Melvin Douglas Russell (NPI# 1760452999, PAC ID# 7315933744) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1760452999 |
| PAC ID by PECOS | 7315933744 |
| Professional Enrollment ID | I20101118000822 |
| Full Name | Melvin Douglas Russell |
| Organization Legal Name | COMMUNITY HOSPITAL INC |
| Address |
875 Friendship Rd Tallassee AL 36078-1234 |
| Phone Number | 3342833111 |
| Gender | M |
| Medical School | UNIVERSITY OF LOUISVILLE SCHOOL OF MEDICINE |
| Graduation Year | 1966 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 2062408487 |
| Number of Group Practice Members | 19 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 010034 | COMMUNITY HOSPITAL INC |
| Address | Phone | Organization |
|---|---|---|
| 2588 Main St, Millbrook, AL 36054-3849 | 3342855703 | MILLBROOK FAMILY HEALTHCARE LLC |
| 875 Friendship Rd, Tallassee, AL 36078-1234 | 3342833111 | COMMUNITY HOSPITAL INC |
| Organization Legal Name | COMMUNITY HOSPITAL INC |
| Physicians | 22 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Krishna Vardhan Reddy Venkata Dasari Lakshmi | Internal Medicine | Community Hospital Inc | 805 Friendship Rd, Tallassee, AL 36078-1234 |
| Deray Williams | Nurse Practitioner | Community Hospital Inc | 875 Friendship Rd, Suite K, Tallassee, AL 36078-1256 |
| Barbara J Watts | Nurse Practitioner | Community Hospital Inc | 115 Herren Hill Rd, Tallassee, AL 36078-1276 |
| Hunter M Hutchison | Nurse Practitioner | Community Hospital Inc | 805 Friendship Rd, Tallassee, AL 36078-1234 |
| William C Freeman | Psychiatry | Community Hospital Inc | 805 Friendship Rd, Tallassee, AL 36078-1234 |
| Thomas D Holt | Family Medicine | Community Hospital Inc | 301 Wright St, Tuskegee, AL 36083-1558 |
| Candace R Mangum | Nurse Practitioner | Community Hospital Inc | 301 Wright St, Tuskegee, AL 36083-1558 |
| Raul A Pinon Jr. | Family Medicine | Community Hospital Inc | 805 Friendship Rd, Tallassee, AL 36078-1234 |
| Vinit Md Patel | Anesthesiology | Community Hospital Inc | 805 Friendship Rd, Tallassee, AL 36078-1234 |
| Michael A Courtney | General Surgery | Community Hospital Inc | 805 Friendship Rd, Tallassee, AL 36078-1234 |
| Street Address |
875 FRIENDSHIP RD |
| City | TALLASSEE |
| State | AL |
| Zip | 36078-1234 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Deray Williams | Nurse Practitioner | Community Hospital Inc | 875 Friendship Rd, Suite K, Tallassee, AL 36078-1256 |
| John Ryan Aldridge | Nurse Practitioner | Community Hospital Inc | 875 Friendship Rd, Tallassee, AL 36078-1234 |
| Lori M Mosley | Nurse Practitioner | Community Hospital Inc | 875 Friendship Rd, Tallassee, AL 36078-1234 |
| Alexander Robbins | General Surgery | 875 Friendship Rd, Tallassee, AL 36078-1256 | |
| Jose A Lopez Lago | Emergency Medicine | Community Hospital Inc | 875 Friendship Rd, Tallassee, AL 36078-1234 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Krishna Vardhan Reddy Venkata Dasari Lakshmi | Internal Medicine | Community Hospital Inc | 805 Friendship Rd, Tallassee, AL 36078-1234 |
| Hunter M Hutchison | Nurse Practitioner | Community Hospital Inc | 805 Friendship Rd, Tallassee, AL 36078-1234 |
| William C Freeman | Psychiatry | Community Hospital Inc | 805 Friendship Rd, Tallassee, AL 36078-1234 |
| Raul A Pinon Jr. | Family Medicine | Community Hospital Inc | 805 Friendship Rd, Tallassee, AL 36078-1234 |
| Vinit Md Patel | Anesthesiology | Community Hospital Inc | 805 Friendship Rd, Tallassee, AL 36078-1234 |
| Paul Caudill Miller | Neurology | Neurology Consultants of Montgomery, PC | 805 Friendship Rd, Tallassee, AL 36078-1234 |
| Michael A Courtney | General Surgery | Community Hospital Inc | 805 Friendship Rd, Tallassee, AL 36078-1234 |
| Kenneth W Campbell | Certified Registered Nurse Anesthetist (crna) | Community Hospital Inc | 805 Friendship Rd, Tallassee, AL 36078-1234 |
| Donald H Dahlene Jr. | Diagnostic Radiology | Radiology Group, P.a. | 805 Friendship Rd, Tallassee, AL 36078-1234 |
| Brandie Jolly | Nurse Practitioner | Community Hospital Inc | 805 Friendship Rd, Tallassee, AL 36078-1234 |
| Find all physicians in zip 36078 | |||
| City | TALLASSEE |
| Zip Code | 36078 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | TALLASSEE + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Melvin Douglas 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.