ROGER BIVINS RUSSELL (NPI# 1588668529) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588668529 |
| Entity Type | Individual |
| Full Name | ROGER BIVINS RUSSELL |
| Credential | MD |
| Practice Address |
3633 Harden Rd Ste 200 Raleigh NC 27607-3369 |
| Practice Telephone | 9197850505 |
| Practice Fax Number | 9197850205 |
| Mailing Telephone | 9197850505 |
| Mailing Fax Number | 9197850205 |
| Enumeration Date | 2005-06-08 |
| Last Update Date | 2010-12-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0122X |
Surgery Specialization: Plastic and Reconstructive Surgery |
27515 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | BCBS | 74061 | 01 |
| NC | 8974061 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093909434 | Roger T Russell | Dentist | 1956 Berkeley St, Salt Lake City, UT 84108-3202 | 2007-08-29 |
| 1912987397 | Roger Alan Russell | Chiropractor | 715 Mall Ring Circle, Suite 205, Henderson, NV 89014 | 2006-01-20 |
| 1871576439 | Roger Jay Russell | Physical Therapist | 124 Stone St, Walla Walla, WA 99362-4169 | 2005-11-28 |
| 1598746406 | Roger Keith Russell | Anesthesiology | 243 Charles Street, Meei Dept of Anesthesiology Suite 712, Boston, MA 02114 | 2005-11-08 |
| 1396746947 | Roger A Russell | Psychologist | 1049 N 3rd St, Ste 505, Abilene, TX 79601-5833 | 2005-08-04 |
| Street Address |
3633 HARDEN RD STE 200 |
| City | RALEIGH |
| State | NC |
| Zip Code | 27607-3369 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679577613 | Richard Edward Carlino | Surgery | 3633 Harden Rd, Ste 200, Raleigh, NC 27607-3369 | 2005-06-08 |
| 1629395561 | Sanjay Venkat Daluvoy | Surgery | 3633 Harden Rd, #200, Raleigh, NC 27607-3369 | 2010-05-03 |
| 1679730907 | Matthew West Blanton | Plastic Surgery | 3633 Harden Rd, Suite 200, Raleigh, NC 27607-3369 | 2008-05-22 |
| 1760652374 | Brian S. Wood | Physician Assistant | 3633 Harden Rd, Suite 102, Raleigh, NC 27607-3369 | 2008-03-11 |
| 1013067784 | Orthopaedic and Sports Medicine Associates, Pllc | Specialist | 3633 Harden Rd, Suite 102, Raleigh, NC 27607-3369 | 2007-01-12 |
| 1871695486 | Sheela John Thomas | Nurse Practitioner | 3633 Harden Rd, Suite 100, Raleigh, NC 27607-3369 | 2006-09-03 |
| 1982628921 | Edward A Hedrick | Physician Assistant | 3633 Harden Rd, Suite 102, Raleigh, NC 27607-3369 | 2006-07-26 |
| 1073566766 | Robert Joseph Caudle | Orthopaedic Surgery | 3633 Harden Rd, Suite 102, Raleigh, NC 27607-3369 | 2006-05-17 |
| 1760482210 | Specialists In Plastic Surgery Pa | Specialist | 3633 Harden Rd, Ste 200, Raleigh, NC 27607-3369 | 2005-07-27 |
| 1396749339 | Donald L Oschwald Jr. | Surgery | 3633 Harden Rd, Ste 200, Raleigh, NC 27607-3369 | 2005-06-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972093144 | Kyndra Lawson | Behavior Technician | 5121 Kingdom Way, Suite 100, Raleigh, NC 27607 | 2018-05-14 |
| 1578082905 | Margaret Roberts Bova | Dietitian, Registered | 4207 Lake Boone Trail, Suite 210, Raleigh, NC 27607 | 2017-09-18 |
| 1184141897 | Chricat Garrard | Nurse Practitioner | 4207 Lake Boone Trl Ste 200, Raleigh, NC 27607 | 2017-08-23 |
| 1487178620 | John Patrick Morton | Pharmacist | 2411 Landmark Dr, Raleigh, NC 27607 | 2017-07-31 |
| 1023538857 | Heather Margaret Mazzola | Audiologist | 7800 Lake Boone Trail, 100, Raleigh, NC 27607 | 2017-06-22 |
| 1790216984 | North Carolina Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 2411 Landmark Drive, Raleigh, NC 27607 | 2017-03-21 |
| 1558819516 | Corilin Nocito Meggitt | Nurse Practitioner | 4505 Fair Meadows Ln Ste 102, Raleigh, NC 27607 | 2016-09-19 |
| 1942757034 | Stacie Walker | Obstetrics & Gynecology | 4414 Lake Boone Trl Ste 311, Raleigh, NC 27607 | 2016-09-06 |
| 1831644533 | Alisa Smajlagic Howe | Nurse Practitioner | 4210 Lake Boone Trail, Rex Rehab & Nursing Center, Raleigh, NC 27607 | 2016-08-23 |
| 1235598632 | Yoseph Saleh | Dentist | 107 Minden Ln, Raleigh, NC 27607 | 2016-02-15 |
| Find all providers in zip 27607 | ||||
| Taxonomy Code | 2086S0122X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Plastic and Reconstructive Surgery |
| A surgeon who specializes in plastic and reconstructive surgery. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396829271 | Michael Zenn | Surgery | 7920 Acc Blvd Ste 110, Raleigh, NC 27617-8744 | 2006-10-25 |
| 1679577613 | Richard Edward Carlino | Surgery | 3633 Harden Rd, Ste 200, Raleigh, NC 27607-3369 | 2005-06-08 |
| 1629395561 | Sanjay Venkat Daluvoy | Surgery | 3633 Harden Rd, #200, Raleigh, NC 27607-3369 | 2010-05-03 |
| 1861680928 | Benjamin Chadwick Wood | Surgery | 2304 Wesvill Ct, Suite 360, Raleigh, NC 27607-0058 | 2007-10-12 |
| 1801086905 | Kristen Marie Rezak | Surgery | 3404 Wake Forest Rd, Raleigh, NC 27609-7340 | 2007-07-26 |
| 1225100308 | Juan Antonio Ortiz | Surgery | 9104 Falls of Neuse Rd, Ste 204, Raleigh, NC 27615-2493 | 2006-11-14 |
| 1396749339 | Donald L Oschwald Jr. | Surgery | 3633 Harden Rd, Ste 200, Raleigh, NC 27607-3369 | 2005-06-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447813753 | Kds Aesthetics, Pllc | Surgery | 2806b Wooten Blvd., Wilson, NC 27893-8624 | 2019-04-22 |
| 1124681689 | Cami Surgery Center, Pllc | Surgery | 8712 Lindholm Dr Ste 308, Huntersville, NC 28078-1872 | 2019-04-19 |
| 1154777936 | Shuting Zhong | Surgery | 130 Manson Farm Rd # 2100, Chapel Hill, NC 27599-0001 | 2016-05-10 |
| 1205216173 | Henry Neale Sr. | Surgery | 117 Shenandoah Terrace, Montreat, NC 28757 | 2015-06-04 |
| 1689940603 | Asheville Aesthetic Plastic Surgery | Surgery | 108 Yorkshire Street, Suite D, Asheville, NC 28803-2759 | 2012-03-23 |
| 1245428358 | Jeyhan S Wood | Surgery | 7033 Burnett Womack Bldg Cb 7195, Chapel Hill, NC 27599-0001 | 2007-10-15 |
| 1255528477 | Rutherford Hospital, Inc. | Surgery | 128 Doctor Henry Norris Dr, Rutherfordton, NC 28139-3165 | 2007-10-02 |
| 1215144670 | David Hardman Harley | Surgery | 13620 Reese Blvd E, Suite 110, Bldg Xii, Huntersville, NC 28078-6417 | 2007-05-16 |
| 1043356868 | Tor Martin Ljung | Surgery | 6752 Parker Farm Dr # 200, Wilmington, NC 28405-3175 | 2007-01-29 |
| 1669538971 | Southland Plastic Surgery | Surgery | 501 North Aspen St, Lincolnton, NC 28092-2105 | 2006-12-29 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on ROGER BIVINS RUSSELL.
| 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.