James M Russell (NPI# 1457334732, PAC ID# 6305933441) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1457334732 |
| PAC ID by PECOS | 6305933441 |
| Professional Enrollment ID | I20071106000422 |
| Full Name | James M Russell |
| Organization Legal Name | MCCLOW CLARK AND BERK PA |
| Address |
1786 Blanding Blvd Suite K2 B Middleburg FL 32068-3804 |
| Phone Number | 9044506940 |
| Gender | M |
| Medical School | UNIVERSITY OF NEVADA SCHOOL OF MEDICINE |
| Graduation Year | 2001 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 4587607577 |
| Number of Group Practice Members | 18 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100040 | ST VINCENT'S MEDICAL CENTER RIVERSIDE |
| 100321 | ST VINCENTS MEDICAL CENTER - CLAY COUNTY |
| 100307 | ST VINCENT'S MEDICAL CENTER SOUTHSIDE |
| 100088 | BAPTIST MEDICAL CENTER JACKSONVILLE |
| 100134 | ED FRASER MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1800 Barrs St, Jacksonville, FL 32204-4704 | 9043087300 | MCCLOW CLARK AND BERK PA |
| 4201 Belford Rd, Jacksonville, FL 32216-1431 | 9042963700 | MCCLOW CLARK AND BERK PA |
| 4427 Catheys Club Ln, Jacksonville, FL 32224-5670 | 9043886949 | MCCLOW CLARK AND BERK PA |
| 1670 St Vincent Way, Middleburg, FL 32068-8447 | 9043081219 | MCCLOW CLARK AND BERK PA |
| 1786 Blanding Blvd, Suite K2 B, Middleburg, FL 32068-3804 | 9044506940 | MCCLOW CLARK AND BERK PA |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_145_overall | Radiology: Exposure Dose or Time Reported for Procedures Using Fluoroscopy | 62% | |
| MIPS_EC_195_overall | Radiology: Stenosis Measurement in Carotid Imaging Reports | 98% | |
| MIPS_EC_225_overall | Radiology: Reminder System for Screening Mammograms | 87% | |
| MIPS_EC_436_overall | Radiation Consideration for Adult CT: Utilization of Dose Lowering Techniques | 95% |
| Organization Legal Name | MCCLOW CLARK AND BERK PA |
| Physicians | 17 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sherri Chafin | Diagnostic Radiology | Mcclow Clark and Berk Pa | 105 Marsh Reed Ln, Ponte Vedra Beach, FL 32082-2173 |
| Nathan T Roth | Diagnostic Radiology | Mcclow Clark and Berk Pa | 1800 Barrs St, Jacksonville, FL 32204-4704 |
| Zachary E Brown | Diagnostic Radiology | Mcclow Clark and Berk Pa | 1786 Blanding Blvd, Suite K2 B, Middleburg, FL 32068-3804 |
| Michael T Donohue | Diagnostic Radiology | Mcclow Clark and Berk Pa | 1993 Salt Myrtle Ln, Fleming Island, FL 32003-7064 |
| Christopher D Roman | Diagnostic Radiology | Mcclow Clark and Berk Pa | 1786 Blanding Blvd, Suite K2 B, Middleburg, FL 32068-3804 |
| Joseph L Dunn Jr. | Diagnostic Radiology | Mcclow Clark and Berk Pa | 1670 St Vincent Way, Middleburg, FL 32068-8447 |
| Ario Rezaei | Diagnostic Radiology | Mcclow Clark and Berk Pa | 1670 St Vincent Way, Middleburg, FL 32068-8447 |
| Elizabeth A Bathala | Diagnostic Radiology | Mcclow Clark and Berk Pa | 1786 Blanding Blvd, Suite K2 B, Middleburg, FL 32068-3804 |
| James Wesley Carter | Diagnostic Radiology | Mcclow Clark and Berk Pa | 1786 Blanding Blvd, Suite K2 B, Middleburg, FL 32068-3804 |
| John L Mazzella | Diagnostic Radiology | Mcclow Clark and Berk Pa | 1800 Barrs St, Jacksonville, FL 32204-4704 |
| Street Address |
1786 BLANDING BLVD SUITE K2 B |
| City | MIDDLEBURG |
| State | FL |
| Zip | 32068-3804 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Zachary E Brown | Diagnostic Radiology | Mcclow Clark and Berk Pa | 1786 Blanding Blvd, Suite K2 B, Middleburg, FL 32068-3804 |
| Christopher D Roman | Diagnostic Radiology | Mcclow Clark and Berk Pa | 1786 Blanding Blvd, Suite K2 B, Middleburg, FL 32068-3804 |
| Vanessa Seiglie Quinones | Internal Medicine | Mcci Group Holdings LLC | 1786 Blanding Blvd, Suite 3, Middleburg, FL 32068-3804 |
| Elizabeth A Bathala | Diagnostic Radiology | Mcclow Clark and Berk Pa | 1786 Blanding Blvd, Suite K2 B, Middleburg, FL 32068-3804 |
| James Wesley Carter | Diagnostic Radiology | Mcclow Clark and Berk Pa | 1786 Blanding Blvd, Suite K2 B, Middleburg, FL 32068-3804 |
| Alicia M Rivera | Nurse Practitioner | Mcci Group Holdings LLC | 1786 Blanding Blvd, Suite 3, Middleburg, FL 32068-3804 |
| Paul Byra | Diagnostic Radiology | Mcclow Clark and Berk Pa | 1786 Blanding Blvd, Suite K2 B, Middleburg, FL 32068-3804 |
| Kardelina Diaz | Diagnostic Radiology | Mcclow Clark and Berk Pa | 1786 Blanding Blvd, Suite K2 B, Middleburg, FL 32068-3804 |
| Michelle N Waters | Nurse Practitioner | Mcci Group Holdings LLC | 1786 Blanding Blvd, Suite 3, Middleburg, FL 32068-3804 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brittany M Mcnamee | Physician Assistant | Solantic of Jacksonville LLC | 1708 Blanding Blvd, Middleburg, FL 32068-3836 |
| Marcio M Correa | Physician Assistant | Solantic of Jacksonville LLC | 1708 Blanding Blvd, Middleburg, FL 32068-3836 |
| Karen Ann Stover | Nurse Practitioner | Solantic of Jacksonville LLC | 1708 Blanding Blvd, Middleburg, FL 32068-3836 |
| Brandon Hayes Conway | Physician Assistant | Solantic of Jacksonville LLC | 1708 Blanding Blvd, Middleburg, FL 32068-3836 |
| Kelly S Paradise | Nurse Practitioner | Solantic of Jacksonville LLC | 1708 Blanding Blvd, Middleburg, FL 32068-3836 |
| Phillip L Goldston | Nurse Practitioner | Solantic of Jacksonville LLC | 1708 Blanding Blvd, Middleburg, FL 32068-3836 |
| Jason S Misel | Physician Assistant | Solantic of Jacksonville LLC | 1708 Blanding Blvd, Middleburg, FL 32068-3836 |
| William D Speer | Physician Assistant | Solantic of Jacksonville LLC | 1708 Blanding Blvd, Middleburg, FL 32068-3836 |
| James Walter Hodges | Family Medicine | Solantic of Jacksonville LLC | 1708 Blanding Blvd, Middleburg, FL 32068-3836 |
| Cassandra Lee Dufano | Physician Assistant | Solantic of Jacksonville LLC | 1708 Blanding Blvd, Middleburg, FL 32068-3836 |
| Find all physicians in zip 32068 | |||
| City | MIDDLEBURG |
| Zip Code | 32068 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | MIDDLEBURG + DIAGNOSTIC RADIOLOGY |
Please comment or provide details below to improve the information on James M 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.