Charles A Russell (NPI# 1386669356, PAC ID# 3971498981) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is HAND SURGERY.
| Nation Provider ID (NPI) | 1386669356 |
| PAC ID by PECOS | 3971498981 |
| Professional Enrollment ID | I20111228000715 |
| Full Name | Charles A Russell |
| Address |
2820 Griffin Ave Suite 210 Enumclaw WA 98022-2373 |
| Phone Number | 3608251404 |
| Gender | M |
| Medical School | LOMA LINDA UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1978 |
| Primary Specialty | HAND SURGERY |
| Secondary Specialties | ORTHOPEDIC SURGERY |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 501335 | ST ELIZABETH HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 2820 Griffin Ave, Suite 210, Enumclaw, WA 98022-2373 | 3608251404 |
| Street Address |
2820 GRIFFIN AVE SUITE 210 |
| City | ENUMCLAW |
| State | WA |
| Zip | 98022-2373 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jane M Houtz | Internal Medicine | 2820 Griffin Ave, Suite 204, Enumclaw, WA 98022-2373 | |
| Ronald Scott Sorensen | Podiatry | Ankle and Foot Specialists of Puget Sound, Ps | 2820 Griffin Ave, Suite 101, Enumclaw, WA 98022-2373 |
| Susan D Louie | Occupational Therapy | 2820 Griffin Ave, Suite 110, Enumclaw, WA 98022-2382 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Daniel Brighton Thompson | Chiropractic | 1624 Pioneer St A, Enumclaw, WA 98022-2299 | |
| Mark A Seaburg | Optometry | 2823 Griffin Ave, Enumclaw, WA 98022-2322 | |
| Paul Shepherd | Optometry | Enumclaw Family Optometry Clinic Ps | 2726 Griffin Ave, Suite B, Enumclaw, WA 98022-2362 |
| Peter L Erickson | Physical Therapy | Performance Sports and Spine Physical Therapy Ps | 2726 Griffin Ave C, Enumclaw, WA 98022-2362 |
| Michael Leigh Beall | Chiropractic | Howells Chiropractic LLC | 2726 Griffin Ave, Suite A, Enumclaw, WA 98022-2362 |
| Anthony J Howells | Chiropractic | Howells Chiropractic LLC | 2726 Griffin Ave, Suite A, Enumclaw, WA 98022-2362 |
| Alexander Shepherd | Optometry | Enumclaw Family Optometry Clinic Ps | 2726 Griffin Ave, Suite B, Enumclaw, WA 98022-2362 |
| Jonathan E Erickson | Physical Therapy | Performance Sports and Spine Physical Therapy Ps | 2726 Griffin Ave C, Enumclaw, WA 98022-2362 |
| Kashish Goyal | Family Medicine | Franciscan Medical Group | 3021 Griffin Ave, Enumclaw, WA 98022-2369 |
| Joy Y Chang | Nurse Practitioner | Franciscan Medical Group | 3021 Griffin Ave, Enumclaw, WA 98022-2369 |
| Find all physicians in zip 98022 | |||
| City | ENUMCLAW |
| Zip Code | 98022 |
| Specialty | HAND SURGERY |
| City + Specialty | ENUMCLAW + HAND SURGERY |
Please comment or provide details below to improve the information on Charles A 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.