ROBERT C RUSSELL (NPI# 1700823879) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700823879 |
| Entity Type | Individual |
| Full Name | ROBERT C RUSSELL |
| Credential | M.D. |
| Practice Address |
320 E Carpenter St Springfield IL 62702-5185 |
| Practice Telephone | 2175230808 |
| Practice Fax Number | 2177535324 |
| Mailing Telephone | 2175230808 |
| Mailing Fax Number | 2177535324 |
| Enumeration Date | 2006-05-31 |
| Last Update Date | 2013-03-21 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2082S0105X |
Plastic Surgery Specialization: Surgery of the Hand |
036061657 | IL | Allopathic & Osteopathic Physicians |
| N | 208600000X | Surgery | 036061657 | IL | Allopathic & Osteopathic Physicians |
| Y | 2086S0122X |
Surgery Specialization: Plastic and Reconstructive Surgery |
036061657 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 036061657 | 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 |
| 1265420673 | Robert Irving Russell | Podiatrist | 1717 11th Ave South, Suite 402, Birmingham, AL 35205-4700 | 2005-10-10 |
| Street Address |
320 E CARPENTER ST |
| City | SPRINGFIELD |
| State | IL |
| Zip Code | 62702-5185 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528226222 | Jennifer S Lee Md LLC | Plastic Surgery | 320 E Carpenter St, Springfield, IL 62702-5185 | 2008-05-29 |
| 1891987988 | Gary Gummerman | Physical Therapist | 320 E Carpenter St, Suite 1-b, Springfield, IL 62702-5185 | 2007-08-13 |
| 1730225863 | Amy Renee Garner | Registered Nurse | 320 E Carpenter St, Suite 1a, Springfield, IL 62702-5185 | 2007-01-29 |
| 1396835641 | Robert C Russell M D S C | Surgery | 320 E Carpenter St, Springfield, IL 62702-5185 | 2006-10-14 |
| 1396856779 | John Aaron Woodard | Physical Therapist | 320 E Carpenter St, Springfield, IL 62702-5185 | 2006-08-31 |
| 1528070539 | Kyle Michael Johnson | Specialist/Technologist | 320 E Carpenter St, 1-b, Springfield, IL 62702-5185 | 2006-08-12 |
| 1295747863 | Watson Orthopaedics LLC | Orthopaedic Surgery | 320 E Carpenter St, Suite 1a, Springfield, IL 62702-5185 | 2006-08-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457866519 | Mohammad Jamal Uddin Ansari | Internal Medicine | 751 N Rutledge St Ste 400, Springfield, IL 62702 | 2017-12-11 |
| 1588105811 | Mickey Graphia | Surgery | 701 N 1st St # D346, Springfield, IL 62702 | 2017-03-20 |
| 1376908913 | Abdul Hannan | Internal Medicine | 315 W Carpenter St # B, Springfield, IL 62702 | 2015-12-28 |
| 1871986414 | Rachel Hoselton | Nurse Practitioner | 400 N 9th St Fl 4, Springfield, IL 62702 | 2015-03-06 |
| 1548697774 | Alyssa Wilson | Behavioral Analyst | 232 Bruns Lane, One Sparcenter Plaza, Springfield, IL 62702 | 2013-10-02 |
| 1174965446 | Amy Wilson | Speech-Language Pathologist | 2120 West Washington Street, Springfield, IL 62702 | 2013-07-26 |
| 1275898116 | Pele Boutrous Dina | Pediatrics | 415 N 9th St # 4w16, Springfield, IL 62702 | 2012-07-06 |
| 1427327733 | Brook D Croke | Genetic Counselor, MS | 400 N. 9th Street, 3rd Floor Clinic B, Springfield, IL 62702 | 2011-12-16 |
| 1629352604 | Renae M Sanchez | Pharmacist | 3216 East Clearlake Ave, Springfield, IL 62702 | 2011-10-07 |
| 1982915302 | William Leland Zelkovich | Radiology | 701 N 1st, Springfield, IL 62702 | 2010-06-30 |
| Find all providers in zip 62702 | ||||
| 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 |
|---|---|---|---|---|
| 1871781765 | Andrew J Kochevar | Surgery | 1229 E Seminole St Ste 340, Springfield, MO 65804 | 2007-10-04 |
| 1780066738 | Timothy Daugherty | Surgery | 747 N Rutledge St, Springfield, IL 62702-6700 | 2015-06-26 |
| 1730561796 | James Winters | Surgery | 747 N Rutledge St, Springfield, IL 62702-6700 | 2015-06-25 |
| 1205241221 | Lauren Hutchinson | Surgery | 747 N Rutledge St, Springfield, IL 62702-6700 | 2014-06-28 |
| 1568881407 | Connor Barnes | Surgery | 3555 S National Ave, Springfield, MO 65807-7310 | 2014-04-08 |
| 1265743140 | Abigail Maciolek Cochran | Surgery | 2901 Greenbriar Dr, Springfield, IL 62704-6425 | 2010-06-25 |
| 1366762932 | Pioneer Valley Plastic Surgery LLC | Surgery | 100 Wason Ave, Suite 360, Springfield, MA 01107-1119 | 2010-06-07 |
| 1881913002 | Steven J Covici Md Facs PC | Surgery | 125 Liberty St, Suite 308, Springfield, MA 01103-1114 | 2010-05-27 |
| 1689896144 | Erika Henkelman | Surgery | 747 N Rutledge St, Springfield, IL 62702-6700 | 2007-05-03 |
| 1497977888 | Joel Wietfeldt | Surgery | 2901 Greenbriar Dr, Springfield, IL 62704-6425 | 2007-05-03 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 62702 |
Please comment or provide details below to improve the information on ROBERT C 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.