Eric Brian Russell (NPI# 1033198510, PAC ID# 6800894668) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DERMATOLOGY.
| Nation Provider ID (NPI) | 1033198510 |
| PAC ID by PECOS | 6800894668 |
| Professional Enrollment ID | I20061110000264 |
| Full Name | Eric Brian Russell |
| Organization Legal Name | RUSSELL DERMATOLOGY OF CONWAY, PLLC |
| Address |
2425 Dave Ward Dr Suite 202 Conway AR 72034-8680 |
| Phone Number | 5013285050 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF ARKANSAS COLLEGE OF MEDICINE |
| Graduation Year | 1999 |
| Primary Specialty | DERMATOLOGY |
| Group Practice PAC ID | 2961528807 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 040029 | CONWAY REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 2425 Dave Ward Dr, Suite 202, Conway, AR 72034-8680 | 5013285050 | RUSSELL DERMATOLOGY OF CONWAY, PLLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| MIPS_EC_137_overall | Melanoma: Continuity of Care - Recall System | 100% | |
| MIPS_EC_224_overall | Melanoma: Overutilization of Imaging Studies in Melanoma | 100% | |
| MIPS_EC_238_2+ | Use of High-Risk Medications in the Elderly (100%: worst, 0% best) | 0% | |
| MIPS_EC_238_overall | Use of High-Risk Medications in the Elderly (100%: worst, 0% best) | 0% | |
| MIPS_EC_402_overall | Tobacco Use and Help with Quitting Among Adolescents | 95% |
| Organization Legal Name | RUSSELL DERMATOLOGY OF CONWAY, PLLC |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Natalie Brittan Lane | Dermatology | Russell Dermatology of Conway, Pllc | 2425 Dave Ward Dr, Suite 202, Conway, AR 72034-8680 |
| Shelley Russell | Dermatology | Russell Dermatology of Conway, Pllc | 2425 Dave Ward Dr, Suite 202, Conway, AR 72034-8680 |
| Rachel D Choate | Nurse Practitioner | Russell Dermatology of Conway, Pllc | 2425 Dave Ward Dr, Suite 202, Conway, AR 72034-8680 |
| Street Address |
2425 DAVE WARD DR SUITE 202 |
| City | CONWAY |
| State | AR |
| Zip | 72034-8680 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joe C Cummins | Family Medicine | Bowlin-cummins Pa | 2425 Dave Ward Dr, Suite 401, Conway, AR 72034-8681 |
| Natalie Brittan Lane | Dermatology | Russell Dermatology of Conway, Pllc | 2425 Dave Ward Dr, Suite 202, Conway, AR 72034-8680 |
| Laura V Johnson | Qualified Audiologist | Jeffrey P Kirsch Md Pa | 2425 Dave Ward Dr, Suite 101, Conway, AR 72034-8679 |
| Randal G Bowlin | Family Medicine | Bowlin-cummins Pa | 2425 Dave Ward Dr, Suite 401, Conway, AR 72034-8681 |
| Thad R Hardin | Family Medicine | Bowlin-cummins Pa | 2425 Dave Ward Dr, Suite 401, Conway, AR 72034-8681 |
| James Michael Calhoun | Neurosurgery | 2425 Dave Ward Dr, Suite 401, Conway, AR 72034-8681 | |
| Patrick L Fraley | Otolaryngology | Jeffrey P Kirsch Md Pa | 2425 Dave Ward Dr, Suite 101, Conway, AR 72034-8679 |
| Shelley Russell | Dermatology | Russell Dermatology of Conway, Pllc | 2425 Dave Ward Dr, Suite 202, Conway, AR 72034-8680 |
| William L Mccolgan Iii | General Surgery | 2425 Dave Ward Dr, Suite 201, Conway, AR 72034-8680 | |
| William Ackerman Iii | Anesthesiology | 2425 Dave Ward Dr, Gordy Building Suite 102, Conway, AR 72034-8686 | |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Airiell M Schwab | Optometry | Shane E Ford Od Pa | 3005 Frountain Dr, Conway, AR 72034 |
| Elena Margarita Lopez | Optometry | Shane E Ford Od Pa | 3005 Frountain Dr, Conway, AR 72034 |
| Rhonda Love | Clinical Social Worker | Counseling Associates Inc | 1622 Donaghey Ave, Conway, AR 72034-3221 |
| Troy Michael E Marsden | Psychologist, Clinical | Counseling Associates Inc | 1622 Donaghey Ave, Conway, AR 72034-3221 |
| Monica A Dunn | Clinical Social Worker | Counseling Associates Inc | 1622 Donaghey Ave, Conway, AR 72034-3221 |
| Jeanne M Churchill | Nurse Practitioner | William H. Freeman, M.d., P.a. | 600 Club Ln, Conway, AR 72034-3624 |
| William H Freeman | Family Medicine | William H. Freeman, M.d., P.a. | 600 Club Ln, Conway, AR 72034-3624 |
| William A Freeman | Family Medicine | William H. Freeman, M.d., P.a. | 600 Club Ln, Conway, AR 72034-3624 |
| Amy M Burton | Nurse Practitioner | William H. Freeman, M.d., P.a. | 600 Club Ln, Conway, AR 72034-3624 |
| Mitchell Reynolds | Occupational Therapy | Conway Orthopaedic and Sports Medicine Clinic | 550 Club Ln, Suite 1, Conway, AR 72034-3681 |
| Find all physicians in zip 72034 | |||
| City | CONWAY |
| Zip Code | 72034 |
| Specialty | DERMATOLOGY |
| City + Specialty | CONWAY + DERMATOLOGY |
Please comment or provide details below to improve the information on Eric Brian 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.