RUSSELLVILLE MUSCULOSKELETAL CENTER INC. (NPI# 1063594539) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063594539 |
| Entity Type | Organization |
| Organization Name | RUSSELLVILLE MUSCULOSKELETAL CENTER INC. |
| Practice Address |
13150 Highway 43 Suite 12 Russellville AL 35653-4558 |
| Mailing Address |
Po Box 57 Russellville AL 35653-0057 |
| Practice Telephone | 2563326215 |
| Practice Fax Number | 2563313430 |
| Mailing Telephone | 2563326215 |
| Mailing Fax Number | 2563313430 |
| Enumeration Date | 2006-10-20 |
| Last Update Date | 2010-02-16 |
| Authorized Official Name | DR. SAID GOTO OSMAN (MD PRESIDENT) |
| Authorized Official Telephone | 2563326215 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | 27698 | AL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | MEDICARE IDENTIFICATION NUMBER | L026 | 01 |
| AL | 529930670 | 05 |
| Street Address |
13150 HIGHWAY 43 SUITE 12 |
| City | RUSSELLVILLE |
| State | AL |
| Zip Code | 35653-4558 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710972385 | Kevin Gerard Kelly | Family Medicine | 13150 Highway 43, Suite 10, Russellville, AL 35653-4558 | 2005-09-20 |
| 1497297493 | Nataline Evelyn Pennington | Nurse Practitioner | 13150 Highway 43, Suite 10, Russellville, AL 35653-4558 | 2016-11-08 |
| 1902145188 | Kevin Gerard Kelly | Clinic/Center | 13150 Highway 43, Suite 10, Russellville, AL 35653-4558 | 2013-02-07 |
| 1073866489 | Jena Williams Hamm | Nurse Practitioner | 13150 Highway 43, Ste 10, Russellville, AL 35653-4558 | 2012-10-23 |
| 1770887945 | Kevin G. Kelly, M.d. | Family Medicine | 13150 Highway 43, Suite 10, Russellville, AL 35653-4558 | 2011-01-03 |
| 1972811453 | Yolanda Renee Ellison | Pharmacist | 13150 Highway 43, Russellville, AL 35653-4558 | 2010-09-19 |
| 1639406416 | Urgent Care of Russellville, LLC | Durable Medical Equipment & Medical Supplies | 13150 Highway 43, Suite 10, Russellville, AL 35653-4558 | 2009-11-16 |
| 1821325606 | Urgent Care of Russellville, LLC | Clinic/Center | 13150 Highway 43, Suite 10, Russellville, AL 35653-4558 | 2009-11-16 |
| 1568799344 | Russellville Diagnostics Center, LLC | Radiology | 13150 Highway 43, Suite 11, Russellville, AL 35653-4558 | 2009-11-16 |
| 1689837288 | Northwest Sleep Center PC | Clinic/Center | 13150 Highway 43, Suite 13, Russellville, AL 35653-4558 | 2008-07-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902384720 | Randy Wade Gooch | Pharmacist | 13675 Us-43, Russellville, AL 35653 | 2018-08-02 |
| 1700301470 | Carole Ann Montgomery | Pharmacist | Walmart Pharmacy, 13675 Us-43, Russellville, AL 35653 | 2017-08-03 |
| 1548632755 | Amanda Carrie Franks | Health Educator | 265 Skyline Dr, Russellville, AL 35653 | 2015-10-27 |
| 1023411220 | Wesley Charles Mayfield | Pharmacist | 14001 Hwy 43 Suite 13, Russellville, AL 35653 | 2014-10-01 |
| 1831322841 | Family Health Care Clinic, Inc. | Clinic/Center | 318 Coffee Ave Ne, Russellville, AL 35653 | 2009-08-25 |
| 1538371075 | Eyedocs On Wheels PC | Optometrist | 15255 Hwy 43, Russellville, AL 35653 | 2007-05-04 |
| 1063634574 | Russellville Physician Practices LLC | Orthopaedic Surgery | 715 Gandy Street Ne, Suite B, Russellville, AL 35653 | 2007-05-03 |
| 1750404141 | Alabama Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 14695 Hwy 43, Russellville, AL 35653 | 2007-04-09 |
| 1629111703 | Franklin County Health Dept Offsite Epsdt | Public Health or Welfare | 801 Highway 48, Russellville, AL 35653 | 2007-02-15 |
| 1750457941 | Southern Rural Health Care Consortium, Inc. | Clinic/Center | 318 Coffee Avenue, Russellville, AL 35653 | 2006-11-28 |
| Find all providers in zip 35653 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063634574 | Russellville Physician Practices LLC | Orthopaedic Surgery | 715 Gandy Street Ne, Suite B, Russellville, AL 35653 | 2007-05-03 |
| 1649387523 | Russellville Physician Practices LLC | Orthopaedic Surgery | 715 Gandy St Ne, Russellville, AL 35653-1922 | 2006-08-24 |
| 1255345195 | W. Bruce Brown Md, Pa. | Orthopaedic Surgery | 3016 W Main St, Russellville, AR 72801-2453 | 2006-07-28 |
| 1407875453 | Ted Honghiran | Orthopaedic Surgery | 2504 West Main St, Suite A, Russellville, AR 72801-2536 | 2006-07-19 |
| 1962461707 | Owen L Kelly | Orthopaedic Surgery | 401 N Phoenix Ave, Russellville, AR 72801-2844 | 2006-03-21 |
| 1154313807 | Lloyd C Dyas | Orthopaedic Surgery | 101 James Hovater Rd, Russellville, AL 35653-8004 | 2005-08-18 |
| 1831181593 | Steve G Salyers | Orthopaedic Surgery | 1623 Nashville St Ste And103, Russellville, KY 42276-8889 | 2005-08-18 |
| 1972508810 | Joseph B Zehner | Orthopaedic Surgery | 1623 Nashville St, Suite 103, Russellville, KY 42276-8889 | 2005-06-16 |
| 1780965335 | Tennessee Orthopaedic Alliance | Orthopaedic Surgery | 1623 Nashville St, Ste 104, Russellville, KY 42276-8889 | 2011-09-08 |
| 1619297850 | Owen L Kelly Md Pa | Orthopaedic Surgery | 401 N Phoenix Ave, Russellville, AR 72801-2844 | 2010-06-10 |
| Find all providers in RUSSELLVILLE | ||||
| City | RUSSELLVILLE |
| Zip Code | 35653 |
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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.