DR. RUSSELL J PROCTOR (NPI# 1962511790) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962511790 |
| Entity Type | Individual |
| Full Name | DR. RUSSELL J PROCTOR |
| Credential | MD |
| Practice Address |
1711 N Mckenzie St Ste 102 Foley AL 36535-2282 |
| Practice Telephone | 2519526653 |
| Practice Fax Number | 2519526651 |
| Mailing Telephone | 2519526653 |
| Mailing Fax Number | 2519526651 |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2020-09-29 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
18875 | AL | Allopathic & Osteopathic Physicians |
| N | 207RS0012X |
Internal Medicine Specialization: Sleep Medicine |
18875 | AL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | MEDICARE GROUP | L050 | 01 |
| AL | MEDICAID GROUP | 529931840 | 01 |
| AL | 051557066 | 05 | |
| AL | 253177 | 05 |
| Street Address |
1711 N MCKENZIE ST STE 102 |
| City | FOLEY |
| State | AL |
| Zip Code | 36535-2282 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043248420 | George C Graves | Psychiatry & Neurology | 1711 N Mckenzie St Ste 102, Foley, AL 36535-2282 | 2006-06-28 |
| 1528446499 | Sharon Silverman | Nurse Practitioner | 1711 N Mckenzie St Ste 102, Foley, AL 36535-2282 | 2015-05-12 |
| 1710244983 | Regina Valentine Felkner | Internal Medicine | 1711 N Mckenzie St Ste 102, Foley, AL 36535-2282 | 2012-04-12 |
| 1457625097 | Kathleen Blair Parks | Nurse Practitioner | 1711 N Mckenzie St Ste 102, Foley, AL 36535-2282 | 2012-02-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841800273 | Symbol Health Solutions, L.lc. | Clinic/Center | 910 Vulcan St, Foley, AL 36535 | 2020-07-31 |
| 1437614245 | Publix Alabama, LLC | Durable Medical Equipment & Medical Supplies | 2614 S. Mckenzie St., Foley, AL 36535 | 2019-02-06 |
| 1811471360 | Jenny Murphy Smith | Nurse Practitioner | 8158 State Hwy 59 #107, Foley, AL 36535 | 2018-09-20 |
| 1205337904 | Susan Denise Corbin | Social Worker | 623a West Laurel Aveune, Foley, AL 36535 | 2018-02-27 |
| 1841728904 | Candice Marie Osborne | Pharmacist | 2200 South Mckenzie Street, Foley, AL 36535 | 2017-06-01 |
| 1043760622 | Clay Dental | Dentist | 7801 Highway 59, Suite F, Foley, AL 36535 | 2016-10-07 |
| 1487063996 | Gulf Coast Specialty Pharmacy LLC | Pharmacy | 110-a East Azalea Ave, Foley, AL 36535 | 2014-08-08 |
| 1699180315 | Emerald Sands Medical Center | Clinic/Center | 8158 Us Hwy 59, Suite 107, Foley, AL 36535 | 2014-06-23 |
| 1134532807 | Allison Burgess | Nurse Practitioner | 8158 Us Highway 59, Suite 107, Foley, AL 36535 | 2014-06-10 |
| 1346675196 | Gary A. Eberly, Md PC | Pediatrics | 1090 E Laurel Ave., Foley, AL 36535 | 2013-09-12 |
| Find all providers in zip 36535 | ||||
| Taxonomy Code | 207RP1001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Pulmonary Disease |
| An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750552543 | Baldwin County Pulmonary and Sleep Physicians, PC | Internal Medicine | 1298 N Mckenzie St, Foley, AL 36535-3503 | 2008-03-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033680723 | David Patton | Internal Medicine | 3340 E Briarcliff Rd, Mountain Brk, AL 35223-1307 | 2018-12-06 |
| 1245780972 | Victoria Rusanov | Internal Medicine | 1720 2nd Ave S # Tht-422, Birmingham, AL 35294-0004 | 2016-10-05 |
| 1396086914 | Alex David Russakoff | Internal Medicine | 4220 Gaines Mill Cir, Mountain Brk, AL 35213-1822 | 2013-03-06 |
| 1447518105 | Adrian Alton Cargill Jr. | Internal Medicine | 3368 Highway 280 Ste 209, Alexander City, AL 35010-3375 | 2012-05-01 |
| 1073783015 | Maria Guevara | Internal Medicine | 2016 Grove Park Way, Birmingham, AL 35242-2481 | 2008-03-05 |
| 1154524247 | Brian Dent Flanagan | Internal Medicine | 100 Pilot Medical Dr Ste 100, Birmingham, AL 35235 | 2007-06-07 |
| 1083779839 | Jean Anna Newsome | Internal Medicine | 2018 Medical Center Dr, Professional Office Bldg Suite 115, Birmingham, AL 35209 | 2006-12-22 |
| 1689738940 | Pulmonary Medicine Associates PC | Internal Medicine | 1022 1st Street No, Suite 401, Alabaster, AL 35007-8718 | 2006-12-21 |
| 1417025933 | James Edward Boyle | Internal Medicine | 1101 Somerville Rd Se, Decatur, AL 35601-3242 | 2006-12-01 |
| 1932218286 | Emily Kahler Rehberg | Internal Medicine | 315 W Fort Williams St Ste 200, Sylacauga, AL 35150-2433 | 2006-08-30 |
| 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.