Mandy R Russell (NPI# 1235400532, PAC ID# 0042473787) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1235400532 |
| PAC ID by PECOS | 0042473787 |
| Professional Enrollment ID | I20130717000845 |
| Full Name | Mandy R Russell |
| Organization Legal Name | HARDIN COUNTY REGIONAL HEALTH CENTER |
| Address |
726 E Main St Adamsville TN 38310-2458 |
| Phone Number | 7319252300 |
| Gender | F |
| Graduation Year | 2011 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 3779490776 |
| Number of Group Practice Members | 19 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 440109 | HARDIN MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 726 E Main St, Adamsville, TN 38310-2458 | 7319252300 | HARDIN COUNTY REGIONAL HEALTH CENTER |
| 765 Florence Rd, Savannah, TN 38372-3451 | 7319262300 | HARDIN COUNTY REGIONAL HEALTH CENTER |
| Organization Legal Name | HARDIN COUNTY REGIONAL HEALTH CENTER |
| Physicians | 20 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jeanie B Warren | Clinical Social Worker | Hardin County Regional Health Center | 726 E Main St, Adamsville, TN 38310-2458 |
| Christa R Campbell | Clinical Social Worker | Hardin County Regional Health Center | 150 E End Dr, Savannah, TN 38372-1712 |
| Gilbert M Thayer | Emergency Medicine | Hardin County Regional Health Center | 105 Davis St, Savannah, TN 38372-1855 |
| Gregory Charles Mitchell | Emergency Medicine | Hardin County Regional Health Center | 765 Florence Rd, Savannah, TN 38372-3451 |
| Michael L Smith | Family Medicine | Hardin County Regional Health Center | 255 Wayne Rd, Savannah, TN 38372-1947 |
| Amie L Roland | Nurse Practitioner | Hardin County Regional Health Center | 726 E Main St, Adamsville, TN 38310-2458 |
| Malory Berry | Nurse Practitioner | Hardin County Regional Health Center | 765 Florence Rd, Savannah, TN 38372-3451 |
| Ionela Alina Halke | Family Medicine | Hardin County Regional Health Center | 765 Florence Rd, Savannah, TN 38372-3451 |
| Angela M Nixon | Nurse Practitioner | Hardin County Regional Health Center | 726 E Main St, Adamsville, TN 38310-2458 |
| Darin K Mclain | Physician Assistant | Hardin County Regional Health Center | 765 Florence Rd, Savannah, TN 38372-3451 |
| Street Address |
726 E MAIN ST |
| City | ADAMSVILLE |
| State | TN |
| Zip | 38310-2458 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jeanie B Warren | Clinical Social Worker | Hardin County Regional Health Center | 726 E Main St, Adamsville, TN 38310-2458 |
| Amie L Roland | Nurse Practitioner | Hardin County Regional Health Center | 726 E Main St, Adamsville, TN 38310-2458 |
| Angela M Nixon | Nurse Practitioner | Hardin County Regional Health Center | 726 E Main St, Adamsville, TN 38310-2458 |
| Thomas G Krueger | Chiropractic | 726 E Main St, Suite 10, Lebanon, OH 45036-1900 | |
| Stefan G Chevalier | Plastic and Reconstructive Surgery | 726 E Main St, Suite 201, Middletown, NY 10940-2654 | |
| Valerie R Barber | Physician Assistant | Hardin County Regional Health Center | 726 E Main St, Adamsville, TN 38310-2458 |
| Tomasz Pienkowski | Physical Therapy | 726 E Main St, Suite 102, Middletown, NY 10940-2654 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nicholas L Treece | Family Medicine | West Tennessee Medical Group, Inc | 710 E Main St, Adamsville, TN 38310-0000 |
| Wanda E Aristorenas | Nurse Practitioner | 135 W Main St, Adamsville, TN 38310-2203 | |
| Robin B Barnes | Chiropractic | 112 S Magnolia St, Adamsville, TN 38310-2214 |
| City | ADAMSVILLE |
| Zip Code | 38310 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | ADAMSVILLE + NURSE PRACTITIONER |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.