 1841786365 | Whitney Paige Crum | Speech-Language Pathologist | Laskin Therapy Group Pa, 207 W Jackson St, Ridgeland, MS 39157 | 2018-07-09 |
| 1811487002 | Camille Brockett | Social Worker | 270 Trace Colony Park Dr Ste B, Ridgeland, MS 39157 | 2018-05-14 |
| 1588171177 | Layson Counseling Group, Pllc | Counselor | 573 Hwy 51 Suite B, Ridgeland, MS 39157 | 2018-01-04 |
| 1407376452 | Mobility Rehab LLC | Clinic/Center | 745 S Pear Orchard Road, Apt 335, Ridgeland, MS 39157 | 2017-06-21 |
| 1184165102 | Sinus and Allergy Institute Pllc | Otolaryngology | 1115 Highland Colony Parkway, Suite C, Ridgeland, MS 39157 | 2017-03-09 |
| 1093263410 | Natural Health Project LLC | General Practice | 555 Highway 51, Ridgeland, MS 39157 | 2016-09-14 |
| 1851755714 | Jerlunda Lynn Dudley | Social Worker | 511 Clark Street, Rosedale, MS 39157 | 2016-04-07 |
| Find all providers in zip 39157 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003415266 | Christian Fortenberry | Family Medicine | 786 Lake Harbour Dr, Ridgeland, MS 39157-4303 | 2020-10-20 |
| 1427338235 | Trustcare Health, LLC | Family Medicine | 361 Township Ave Ste 200, Ridgeland, MS 39157 | 2011-08-24 |
| 1700188919 | Flowood River Oaks Hma Medical Group, LLC | Family Medicine | 600 Crescent Blvd, Suite A, Ridgeland, MS 39157-8645 | 2010-11-19 |
| 1114238441 | William Thomas Brazier | Family Medicine | 340 Arbor Dr, Ridgeland, MS 39157-4812 | 2010-07-01 |
| 1952556904 | Leatha B Hayes | Family Medicine | 303 Timber Ridge Drive, Ridgeland, MS 39157 | 2008-11-18 |
| 1770618621 | James Shields Mcilwain Jr. | Family Medicine | 385b Highland Colony Pkwy, Suite 504, Ridgeland, MS 39157-6043 | 2007-02-22 |
| 1770673683 | Satira T Perry | Family Medicine | 731 South Pear Orchard Rd, Suite 15, Ridgeland, MS 39157 | 2006-10-13 |
| 1902907223 | Ini-abasi Joyce Olutade | Family Medicine | 100 Business Park Dr Ste A, Ridgeland, MS 39157-6015 | 2006-09-26 |
| 1033128681 | Michael L Sanders | Family Medicine | 201 Highway 51 Unit A, Ridgeland, MS 39157 | 2006-08-05 |
| 1174532790 | Richard Price | Family Medicine | 230 Trace Colony Ste 2, Ridgeland, MS 39157-8810 | 2006-08-05 |
| Find all providers in RIDGELAND | ||||
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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.