DR. RUSSELL E. BELENCHIA (NPI# 1700868452) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700868452 |
| Entity Type | Individual |
| Full Name | DR. RUSSELL E. BELENCHIA |
| Credential | D.O. |
| Practice Address |
24345 Highway 15 Union MS 39365-8575 |
| Mailing Address |
Po Box 2106 Meridian MS 39302-2106 |
| Practice Telephone | 6017748211 |
| Practice Fax Number | 6017748589 |
| Mailing Telephone | 6017034282 |
| Mailing Fax Number | 6017034597 |
| Enumeration Date | 2005-11-17 |
| Last Update Date | 2013-11-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | 10063 | MS | Allopathic & Osteopathic Physicians |
| Y | 207QG0300X |
Family Medicine Specialization: Geriatric Medicine |
10063 | MS | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 00115507 | 05 | |
| RAILROAD MEDICARE | 080168657 | 01 |
| Street Address |
24345 HIGHWAY 15 |
| City | UNION |
| State | MS |
| Zip Code | 39365-8575 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518349984 | Christopher Moore | Family Medicine | 24345 Highway 15, Union, MS 39365 | 2015-06-22 |
| 1851643928 | Laird Hospital, Inc. | Family Medicine | 24345 Highway 15, Union, MS 39365-8575 | 2012-10-12 |
| 1619205069 | Sallye Ann Roberson | Nurse Practitioner | 24345 Highway 15, Union, MS 39365-8575 | 2009-11-23 |
| 1104036177 | Mary Elizabeth Spreafico | Nurse Practitioner | 24345 Highway 15, Union, MS 39365-8575 | 2007-05-22 |
| 1336124932 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 24345 Highway 15, Union, MS 39365-8575 | 2005-12-07 |
| 1518949262 | Glenda R. Barrett | Nurse Practitioner | 24345 Highway 15, Union, MS 39365-8575 | 2005-11-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861849614 | Telehealthone LLC | Nurse Practitioner | 801 East Jackson Street, Union, MS 39365 | 2016-05-23 |
| 1912065434 | Union Discount Pharmacy | Pharmacy | 25025 Hwy 15, Union, MS 39365 | 2006-12-05 |
| 1679531438 | Alliance-laird Nursing Home, LLC | Nursing Facility/Intermediate Care Facility | 25112 Hwy 15, Union, MS 39365 | 2006-05-02 |
| 1144753823 | Quinn's Family Pharmacy, Inc | Pharmacy | 24944 Hwy 15, Union, MS 39365-1565 | 2017-04-10 |
| 1740212687 | Freds Stores of Tennessee Inc | Pharmacy | 801 E Jackson Rd, Union, MS 39365-2213 | 2006-07-07 |
| 1609427533 | Scpg Mississippi LLC | Pharmacy | 801 E Jackson Rd, Union, MS 39365-2213 | 2019-09-23 |
| 1154586089 | Emily Nail Fleming | Optometrist | 210 Bank St, Union, MS 39365-2504 | 2008-07-21 |
| 1053556597 | Union Eye Care LLC | Optometrist | 109 Main St, Union, MS 39365-2519 | 2008-12-12 |
| 1487825444 | L. B. Adkins, O.d | Optometrist | 109 Main St, Union, MS 39365-2519 | 2008-03-18 |
| 1730265489 | L B Adkins | Optometrist | 109 Main St, Union, MS 39365-2519 | 2006-10-27 |
| Find all providers in zip 39365 | ||||
| Taxonomy Code | 207QG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Geriatric Medicine |
| A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital. |
| 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 Family Medicine, 2007. http://wwwtheabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://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 Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114908415 | Philip Clarence Groce | Family Medicine | 321 Appleton Rd, Union, ME 04862-4824 | 2005-11-14 |
| 1346226677 | Earl Raymond Staddon | Family Medicine | 119 S Main St, Union, OH 45322-3300 | 2005-12-19 |
| 1134104516 | Steven Alan Eisenstat | Family Medicine | 1050 Galloping Hill Rd, Suite 202, Union, NJ 07083-7983 | 2005-12-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477022838 | Patriot Healthcare of Mississippi, LLC | Family Medicine | 1110 Broad Street, Suite 300, Gulfport, MS 39501 | 2018-11-15 |
| 1104395565 | Patriot Healthcare of Mississippi, LLC | Family Medicine | 4800 Lakeland Drive, Flowood, MS 39232 | 2018-11-15 |
| 1467921825 | Patriot Healthcare of Mississippi, LLC | Family Medicine | 2781 C T Switzer Sr Drive, Suite 308, Biloxi, MS 39531 | 2018-11-15 |
| 1295224954 | Flora Physicians, Pllc | Family Medicine | 4848 Main St, Flora, MS 39071-9515 | 2018-05-08 |
| 1265803985 | Mississippi Phs Md LLC | Family Medicine | 232 Market St, Flowood, MS 39232-3339 | 2015-10-08 |
| 1609187152 | Rebecca E Hollingsworth | Family Medicine | 20 Rawls Springs Loop Rd, Hattiesburg, MS 39402-7801 | 2010-06-30 |
| 1104076645 | Ashley Wayne Harris | Family Medicine | 845 S Madison St, Tupelo, MS 38801-4905 | 2008-09-20 |
| 1255447900 | Donald D. Weaver | Family Medicine | 1612 31st Ave, Gulfport, MS 39501-2750 | 2006-08-22 |
| 1659388585 | John Phenis Hey IIi | Family Medicine | 405 River Rd, Greenwood, MS 38930-4212 | 2006-08-02 |
| 1841206760 | Robert H Pierce | Family Medicine | 400 Veterans Ave, Biloxi, MS 39531-2410 | 2006-07-31 |
| 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.