DR. MICHAEL EDWARD RUSSELL II (NPI# 1720076052) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720076052 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL EDWARD RUSSELL II |
| Credential | MD |
| Practice Address |
3414 Golden Rd Tyler TX 75701-8336 |
| Mailing Address |
Po Box 130189 Tyler TX 75713-0189 |
| Practice Telephone | 9039397500 |
| Practice Fax Number | 9039397728 |
| Mailing Telephone | 9039397500 |
| Mailing Fax Number | 9039397728 |
| Enumeration Date | 2005-10-11 |
| Last Update Date | 2019-01-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XS0117X |
Orthopaedic Surgery Specialization: Orthopaedic Surgery of the Spine |
J2290 | TX | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4800 Ne Stallings Dr Ste 110, Nacogdoches, TX 759651250 | 9039397500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003374265 | Michael Russell | Surgery | 747 Broadway Heath Building 10th Floor, Seattle, WA 98122 | 2019-03-06 |
| 1518279215 | Michael Russell | Psychologist | 4951 Chambers Street - 6th Floor, Ny, NY 10007-1209 | 2010-07-10 |
| 1245414093 | Michael Russell | Non-emergency Medical Transport (VAN) | 4588 N 23rd St, Milwaukee, WI 53209-6201 | 2007-12-27 |
| 1124242821 | Michael Dennis Russell | Chiropractor | 1164 Monroe St, Suite #1, Salinas, CA 93906-3565 | 2007-04-12 |
| 1831282441 | Michael Guy Russell | Social Worker | 8 West Monroe, #907, Chicago, IL 60603 | 2006-10-02 |
| 1962502880 | Michael A Russell | Chiropractor | 18624 Detroit Ave, Lakewood, OH 44107-3202 | 2006-09-22 |
| 1134139157 | Michael A Russell | Dentist | 2240 N Highway 89, Suite A, Harrisville, UT 84404-2651 | 2006-08-09 |
| 1285640128 | Michael Russell | Counselor | 207 Rock Prairie Rd, Suite B, College Station, TX 77845-8777 | 2006-07-31 |
| 1255304887 | Michael Lee Russell Sr. | Clinical Neuropsychologist | Hq, Tradoc, Suite 412 Atbo-m, Bldg 82, 60 Ingalls Road, Fort Monroe, VA 23651-1032 | 2006-02-13 |
| 1174164222 | Michael Cody Russell | Counselor | 1235 E St, Fresno, CA 93706-2024 | 2019-09-30 |
| Street Address |
3414 GOLDEN RD |
| City | TYLER |
| State | TX |
| Zip Code | 75701-8336 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487640173 | James Robert Harris | Orthopaedic Surgery | 3414 Golden Rd, Tyler, TX 75701-8336 | 2005-09-27 |
| 1104433739 | Ortholonestar, Pllc | Orthopaedic Surgery | 3414 Golden Rd, Tyler, TX 75701-8336 | 2020-09-28 |
| 1912528498 | Brooke Nicole Mcdaniel | Occupational Therapy Assistant | 3414 Golden Rd, Tyler, TX 75701-8336 | 2020-05-06 |
| 1912526153 | Iana G Harris | Physician Assistant | 3414 Golden Rd, Tyler, TX 75701-8336 | 2020-04-08 |
| 1104450832 | Lindsey Michelle Markel | Nurse Practitioner | 3414 Golden Rd, Tyler, TX 75701-8336 | 2020-03-03 |
| 1568009058 | East Texas First Surgical Support Pllc | Physician Assistant | 3414 Golden Rd, Tyler, TX 75701-8336 | 2019-12-04 |
| 1770144701 | Olsv3 Pllc | Orthopaedic Surgery | 3414 Golden Rd, Tyler, TX 75701-8336 | 2019-06-20 |
| 1740840651 | Samantha Anderson Ray | Physician Assistant | 3414 Golden Rd, Tyler, TX 75701-8336 | 2019-06-13 |
| 1326540097 | Jennifer Marie Mckelva | Physician Assistant | 3414 Golden Rd, Tyler, TX 75701-8336 | 2018-03-08 |
| 1730601790 | Justin Alan Williams | Nurse Practitioner | 3414 Golden Rd, Tyler, TX 75701-8336 | 2017-07-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962057059 | Gonzalo Fernandez | Physical Therapy Assistant | 753 S Beckham Ave, Tyler, TX 75701 | 2019-08-06 |
| 1215422654 | Adrianna Bussell | Nurse Practitioner | 1000 South Beckham, Tyler, TX 75701 | 2018-06-28 |
| 1285128017 | Idowu Akintokunbo Akinyele | Dentist | Aspen Dental, 4164 S Broadway Ave, Tyler, TX 75701 | 2018-06-15 |
| 1992208912 | Heather Renee Vancleave | Occupational Therapy Assistant | 1228 Louann Lane, Tyler, TX 75701 | 2018-03-15 |
| 1497260533 | Smile Workshop Mckinney, Pllc | Dentist | 301 N. Custer Rd, Mckinney, TX 75701 | 2017-12-12 |
| 1396266441 | Eye Surgery Center of East Texas, Pllc | Clinic/Center | 2448 E 5th St, Tyler, TX 75701 | 2017-06-29 |
| 1962936369 | Collins Complete Family Care | Nurse Practitioner | 1910 E Se Loop 323 # 176, Tyler, TX 75701 | 2017-04-12 |
| 1386187052 | Fellowship Health Team LLC | Home Health | 1124 S Fleishel Ave, Tyler, TX 75701 | 2016-11-29 |
| 1205382454 | Brenton Robinson | Nurse Practitioner | 1100 East Lake St, 160, Tyler, TX 75701 | 2016-08-28 |
| 1851846208 | Care First Pharmacy, LLC | Pharmacy | 1910 Roseland Blvd A, Tyler, TX 75701 | 2016-08-15 |
| Find all providers in zip 75701 | ||||
| Taxonomy Code | 207XS0117X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Orthopaedic Surgery of the Spine |
| Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326488123 | Marcel Wiley | Orthopaedic Surgery | 3414 Golden Rd, Tyler, TX 75701-8336 | 2013-06-26 |
| 1558590976 | Michael Thomas Merrick | Orthopaedic Surgery | 3414 Golden Rd, Tyler, TX 75701-8336 | 2009-07-07 |
| 1730177056 | Todd Martin Raabe | Orthopaedic Surgery | 3414 Golden Rd, Tyler, TX 75701-8336 | 2005-10-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336761584 | Jfc Medical, Pllc | Orthopaedic Surgery | 6470 Naples Dr, Irving, TX 75039-4167 | 2020-05-11 |
| 1740812221 | Granthem Pllc | Orthopaedic Surgery | 8440 Walnut Hill Ln Ste 230, Dallas, TX 75231-3816 | 2020-02-12 |
| 1184270845 | Spine Dfw Pa | Orthopaedic Surgery | 440 W Lbj Fwy Ste 465, Irving, TX 75063-3869 | 2019-08-16 |
| 1083268338 | Mp Surgical Assists LLC | Orthopaedic Surgery | 4012 Duval St Unit B, Austin, TX 78751-5110 | 2019-07-25 |
| 1215405402 | Houston Scoliosis & Spine Institute, LLC | Orthopaedic Surgery | 3534 Vista Rd Ste 2000, Pasadena, TX 77504-1728 | 2018-11-06 |
| 1306332481 | Craig C Callewart Md Pa | Orthopaedic Surgery | 17051 Dallas Pkwy Ste 420, Addison, TX 75001-7115 | 2018-07-02 |
| 1013415397 | Total Joint Cin of West Texas LLC | Orthopaedic Surgery | 18911 Hardy Oak Blvd # B, San Antonio, TX 78258-4967 | 2018-01-31 |
| 1750889036 | Total Joint Cin of Austin LLC | Orthopaedic Surgery | 401 Congress Ave Ste 1540b, Austin, TX 78701-4071 | 2018-01-31 |
| 1578071452 | Spine Cin of West Texas LLC | Orthopaedic Surgery | 18911a Hardy Oak Blvd, San Antonio, TX 78258-4966 | 2018-01-13 |
| 1205344181 | Spine Cin of Austin LLC | Orthopaedic Surgery | 401 Congress Ave # 1540a, Austin, TX 78701-4071 | 2018-01-13 |
| Find all providers with the same taxonomy | ||||
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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.