Leslie Anderson Russell (NPI# 1730273160, PAC ID# 1759356421) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1730273160 |
| PAC ID by PECOS | 1759356421 |
| Professional Enrollment ID | I20110112000769 |
| Full Name | Leslie Anderson Russell |
| Organization Legal Name | INTEGRA IMAGING PS |
| Address |
2419 Mullan Rd Suite D Missoula MT 59808-1856 |
| Phone Number | 5093637788 |
| Gender | F |
| Medical School | ST. LOUIS COLLEGE OF PHYSICIANS AND SURGEONS |
| Graduation Year | 1988 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 1355593062 |
| Number of Group Practice Members | 102 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 500054 | PROVIDENCE SACRED HEART MEDICAL CENTER |
| 500058 | KADLEC REGIONAL MEDICAL CENTER |
| 501331 | PULLMAN REGIONAL HOSPITAL |
| 501310 | NEWPORT COMMUNITY HOSPITAL |
| 500077 | PROVIDENCE HOLY FAMILY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1101 26th St S, Great Falls, MT 59405-5161 | 4067318401 | RADIOLOGY MONTANA PC |
| 2419 Mullan Rd, Suite D, Missoula, MT 59808-1856 | 5093637788 | INTEGRA IMAGING PS |
| 2419 Mullan Rd, Suite D, Missoula, MT 59808-1856 | INLAND IMAGING LLC | |
| 1145 Broadway, 2l, Seattle, WA 98122-4201 | 2068604545 | THE POLYCLINIC |
| 1200 12th Ave S, Seattle, WA 98144-2712 | 5093637745 | INTEGRA IMAGING PS |
| 525 S Cowley St, Spokane, WA 99202-1381 | 5097474455 | INLAND IMAGING LLC |
| Organization Legal Name | INTEGRA IMAGING PS |
| Physicians | 86 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Timothy S Gormley | Diagnostic Radiology | Integra Imaging Ps | 801 S Stevens St, Spokane, WA 99204-2654 |
| Paula J Shepherd | Diagnostic Radiology | Integra Imaging Ps | 11012 Se 31st St, Bellevue, WA 98004-7540 |
| Jodi L Bailey | Diagnostic Radiology | Integra Imaging Ps | 500 E Webster Ave, Chewelah, WA 99109-9523 |
| Joel A Brake | Diagnostic Radiology | Integra Imaging Ps | 2419 Mullan Rd, Suite D, Missoula, MT 59808-1856 |
| Gregory M Sterne | Diagnostic Radiology | Integra Imaging Ps | 1145 W Broadway, Seattle, WA 98122-4201 |
| Scott H Carleton | Diagnostic Radiology | Integra Imaging Ps | 31833 Gateway Ctr Blvd S, Federal Way, WA 98003-5616 |
| Mark W Elliott | Diagnostic Radiology | Integra Imaging Ps | 2419 Mullan Rd, Suite D, Missoula, MT 59808-1856 |
| Jason S Vergnani | Diagnostic Radiology | Integra Imaging Ps | 1200 12th Ave S, Seattle, WA 98144-2712 |
| Gurpreet S Dhillon | Diagnostic Radiology | Integra Imaging Ps | 2419 Mullan Rd, Suite D, Missoula, MT 59808-1856 |
| Sadaf F Zaidi | Diagnostic Radiology | Integra Imaging Ps | 500 E Webster Ave, Chewelah, WA 99109-9523 |
| Street Address |
2419 MULLAN RD SUITE D |
| City | MISSOULA |
| State | MT |
| Zip | 59808-1856 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joel A Brake | Diagnostic Radiology | Integra Imaging Ps | 2419 Mullan Rd, Suite D, Missoula, MT 59808-1856 |
| Mark W Elliott | Diagnostic Radiology | Integra Imaging Ps | 2419 Mullan Rd, Suite D, Missoula, MT 59808-1856 |
| Gurpreet S Dhillon | Diagnostic Radiology | Integra Imaging Ps | 2419 Mullan Rd, Suite D, Missoula, MT 59808-1856 |
| Newton B Coutinho | Cardiovascular Disease (cardiology) | 2419 Mullan Rd, Suite A, Missoula, MT 59808-1856 | |
| Stephanie M Simonson | Diagnostic Radiology | Inland Imaging LLC | 2419 Mullan Rd, Suite D, Missoula, MT 59808-1856 |
| Paul H Eikens | Diagnostic Radiology | Integra Imaging Ps | 2419 Mullan Rd, Suite D, Missoula, MT 59808-1856 |
| Michael A Stewart | Diagnostic Radiology | Integra Imaging Ps | 2419 Mullan Rd, Suite D, Missoula, MT 59808-1856 |
| Jace D Hilton | Diagnostic Radiology | Integra Imaging Ps | 2419 Mullan Rd, Suite D, Missoula, MT 59808-1856 |
| Kyle L Dale | Diagnostic Radiology | Integra Imaging Ps | 2419 Mullan Rd, Suite D, Missoula, MT 59808-1856 |
| Sarsfield P Dougherty | Diagnostic Radiology | Integra Imaging Ps | 2419 Mullan Rd, Suite D, Missoula, MT 59808-1856 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jeffrey Devin Redshaw | Urology | Five Valleys Urology | 2875 Tina Rd, Suite 101, Missoula, MT 59808 |
| Karl Roy Westenfelder | Urology | Five Valleys Urology | 2875 Tina Rd, Suite 101, Missoula, MT 59808 |
| Kevin M Kronner | Urology | Five Valleys Urology | 2875 Tina Rd, Suite 101, Missoula, MT 59808 |
| Whitney C Martin | Physician Assistant | Five Valleys Urology | 2875 Tina Rd, Suite 101, Missoula, MT 59808 |
| Richard L Wiesemann | Physician Assistant | Five Valleys Urology | 2875 Tina Rd, Suite 101, Missoula, MT 59808 |
| Christopher George Wicher | Urology | Five Valleys Urology | 2875 Tina Rd, Suite 101, Missoula, MT 59808 |
| Garrick Richard Simmons | Urology | Five Valleys Urology | 2875 Tina Rd, Suite 101, Missoula, MT 59808 |
| David I Croteau | Family Medicine | Rchp Billings - Missoula LLC | 2230 N Reserve St, Suite 402, Missoula, MT 59808-1364 |
| Karin M Johns | Physician Assistant | Rchp Billings - Missoula LLC | 2230 N Reserve St, Suite 402, Missoula, MT 59808-1364 |
| Kelly Marie Gregory | Nurse Practitioner | Rchp Billings - Missoula LLC | 2230 N Reserve St, Suite 402, Missoula, MT 59808-1364 |
| Find all physicians in zip 59808 | |||
| City | MISSOULA |
| Zip Code | 59808 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | MISSOULA + DIAGNOSTIC RADIOLOGY |
Please comment or provide details below to improve the information on Leslie Anderson 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.