DR. RUSSELL SCOTT ANDERSON (NPI# 1013043009) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013043009 |
| Entity Type | Individual |
| Full Name | DR. RUSSELL SCOTT ANDERSON |
| Credential | MD |
| Practice Address |
1704 23rd Ave Meridian MS 39301-3103 |
| Practice Telephone | 6014855081 |
| Practice Fax Number | 6014855084 |
| Mailing Telephone | 6014855081 |
| Mailing Fax Number | 6014855084 |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2010-10-20 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 13362 | MS | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 00121517 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740895473 | Russell Dan Anderson | Registered Nurse | 4428 Sw 105th Dr, Gainesville, FL 32608-7139 | 2020-09-10 |
| 1124328794 | Russell E Anderson | Pharmacist | 1258 S Route 12, Fox Lake, IL 60020-1950 | 2010-10-28 |
| 1760538037 | Russell Lee Anderson | Family Medicine | 78270 Highway 1081, Covington, LA 70435-4646 | 2007-01-26 |
| 1801963376 | Russell Anderson | Internal Medicine | 514 North Brightleaf Blvd Suite 1100, Smithfield, NC 27577 | 2006-11-29 |
| 1982228235 | Russell Anderson | Psychologist | 2810 E Causeway Approach, Mandeville, LA 70448-3502 | 2020-06-02 |
| 1972965937 | Russell Anderson | Social Worker | 150 Shoup Ave, Idaho Falls, ID 83402-3657 | 2016-03-28 |
| 1548407513 | Russell Steven Anderson | Family Medicine | 1550 N Main St, Suite E, Layton, UT 84041-1757 | 2009-01-13 |
| 1619175288 | Russell N Anderson | Chiropractor | 20825 South St, Suite A, Tehachapi, CA 93561-6438 | 2007-07-05 |
| 1689885436 | Russell L. Anderson | Orthopaedic Surgery | 1150 45th St, West Palm Beach, FL 33407-2361 | 2007-05-24 |
| 1609097260 | Russell D Anderson | Chiropractor | 128 North Oakwood Road, Enid, OK 73703-4946 | 2007-05-01 |
| Street Address |
1704 23RD AVE |
| City | MERIDIAN |
| State | MS |
| Zip Code | 39301-3103 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114904190 | John C Clay | Specialist | 1704 23rd Ave, 2nd Floor, Meridian, MS 39301-3103 | 2005-12-29 |
| 1437592276 | Caleb Robert Dulaney | Radiology | 1704 23rd Ave, Meridian, MS 39301-3103 | 2013-04-11 |
| 1427269331 | Matthew Wade Cassell | Specialist | 1704 23rd Ave, Second Floor, Meridian, MS 39301-3103 | 2007-05-24 |
| 1780793059 | John D Voss | Specialist | 1704 23rd Ave, 2nd Floor, Meridian, MS 39301-3103 | 2006-08-30 |
| 1164433678 | Meridian Oncology Associates Pllc | Non-Pharmacy Dispensing Site | 1704 23rd Ave, 2nd Flr, Meridian, MS 39301-3103 | 2006-08-10 |
| 1992782924 | John C Halbrook | Specialist | 1704 23rd Ave, Meridian, MS 39301-3103 | 2005-12-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407460439 | Kayla Lee Monsour | Pharmacist | 1415 24th Avenue, Meridian, MS 39301 | 2020-09-08 |
| 1306478359 | K&r Optical Solutions Corporation | Eyewear Supplier (Equipment, not the service) | 3126 8th St., Suite A, Meridian, MS 39301 | 2020-02-07 |
| 1912537317 | Courtney M Hollie | Counselor | 1054 Ms-19, Meridian, MS 39301 | 2020-01-24 |
| 1932636495 | Rcg Mississippi, Inc. | Clinic/Center | 1300 38th Ave E, Meridian, MS 39301 | 2017-05-16 |
| 1811428915 | Tierria Mcglothin | Nurse Practitioner | 1054 Highway 19 S, Meridian, MS 39301 | 2017-03-21 |
| 1154869303 | Lindsay Nemanich | Physical Therapist | 3716 Ms-39, Meridian, MS 39301 | 2017-02-08 |
| 1700323599 | Wal-mart Stores East Lp | Pharmacy | 3310-a Highway 39 North, Meridian, MS 39301 | 2017-01-31 |
| 1972977460 | Southeast Pharmacy LLC | Pharmacy | 2402 Long Creek Road, Meridian, MS 39301 | 2015-11-20 |
| 1235508342 | East Mississippi Oral & Facial Surgery, LLC | Clinic/Center | 1212 24th Avenue, Meridian, MS 39301 | 2015-09-18 |
| 1831580778 | Clarkdale Pharmacy and Gifts LLC | Pharmacy | 6935c Hwy 145, Meridian, MS 39301 | 2015-02-13 |
| Find all providers in zip 39301 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821486812 | Tami Sue Lee | Specialist | 841 E Fairview Ave Ste 100, Meridian, ID 83642-9386 | 2014-12-29 |
| 1164822029 | Robert Francis Malison | Specialist | 3975 E Clocktower Ln Apt 326, Meridian, ID 83642-9141 | 2014-08-28 |
| 1073788337 | Cheree L Eveland | Specialist | 3455 Woodmont Dr, Meridian, ID 83646-1166 | 2008-04-28 |
| 1952504623 | Benjamin Edgar Box | Specialist | 4807 11th Pl, Meridian, MS 39305-2771 | 2007-06-08 |
| 1669594974 | Mark Garry Murray | Specialist | 1400 20th Ave Ste C, Meridian, MS 39301-4103 | 2007-04-06 |
| 1811081896 | Adam M Cope | Specialist | 2176 E Franklin Rd, Suite 100, Meridian, ID 83642-9024 | 2006-10-03 |
| 1366536609 | Charles Guy Riddle | Specialist | 1626 S Wells Ave Ste 105, Meridian, ID 83642-4528 | 2006-10-03 |
| 1043318280 | Lee Kinsey Thornton | Specialist | 5002 Highway 39 N Bldg C, Meridian, MS 39301-1078 | 2006-09-20 |
| 1154423804 | Woody D. Davis | Specialist | 5002 Highway 39 N, Bldg. B, Meridian, MS 39301-1078 | 2006-09-02 |
| 1144275694 | Robert Lantz Davidson | Specialist | 3525 E Louise Dr Ste 195, Meridian, ID 83642 | 2006-05-23 |
| Find all providers in MERIDIAN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.