Peni J Russell (NPI# 1871878835, PAC ID# 2365608734) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1871878835 |
| PAC ID by PECOS | 2365608734 |
| Professional Enrollment ID | I20120730000696 |
| Full Name | Peni J Russell |
| Organization Legal Name | TEXAS EM I MEDICAL SERVICES PA |
| Address |
117 N Winnsboro St Quitman TX 75783-2144 |
| Phone Number | 4694012386 |
| Gender | F |
| Graduation Year | 2011 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 6507760543 |
| Number of Group Practice Members | 102 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 451360 | MEMORIAL MEDICAL CENTER SAN AUGUSTINE |
| Address | Phone | Organization |
|---|---|---|
| 117 N Winnsboro St, Quitman, TX 75783-2144 | 4694012386 | TEXAS EM I MEDICAL SERVICES PA |
| Organization Legal Name | TEXAS EM I MEDICAL SERVICES PA |
| Physicians | 81 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Leah M Ayers | Nurse Practitioner | Texas Em I Medical Services Pa | 600 Hospital Cir, Bay City, TX 77414-4771 |
| Chivas P Guillote | Nurse Practitioner | Texas Em I Medical Services Pa | 511 E Hospital St, Memorial Medical Center San Augustine, San Augustine, TX 75972-2121 |
| Kimberley A Strong | Nurse Practitioner | Texas Em I Medical Services Pa | 1501 Burnet Rd, Brownwood, TX 76801-8520 |
| Rita A Dello Stritto | Nurse Practitioner | Texas Em I Medical Services Pa | 605 Holderrieth Blvd, Tomball, TX 77375-6445 |
| Folusho F Ibikunle | Nurse Practitioner | Texas Em I Medical Services Pa | 132 E Hospital Dr, Angleton, TX 77515-4112 |
| Gerardo Marquez | Nurse Practitioner | Texas Em I Medical Services Pa | 301 University Blvd, Galveston, TX 77555-5302 |
| Mary J Corder | Nurse Practitioner | Texas Em I Medical Services Pa | 710 Cypress Creek Pkwy, Houston, TX 77090-3402 |
| Yvette T Surrell | Nurse Practitioner | Texas Em I Medical Services Pa | 605 Holderrieth Blvd, Tomball, TX 77375-6445 |
| Jacob R Stillwagon | Nurse Practitioner | Texas Em I Medical Services Pa | 1600 Wallace Blvd, Baptist St. Anthony Healthcare Hosp, Amarillo, TX 79106-1799 |
| Manoj Joseph | Nurse Practitioner | Texas Em I Medical Services Pa | 104 7th St, Bay City, TX 77414-4853 |
| Street Address |
117 N WINNSBORO ST |
| City | QUITMAN |
| State | TX |
| Zip | 75783-2144 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Paul D Driver | Emergency Medicine | Tanager Emergency Physicians Pllc | 117 N Winnsboro St, Ut Health Quitman, Quitman, TX 75783-2144 |
| David W Buller | Family Medicine | Tanager Emergency Physicians Pllc | 117 N Winnsboro St, Ut Health Quitman, Quitman, TX 75783-2144 |
| George V Cathey Jr. | Family Medicine | Quitman Hospital LLC | 117 N Winnsboro St, Ut Health E Tx Quitman Hospital, Quitman, TX 75783-2144 |
| Greta Parks-herndon | Emergency Medicine | Tanager Emergency Physicians Pllc | 117 N Winnsboro St, Ut Health Quitman, Quitman, TX 75783-2144 |
| John Charles Royse | Family Medicine | Tanager Emergency Physicians Pllc | 117 N Winnsboro St, Ut Health Quitman, Quitman, TX 75783-2144 |
| Jason B Johnson | Nurse Practitioner | Etmc Physician Group, Inc. | 117 N Winnsboro St, Ut Health East Texas Physicians, Quitman, TX 75783-2144 |
| Beverly L. Waddleton | Family Medicine | Etmc Physician Group, Inc. | 117 N Winnsboro St, Ut Health East Texas Physicians, Quitman, TX 75783-2144 |
| Michael Dean Knapp | Nurse Practitioner | Texas Em I Medical Services Pa | 117 N Winnsboro St, Quitman, TX 75783-2144 |
| Aderemi Wahid Adewuyi | Internal Medicine | Tanager Emergency Physicians Pllc | 117 N Winnsboro St, Ut Health Quitman, Quitman, TX 75783-2144 |
| Cassie Laine Hampton | Nurse Practitioner | Quitman Hospital LLC | 117 N Winnsboro St, Ut Health E Tx Quitman Hospital, Quitman, TX 75783-2144 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amy D Cosgrove | Family Practice | Etmc Physician Group, Inc. | 117 N Winnsboro St, Ut Health East Texas Physicians, Quitman, TX 75783-2144 |
| John Derek Wisdom | Chiropractic | Quitman Health Services Pllc | 606 E Goode St, Suite 400, Quitman, TX 75783-2563 |
| Joanne E Wisdom | Chiropractic | Quitman Health Services Pllc | 606 E Goode St, Suite 400, Quitman, TX 75783-2563 |
| Melody Marie Swinford | Family Medicine | Family Care Center Quitman | 606 E Goode St, Suite 100, Quitman, TX 75783-2566 |
| Scott J Olson | Family Medicine | Family Care Center Quitman | 606 E Goode St, Suite 100, Quitman, TX 75783-2566 |
| Gregory Milam Singleton | Clinical Social Worker | 606 E Goode St, Suite 100, Quitman, TX 75783-2566 |
| City | QUITMAN |
| Zip Code | 75783 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | QUITMAN + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Peni J Russell.
| 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.