Mary C Russell (NPI# 1154396778, PAC ID# 0749230712) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1154396778 |
| PAC ID by PECOS | 0749230712 |
| Professional Enrollment ID | I20101006000879 |
| Full Name | Mary C Russell |
| Organization Legal Name | THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY |
| Address |
12925 Hwy 601 300 Midland NC 28107-9536 |
| Phone Number | 7048883702 |
| Gender | F |
| Credential | MD |
| Medical School | NORTH CAROLINA MEDICAL SCHOOL |
| Graduation Year | 2000 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 2961310685 |
| Number of Group Practice Members | 429 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 340113 | CAROLINAS MEDICAL CENTER/BEHAV HEALTH |
| 340001 | CAROLINAS MEDICAL CENTER-NORTHEAST |
| Address | Phone | Organization |
|---|---|---|
| 12925 Hwy 601 300, Midland, NC 28107-9536 | 7048883702 | THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY |
| Organization Legal Name | THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY |
| Physicians | 440 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Shirley Eugene | Family Medicine | The Charlotte-mecklenburg Hospital Authority | 340 Jake Alexander W Blvd, Salisbury, NC 28147-1364 |
| Amanda Renee Gordon | Nurse Practitioner | The Charlotte-mecklenburg Hospital Authority | 315 Medical Park Dr, Suite 202, Concord, NC 28025-2973 |
| Ariel Catherine Haddad | Obstetrics/gynecology | The Charlotte-mecklenburg Hospital Authority | 1054 Burrage Nerd, Concord, NC 28025-2910 |
| Dennis Joseph Charette | Family Medicine | The Charlotte-mecklenburg Hospital Authority | 412 E Franklin St, Franklin St Ambulatory Clinic, Monroe, NC 28112-5600 |
| Armida G Parala-metz | Hospice/palliative Care | The Charlotte-mecklenburg Hospital Authority | 275 Hwy 16 N, Suite 202, Denver, NC 28037-3002 |
| Jameel F Audeh | Medical Oncology | The Charlotte-mecklenburg Hospital Authority | 181 Daniel Rd, Suite 100, Forest City, NC 28043-7151 |
| Samantha Jo Lane | Internal Medicine | The Charlotte-mecklenburg Hospital Authority | 3020 Weddington Rd, Concord, NC 28027-8158 |
| Jennifer B Hale | General Surgery | The Charlotte-mecklenburg Hospital Authority | 920 Church N St, 255a, Concord, NC 28025-2927 |
| Lucy N Fancourt | Nurse Practitioner | The Charlotte-mecklenburg Hospital Authority | 888 Church St N, Concord, NC 28025-4350 |
| Ali Reza Golshayan | Medical Oncology | The Charlotte-mecklenburg Hospital Authority | 2610 Aberdeen Blvd, Gastonia, NC 28054-0637 |
| Street Address |
12925 HWY 601 300 |
| City | MIDLAND |
| State | NC |
| Zip | 28107-9536 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stacy Lee Fernandez | Nurse Practitioner | The Charlotte-mecklenburg Hospital Authority | 12925 Hwy 601 300, Midland, NC 28107-9536 |
| Gregory A Russell | Family Medicine | The Charlotte-mecklenburg Hospital Authority | 12925 Hwy 601 300, Midland, NC 28107-9536 |
| City | MIDLAND |
| Zip Code | 28107 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | MIDLAND + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Mary C Russell.
| 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.