Sandra K Russell (NPI# 1417937723, PAC ID# 4688704216) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OBSTETRICS/GYNECOLOGY.
| Nation Provider ID (NPI) | 1417937723 |
| PAC ID by PECOS | 4688704216 |
| Professional Enrollment ID | I20100609000019 |
| Full Name | Sandra K Russell |
| Organization Legal Name | MCLAREN GREATER LANSING |
| Address |
2104 Jolly Rd Suite 220 Okemos MI 48864-6038 |
| Phone Number | 5179751400 |
| Gender | F |
| Medical School | MICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE |
| Graduation Year | 1989 |
| Primary Specialty | OBSTETRICS/GYNECOLOGY |
| Group Practice PAC ID | 7214833466 |
| Number of Group Practice Members | 122 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 230167 | MCLAREN GREATER LANSING |
| Address | Phone | Organization |
|---|---|---|
| 2104 Jolly Rd, Suite 220, Okemos, MI 48864-6038 | 5179751400 | MCLAREN GREATER LANSING |
| Organization Legal Name | MCLAREN GREATER LANSING |
| Physicians | 114 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Heather Bowers | Nurse Practitioner | Mclaren Greater Lansing | 2901 Stabler St, Lansing, MI 48910-3022 |
| Nyebol Buok Madut | Family Medicine | Mclaren Greater Lansing | 5525 S Martin Luther King Jr Blvd, Mclaren Urgent Care, Lansing, MI 48911-3546 |
| Ancy Andrews | Nurse Practitioner | Mclaren Greater Lansing | 2270 Jolly Rd, 1 Mgl Primary Care, Okemos, MI 4886435ND |
| Francesca Marie Buskulic | Internal Medicine | Mclaren Greater Lansing | 2727 S Pennsylvania Ave, Lansing, MI 48910-3488 |
| Chad Michael Gerrish | Internal Medicine | Mclaren Greater Lansing | 12805 Escanaba Dr, 2 Mgl Dewitt Healthcare, Dewitt, MI 48820-8628 |
| Craig M Brown | Family Medicine | Mclaren Greater Lansing | 406 Kent St, Portland, MI 48875-1707 |
| Joseph P Van Ark | Family Medicine | Mclaren Greater Lansing | 301 Williams St, Eaton Rapids, MI 48827-1935 |
| Elizabeth A Root | Nurse Practitioner | Mclaren Greater Lansing | 2104 Jolly Rd, Suite 220, Okemos, MI 48864-6038 |
| Marie Louise Tchuekon Sagan Yewah | Family Medicine | Mclaren Greater Lansing | 6465 Millennium, Suite 100, Lansing, MI 48917-7831 |
| Salara B Masti | Family Medicine | Mclaren Greater Lansing | 1288 W Grand River Ave, Mgl Williamston Family Medicine, Williamston, MI 48895-8305 |
| Street Address |
2104 JOLLY RD SUITE 220 |
| City | OKEMOS |
| State | MI |
| Zip | 48864-6038 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Elizabeth A Root | Nurse Practitioner | Mclaren Greater Lansing | 2104 Jolly Rd, Suite 220, Okemos, MI 48864-6038 |
| Eleanor A Watson | Pediatric Medicine | Mclaren Greater Lansing | 2104 Jolly Rd, Suite 240, Okemos, MI 48864-6038 |
| Katie Hammond | Internal Medicine | Mclaren Greater Lansing | 2104 Jolly Rd, Suite 240, Okemos, MI 48864-6038 |
| Labony Mookerjee | Family Medicine | Mclaren Greater Lansing | 2104 Jolly Rd, Suite 240, Okemos, MI 48864-6038 |
| Laura J Kota | Obstetrics/gynecology | Mclaren Greater Lansing | 2104 Jolly Rd, Suite 220, Okemos, MI 48864-6038 |
| Jeffrey L Meier | Family Medicine | Mclaren Greater Lansing | 2104 Jolly Rd, Suite 240, Okemos, MI 48864-6038 |
| James A Brouillette | Pediatric Medicine | Mclaren Greater Lansing | 2104 Jolly Rd, Suite 220, Okemos, MI 48864-6038 |
| Elizabeth G Lindsey | Family Medicine | Mclaren Greater Lansing | 2104 Jolly Rd, Suite 220, Okemos, MI 48864-6038 |
| Orlando O Matias | Family Medicine | 2104 Jolly Rd, Suite 290, Okemos, MI 48864-6042 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Elizabeth J Delass | Physical Therapy | Peak Performance Physical Therapy, Plc | 2301 W Grand River Ave, Okemos, MI 48864-1648 |
| Andrew Bult | Physical Therapy | Peak Performance Physical Therapy, Plc | 2301 W Grand River Ave, Okemos, MI 48864-1648 |
| Eric L Luttig | Physical Therapy | Peak Performance Physical Therapy, Plc | 2301 W Grand River Ave, Okemos, MI 48864-1648 |
| Megan Brew | Physical Therapy | Peak Performance Physical Therapy, Plc | 2301 W Grand River Ave, Okemos, MI 48864-1648 |
| Alexzanda Jo Johnson | Physical Therapy | Peak Performance Physical Therapy, Plc | 2301 W Grand River Ave, Okemos, MI 48864-1648 |
| Anthony P. Salvador | Diagnostic Radiology | Lansing Radiology Associates P C | 2289 W Grand River Ave, Okemos, MI 48864-1649 |
| Melissa B Kong | Optometry | Rx Optical Laboratories, Inc. | 2285 W Grand River, Okemos, MI 48864-1649 |
| Zachary Charles Smith | Diagnostic Radiology | Lansing Radiology Associates P C | 2289 W Grand River Ave, Okemos, MI 48864-1649 |
| Steven C Clerc | Diagnostic Radiology | Lansing Radiology Associates P C | 2289 W Grand River Ave, Okemos, MI 48864-1649 |
| Eghosa Aimuamwosa Olomu | Diagnostic Radiology | Lansing Radiology Associates P C | 2289 W Grand River Ave, Okemos, MI 48864-1649 |
| Find all physicians in zip 48864 | |||
| City | OKEMOS |
| Zip Code | 48864 |
| Specialty | OBSTETRICS/GYNECOLOGY |
| City + Specialty | OKEMOS + OBSTETRICS/GYNECOLOGY |
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| 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.