Alan David Russakov (NPI# 1780624981, PAC ID# 5395751036) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL MEDICINE AND REHABILITATION.
| Nation Provider ID (NPI) | 1780624981 |
| PAC ID by PECOS | 5395751036 |
| Professional Enrollment ID | I20060303000597 |
| Full Name | Alan David Russakov |
| Organization Legal Name | COASTAL ORTHOPAEDICS AND SPINAL SURGERY PA |
| Address |
612 B Mccarthy Blvd New Bern NC 28561-5231 |
| Phone Number | 2526351788 |
| Gender | M |
| Credential | MD |
| Medical School | OHIO STATE UNIVERSITY COLLEGE OF MEDICINE |
| Graduation Year | 1971 |
| Primary Specialty | PHYSICAL MEDICINE AND REHABILITATION |
| Group Practice PAC ID | 5092785451 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 612 B Mccarthy Blvd, New Bern, NC 28561-5231 | 2526351788 | COASTAL ORTHOPAEDICS AND SPINAL SURGERY PA |
| Organization Legal Name | COASTAL ORTHOPAEDICS AND SPINAL SURGERY PA |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brian Battersby Jr. | Orthopedic Surgery | Coastal Orthopaedics and Spinal Surgery Pa | 612 B Mccarthy Blvd, New Bern, NC 28561-5231 |
| Brian F Mara | Physical Therapy | Coastal Orthopaedics and Spinal Surgery Pa | 612 B Mccarthy Blvd, New Bern, NC 28561-5231 |
| Susan Elaine Herman | Physical Therapy | Coastal Orthopaedics and Spinal Surgery Pa | 612 B Mccarthy Blvd, New Bern, NC 28561-5231 |
| Sean M Mcqueeney | Physical Therapy | Coastal Orthopaedics and Spinal Surgery Pa | 612 B Mccarthy Blvd, New Bern, NC 28561-5231 |
| Street Address |
612 B MCCARTHY BLVD |
| City | NEW BERN |
| State | NC |
| Zip | 28561-5231 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brian Battersby Jr. | Orthopedic Surgery | Coastal Orthopaedics and Spinal Surgery Pa | 612 B Mccarthy Blvd, New Bern, NC 28561-5231 |
| Brian F Mara | Physical Therapy | Coastal Orthopaedics and Spinal Surgery Pa | 612 B Mccarthy Blvd, New Bern, NC 28561-5231 |
| Susan Elaine Herman | Physical Therapy | Coastal Orthopaedics and Spinal Surgery Pa | 612 B Mccarthy Blvd, New Bern, NC 28561-5231 |
| Sean M Mcqueeney | Physical Therapy | Coastal Orthopaedics and Spinal Surgery Pa | 612 B Mccarthy Blvd, New Bern, NC 28561-5231 |
| City | NEW BERN |
| Zip Code | 28561 |
| Specialty | PHYSICAL MEDICINE AND REHABILITATION |
| City + Specialty | NEW BERN + PHYSICAL MEDICINE AND REHABILITATION |
Please comment or provide details below to improve the information on Alan David Russakov.
| 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.