DR. ROBERT JOSEPH RUSSELL (NPI# 1144331422) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144331422 |
| Entity Type | Individual |
| Full Name | DR. ROBERT JOSEPH RUSSELL |
| Credential | M.D. |
| Practice Address |
539c Highway 80 W Clinton MS 39056-4193 |
| Mailing Address |
1867 Crane Ridge Dr Ste 101b Jackson MS 39216-4956 |
| Practice Telephone | 6019247489 |
| Practice Fax Number | 6019240988 |
| Mailing Telephone | 6013628776 |
| Mailing Fax Number | 6013548786 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 14410 | MS | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 0119425 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932694791 | Robert Edward Russell II | Counselor | 1590 Coal Run Rd., Zanesville, OH 43701 | 2018-06-25 |
| 1801286059 | Robert Cody Russell | Nurse Practitioner | 1118 Ross Clark Circle, Suite 100, Dothan, AL 36301 | 2015-01-27 |
| 1861813628 | Robert Russell | Psychologist | 1009 Woodlawn Park Dr, Flint, MI 48503-2762 | 2013-12-21 |
| 1861674806 | Robert Claude Russell | Internal Medicine | 802 Killion St, Louisville, TN 37777-4407 | 2007-12-01 |
| 1356538151 | Robert Ross Russell | Dentist | 2402 Loganville Hwy, Suite 500, Grayson, GA 30017-1689 | 2007-09-26 |
| 1912046533 | Robert Mark Russell | Preventive Medicine | 11210 E Calle Linda Vis, Tucson, AZ 85748-7839 | 2007-02-06 |
| 1477600328 | Robert Thomason Russell | Surgery | 1600 7th Ave S # Acc300, Birmingham, AL 35233-1711 | 2007-01-04 |
| 1528151610 | Robert L Russell | Family Medicine | 305 Highway 51, Ridgeland, MS 39157-3428 | 2006-10-02 |
| 1104850684 | Robert Alan Russell | Chiropractor | 25 East Broad Street, Mount Vernon, NY 10552 | 2006-07-10 |
| 1700823879 | Robert C Russell | Plastic Surgery | 320 E Carpenter St, Springfield, IL 62702-5185 | 2006-05-31 |
| Street Address |
539C HIGHWAY 80 W |
| City | CLINTON |
| State | MS |
| Zip Code | 39056-4193 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902917206 | Jennifer K. Myers | Pediatrics | 539c Highway 80 W, Clinton, MS 39056-4193 | 2006-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376012724 | John Melvin Goolsby Jr. | Dentist | 457 Highway 80 East, Clinton, MS 39056 | 2018-11-15 |
| 1225534530 | Magnolia Allergy Clinic LLC | Internal Medicine | 402 Cynthia St Ste E, Clinton, MS 39056 | 2018-04-04 |
| 1578093704 | Melinda A Weisenberger | Specialist/Technologist | 4600 W Northside Drive, Clinton, MS 39056 | 2017-06-20 |
| 1962859702 | Telehealthone, LLC | Nurse Practitioner | 200 Clinton Plaza, Clinton, MS 39056 | 2016-05-23 |
| 1841686581 | 1st America Infusion Services LLC | Durable Medical Equipment & Medical Supplies | 132 Fairmont Street, Suite B, Clinton, MS 39056 | 2015-04-09 |
| 1023412822 | Rebecca Brooks Prewitt | Social Worker | 130 B Fairmont Street, Clinton, MS 39056 | 2014-10-22 |
| 1396184149 | Robert Joseph Hargis | Urology | 116 Afton Way, Clinton, MS 39056 | 2013-06-14 |
| 1750626321 | Clinton Dental Care, Inc. | Dentist | 736 Clinton Pkwy, Clinton, MS 39056 | 2012-12-07 |
| 1922394469 | Daphenia C. Knight Starling | Nurse Practitioner | Clinton Healthcare, 1251 Pinehaven Rd, Clinton, MS 39056 | 2011-06-23 |
| 1134443385 | Gwendolyn Coleman Garror | Pharmacist | 132 Fairmount Drive, Clinton, MS 39056 | 2010-03-17 |
| Find all providers in zip 39056 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811307010 | Nermeen Nadeem Baseer | Pediatrics | 1477 N 2000 W Ste C, Clinton, UT 84015-9099 | 2014-04-28 |
| 1881945475 | Lighthouse Pediatric & After Hours Clinic, Pa | Pediatrics | 501 Springridge Rd, Clinton, MS 39056-5633 | 2012-09-24 |
| 1700146909 | Jessica Hutchison Crowe | Pediatrics | 2130 N Charles Seivers Boulevard, Suite 4, Clinton, TN 37716-6705 | 2012-05-22 |
| 1932466257 | Ashley Jane Jenkins | Pediatrics | 500 Plaza Cir Ste J, Clinton, SC 29325-7559 | 2012-04-12 |
| 1154633535 | Ejeehi Umobuarie | Pediatrics | 341 S 28th St, Clinton, OK 73601-3701 | 2010-07-13 |
| 1811083785 | Louisa Emefa Lawson | Pediatrics | 210 Clinton Blvd, Clinton, MS 39056-5126 | 2006-10-05 |
| 1902917206 | Jennifer K. Myers | Pediatrics | 539c Highway 80 W, Clinton, MS 39056-4193 | 2006-08-31 |
| 1447262878 | Christina Kay Neeley | Pediatrics | 500 Plaza Cir, Suite J, Clinton, SC 29325-7559 | 2006-08-13 |
| 1235166489 | Krishna Patel | Pediatrics | 40 Pittstown Road, Hunterdon Developmental Center, Clinton, NJ 08809-4008 | 2006-06-26 |
| 1083652630 | Piedmont Pediatrics of Laurens | Pediatrics | 996 Medical Ridge Road, Clinton, SC 29325 | 2006-06-04 |
| Find all providers in CLINTON | ||||
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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.