ROY E RUSSELL JR. (NPI# 1760479570) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760479570 |
| Entity Type | Individual |
| Full Name | ROY E RUSSELL JR. |
| Credential | MD |
| Practice Address |
5111 Rogers Ave Ste 40m Fort Smith AR 72903-2047 |
| Mailing Address |
Po Box 402139 Atlanta GA 30384-2319 |
| Practice Telephone | 4797097440 |
| Practice Fax Number | 4797097441 |
| Mailing Telephone | 4797097399 |
| Mailing Fax Number | 4797097053 |
| Enumeration Date | 2005-10-06 |
| Last Update Date | 2010-08-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | C7967 | AR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 121868001 | 05 | |
| OK | 100100550A | 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 |
| 1518180561 | Roy Petterson Russell | Internal Medicine | 87 Spring Street, Laconia, NH 03246 | 2007-04-10 |
| 1962440743 | Roy Dallas Russell | Anesthesiology | 300 Highland Ave, Hanover, PA 17331-2297 | 2006-06-03 |
| Street Address |
5111 ROGERS AVE STE 40M |
| City | FORT SMITH |
| State | AR |
| Zip Code | 72903-2047 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306833116 | Von Phomakay | Family Medicine | 5111 Rogers Ave, Ste 40m, Fort Smith, AR 72903-2047 | 2005-10-06 |
| 1487178729 | Rachel Elaine Equihua | Dentist | 5111 Rogers Ave, Fort Smith, AR 72903 | 2017-07-28 |
| 1720435589 | Lenora Roe | Technician/Technologist | 5111 Rogers Ave, Fort Smith, AR 72903-2047 | 2016-05-20 |
| 1568851426 | Sears Optical | Eyewear Supplier (Equipment, not the service) | 5111 Rogers Ave, Suite 19, Fort Smith, AR 72903-2047 | 2015-01-15 |
| 1669728135 | Eckelhoff Psychology | Psychologist | 5111 Rogers Ave, Suite 526, Fort Smith, AR 72903-2047 | 2012-08-01 |
| 1275813172 | Brandon L Swink | Optometrist | 5111 Rogers Ave, Suite 54, Fort Smith, AR 72903-2047 | 2011-08-23 |
| 1760762678 | Elite Vision, Plc | Optometrist | 5111 Rogers Ave, Suite 54, Fort Smith, AR 72903-2047 | 2011-08-23 |
| 1578854378 | Ft Smith Hma Pbc Management, LLC | Physician Assistant | 5111 Rogers Ave, Suite 40m, Fort Smith, AR 72903-2047 | 2011-04-27 |
| 1164735981 | Malcolm R Hutchins O D P A | Optometrist | 5111 Rogers Ave, Suite 54, Fort Smith, AR 72903-2047 | 2010-07-21 |
| 1376875864 | Usv Optical Inc | Eyewear Supplier (Equipment, not the service) | 5111 Rogers Ave, Fort Smith, AR 72903-2047 | 2010-02-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285280016 | Bhg L, LLC | Clinic/Center | 1501 Waldron Road, Ste 203, Fort Smith, AR 72903 | 2019-08-16 |
| 1457905903 | Heather Snyder | Optometrist | 1021 South Waldron Road, Fort Smith, AR 72903 | 2019-08-01 |
| 1083272223 | Pediatric Therapy Connections LLC | Clinic/Center | 7601 Westminister Pl, Fort Smith, AR 72903 | 2019-06-03 |
| 1073092821 | Baptist Health Services | Psychiatry & Neurology | 3808 Gary St Ste B, Fort Smith, AR 72903 | 2018-08-13 |
| 1104305853 | Baptist Health Services | Family Medicine | 5428 Ellsworth Rd Ste A, Fort Smith, AR 72903 | 2018-08-13 |
| 1417436171 | Baptist Health Services | Pediatrics | 5428 Ellsworth Rd Ste B, Fort Smith, AR 72903 | 2018-08-13 |
| 1558840421 | Baptist Health Services | Family Medicine | 3808 Gary St Ste A, Fort Smith, AR 72903 | 2018-08-10 |
| 1316434707 | Md Weight Loss and Wellness, LLC | Dietitian, Registered | 3416 Old Greenwood Road, Fort Smith, AR 72903 | 2018-04-20 |
| 1942695572 | Donna K Morgan | Counselor | 2408 S. 51st Court Suite G, Fort Smith, AR 72903 | 2015-03-31 |
| 1346658242 | Shelby Mural Esry | Dentist | 3200 Rogers Ave. Suite 111, Fort Smith, AR 72903 | 2014-07-24 |
| Find all providers in zip 72903 | ||||
| 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 |
|---|---|---|---|---|
| 1871106476 | Mkosmo, LLC | Family Medicine | 9524 Wey Bridge Dr, Fort Smith, AR 72916-7007 | 2020-08-25 |
| 1396224069 | Baptist Health Services | Family Medicine | 8600 S 36th Ter Ste A, Fort Smith, AR 72908 | 2018-08-13 |
| 1669951315 | Baptist Health Services | Family Medicine | 1500 Dodson Ave Ste 175, Fort Smith, AR 72901 | 2018-08-13 |
| 1326527086 | Baptist Health Services | Family Medicine | 1500 Dodson Ave Ste 195, Fort Smith, AR 72901 | 2018-08-13 |
| 1104305853 | Baptist Health Services | Family Medicine | 5428 Ellsworth Rd Ste A, Fort Smith, AR 72903 | 2018-08-13 |
| 1558840421 | Baptist Health Services | Family Medicine | 3808 Gary St Ste A, Fort Smith, AR 72903 | 2018-08-10 |
| 1871072751 | Baptist Health Services | Family Medicine | 4700 Kelley Hwy Ste A, Fort Smith, AR 72904 | 2018-08-10 |
| 1609355528 | Baptist Health Services | Family Medicine | 8600 S 36th Ter Ste B, Fort Smith, AR 72908 | 2018-08-10 |
| 1144608746 | Good Samaritan Clinic | Family Medicine | 615 North B Street, Fort Smith, AR 72901 | 2015-05-14 |
| 1689003261 | Thomas H Raymond | Family Medicine | 2320 South O Street, Fort Smith, AR 72901 | 2013-11-05 |
| Find all providers in FORT SMITH | ||||
| City | FORT SMITH |
| Zip Code | 72903 |
Please comment or provide details below to improve the information on ROY E RUSSELL JR..
| 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.