Troy Russell (NPI# 1649513615, PAC ID# 2860715547) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1649513615 |
| PAC ID by PECOS | 2860715547 |
| Professional Enrollment ID | I20180503000208 |
| Full Name | Troy Russell |
| Organization Legal Name | LYNN COMMUNITY HEALTH INC |
| Address |
694 Western Ave Lynn MA 01905-2229 |
| Phone Number | 7815957348 |
| Gender | M |
| Medical School | UNIVERSITY OF TEXAS MEDICAL SCHOOL AT SAN ANTONIO |
| Graduation Year | 2013 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 0042217507 |
| Number of Group Practice Members | 60 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 220035 | NORTH SHORE MEDICAL CENTER - |
| Address | Phone | Organization |
|---|---|---|
| 29 Market Sq, Lynn, MA 01905-2420 | 7815963500 | LYNN COMMUNITY HEALTH INC |
| 694 Western Ave, Lynn, MA 01905-2229 | 7815957348 | LYNN COMMUNITY HEALTH INC |
| Organization Legal Name | LYNN COMMUNITY HEALTH INC |
| Physicians | 63 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Anne-terese Vanderburg | Nurse Practitioner | Lynn Community Health Inc | 20 Central Ave, Lynn, MA 01901-1201 |
| Sarwada Tuladhar Jha | Obstetrics/gynecology | Lynn Community Health Inc | 269 Union St, Lynn, MA 01901-1314 |
| Holly L Randall | Certified Clinical Nurse Specialist (cns) | Lynn Community Health Inc | 694 Western Ave, Lynn, MA 01905-2229 |
| Sammy Lee | Podiatry | Lynn Community Health Inc | 269 Union St, Lynn, MA 01901-1314 |
| Walter S Wightman | Family Medicine | Lynn Community Health Inc | 269 Union St, Lynn, MA 01901-1314 |
| Donna L Springs | Emergency Medicine | Lynn Community Health Inc | 269 Union St, Lynn, MA 01901-1314 |
| Brent A Fryling | Family Medicine | Lynn Community Health Inc | 269 Union St, Lynn, MA 01901-1314 |
| Tracey Mohr | Psychologist, Clinical | Lynn Community Health Inc | 269 Union St, Lynn, MA 01901-1314 |
| Clark Vandenberghe | Family Medicine | Lynn Community Health Inc | 269 Union St, Lynn, MA 01901-1314 |
| Miadette Pheng-phal | Nurse Practitioner | Lynn Community Health Inc | 269 Union St, Lynn, MA 01901-1314 |
| Street Address |
694 WESTERN AVE |
| City | LYNN |
| State | MA |
| Zip | 01905-2229 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Holly L Randall | Certified Clinical Nurse Specialist (cns) | Lynn Community Health Inc | 694 Western Ave, Lynn, MA 01905-2229 |
| Roopa Lakshmi Chari | Family Medicine | Lynn Community Health Inc | 694 Western Ave, Lynn, MA 01905-2229 |
| Nida N Lam | Nurse Practitioner | Lynn Community Health, Inc. | 694 Western Ave, Lynn, MA 01905-2229 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Duc K Chu | General Practice | 329 Boston St, Lynn, MA 01905-1604 | |
| Karen Neckers | Optometry | Karen Neckers Od | 780 Lynnway, Lynn, MA 01905-3026 |
| Marc Joseph Turco | Optometry | Karen Neckers Od | 780 Lynnway, Lynn, MA 01905-3026 |
| Petya T Damyanova | Optometry | 427 Lynnway, Lynn, MA 01905-3028 | |
| Thomas Michael Anzaldi | Optometry | Anzaldi Eye Associates LLC | 427 Lynnway, Lynn, MA 01905-3028 |
| City | LYNN |
| Zip Code | 01905 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | LYNN + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Troy 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.