Russell L Stephens (NPI# 1588873400, PAC ID# 1254326952) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ANESTHESIOLOGY.
| Nation Provider ID (NPI) | 1588873400 |
| PAC ID by PECOS | 1254326952 |
| Professional Enrollment ID | I20040420000562 |
| Full Name | Russell L Stephens |
| Organization Legal Name | STEPHENS CLINIC, LLC |
| Address |
1109 Medical Ctr Dr Suite 8a Augusta GA 30909 |
| Phone Number | 7068637021 |
| Gender | M |
| Credential | MD |
| Medical School | EAST CAROLINA UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1982 |
| Primary Specialty | ANESTHESIOLOGY |
| Secondary Specialties | INTERVENTIONAL PAIN MANAGEMENT |
| Group Practice PAC ID | 1658391925 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110177 | DOCTORS HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1109 Medical Ctr Dr, Suite 8a, Augusta, GA 30909 | 7068637021 | STEPHENS CLINIC, LLC |
| Organization Legal Name | STEPHENS CLINIC, LLC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kent M Plowman | Interventional Pain Management | Stephens Clinic, LLC | 1109 Medical Ctr Dr, Suite 8a, Augusta, GA 30909 |
| Street Address |
1109 MEDICAL CTR DR SUITE 8A |
| City | AUGUSTA |
| State | GA |
| Zip | 30909 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kent M Plowman | Interventional Pain Management | Stephens Clinic, LLC | 1109 Medical Ctr Dr, Suite 8a, Augusta, GA 30909 |
| Audrey M Henderson | Family Medicine | 1109 Medical Ctr Dr, Suite 3, Augusta, GA 30909-6644 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jonathan E Reimer | Family Medicine | 1224 Augusta W Pkwy, Augusta, GA 30909 | |
| Edgar R Bohannon | Qualified Audiologist | Augusta Hearing and Balance | 1215 A George Wilson, Suite 3, Augusta, GA 30909 |
| Tarak V Patel | Infectious Disease | 1224 Augusta W Pkwy, Augusta, GA 30909 | |
| Amanda S Battey | Qualified Audiologist | Augusta Hearing and Balance | 1215 A George Wilson, Suite 3, Augusta, GA 30909 |
| Rebecca B Hopkins | Audiologist | Augusta Hearing and Balance | 1215 A George Wilson, Augusta, GA 30909 |
| Dale Patrick | Optometry | Vision Partners, Inc. | 3450 Wrightsboro Rd, Suite 1325, Augusta, GA 30909-0566 |
| George Herman Hamiter Iii | Optometry | Vision Partners, Inc. | 3450 Wrightsboro Rd, Suite 1325, Augusta, GA 30909-0566 |
| Miguel Angel Bosch | Optometry | Vision Partners, Inc. | 3450 Wrightsboro Rd, Suite 1325, Augusta, GA 30909-0566 |
| Gina Durant | Optometry | Vision Partners, Inc. | 3450 Wrightsboro Rd, Suite 1325, Augusta, GA 30909-0566 |
| Lewis Steinfeld | Optometry | Martinez Eye Associates LLC | 3412 Wrightsboro Rd, Suite 905, Augusta, GA 30909-1015 |
| Find all physicians in zip 30909 | |||
| City | AUGUSTA |
| Zip Code | 30909 |
| Specialty | ANESTHESIOLOGY |
| City + Specialty | AUGUSTA + ANESTHESIOLOGY |
Please comment or provide details below to improve the information on Russell L Stephens.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.