Raymond R Russell (NPI# 1063495497, PAC ID# 7911034566) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CARDIOVASCULAR DISEASE (CARDIOLOGY).
| Nation Provider ID (NPI) | 1063495497 |
| PAC ID by PECOS | 7911034566 |
| Professional Enrollment ID | I20151029001747 |
| Full Name | Raymond R Russell |
| Organization Legal Name | LIFESPAN PHYSICIAN GROUP INC |
| Address |
11 Friendship St Newport RI 02840-2209 |
| Gender | M |
| Graduation Year | 1995 |
| Primary Specialty | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| Group Practice PAC ID | 2567455082 |
| Number of Group Practice Members | 600 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 410012 | THE MIRIAM HOSPITAL |
| 410007 | RHODE ISLAND HOSPITAL |
| 410006 | NEWPORT HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 950 Warren Ave, Fl 2, East Providence, RI 02914-1432 | 4016061004 | THE MIRIAM HOSPITAL |
| 11 Friendship St, Newport, RI 02840-2209 | LIFESPAN PHYSICIAN GROUP INC | |
| 185 A High Service Ave, North Providence, RI 02904-5114 | 4013546050 | LIFESPAN PHYSICIAN GROUP INC |
| 185 High Service Ave, North Providence, RI 02904-5114 | 4013546050 | LIFESPAN PHYSICIAN GROUP INC |
| 164 Summit Ave, Providence, RI 02906-2853 | LIFESPAN PHYSICIAN GROUP INC | |
| 2 Dudley St, Providence, RI 02905-3236 | LIFESPAN PHYSICIAN GROUP INC | |
| 593 Eddy St, Providence, RI 02903-4923 | LIFESPAN PHYSICIAN GROUP INC | |
| 593 Eddy St Apc, Suite 6, Providence, RI 02903-4923 | 4017939172 | LIFESPAN PHYSICIAN GROUP INC |
| 593 Eddy St George Bldg 1st Floor, Providence, RI 02903-4923 | 4017939166 | LIFESPAN PHYSICIAN GROUP INC |
| Organization Legal Name | LIFESPAN PHYSICIAN GROUP INC |
| Physicians | 560 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Roy Souaid | Internal Medicine | Lifespan Physician Group Inc | 1500 Pontiac Ave, Suite 101, Cranston, RI 02920-4486 |
| Amritpal Singh Jawanda | Family Medicine | Lifespan Physician Group Inc | 639 Metacom Ave, Warren, RI 02885-2348 |
| Alisha Lakhani | Rheumatology | Lifespan Physician Group Inc | 407 E Ave, Suite 250, Pawtucket, RI 02860-5290 |
| Leah R Battista | Obstetrics/gynecology | Lifespan Physician Group Inc | 148 W River St, Suite 1g, Providence, RI 02904-2615 |
| Mahmoud Mowafy | Internal Medicine | Lifespan Physician Group Inc | 164 Summit Ave, Providence, RI 02906-2853 |
| Caroline Sizer | Physical Medicine and Rehabilitation | Lifespan Physician Group Inc | 765 Allens Ave, Suite 110, Providence, RI 02905-5443 |
| Christine Michele Leddy | Psychiatry | Lifespan Physician Group Inc | 11 Friendship St, Newport, RI 02840-2209 |
| Dana Siperstein | Psychiatry | Lifespan Physician Group Inc | 167 Point St, Providence, RI 02903-4771 |
| Brady Geronimo Case | Psychiatry | Lifespan Physician Group Inc | 1011 Veterans Memorial Pkwy, Riverside, RI 02915-5061 |
| Maurice Francis Joyce Iii | Anesthesiology | Lifespan Physician Group Inc | 55 Lambert Lind Hwy, Warwick, RI 02886-1074 |
| Street Address |
11 FRIENDSHIP ST |
| City | NEWPORT |
| State | RI |
| Zip | 02840-2209 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christine Michele Leddy | Psychiatry | Lifespan Physician Group Inc | 11 Friendship St, Newport, RI 02840-2209 |
| Thomas F Crain | Cardiovascular Disease (cardiology) | Lifespan Physician Group Inc | 11 Friendship St, Newport, RI 02840-2209 |
| Bradford C Gray | General Surgery | University Surgical Associates, Inc. | 11 Friendship St, Newport, RI 02840-2209 |
| Jeanne Houtchens | Nurse Practitioner | Lifespan Physician Group Inc | 11 Friendship St, Newport, RI 02840-2209 |
| Sara Maleki | Pathology | Newport Hospital | 11 Friendship St, Newport, RI 02840-2209 |
| Madalene Boyle | Emergency Medicine | Brown Emergency Medicine | 11 Friendship St, Newport, RI 02840-2209 |
| Nabila Kabir Mazumder | Internal Medicine | Lifespan Physician Group Inc | 11 Friendship St, Newport, RI 02840-2209 |
| Kathleen Marie Johnston | Physician Assistant | Newport Hospital | 11 Friendship St, Newport, RI 02840-2209 |
| Andre Luiz Pitanga Bastos De Souza | Hematology/oncology | Rhode Island Hospital | 11 Friendship St, Newport, RI 02840-2209 |
| Mariana Canepa | Pathology | Newport Hospital | 11 Friendship St, Newport, RI 02840-2209 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jordan S Sheff | Podiatry | 392 Broadway, Newport, RI 02840-1733 | |
| Kathleen M Tirrell | Certified Nurse Midwife | Obstetrical Associates Inc | 358 Broadway, Newport, RI 02840-1735 |
| John Mccaffrey | Internal Medicine | 409 Broadway, Newport, RI 02840-1740 | |
| Virginia Mary Spaulding | Psychologist, Clinical | 54 Malbone Rd, Newport, RI 02840-1746 | |
| Carlyle Smart | Chiropractic | 372 Broadway, Newport, RI 02840-1777 | |
| Gail A Carpenter | Clinical Social Worker | 7 Bayview Ave, Suite 1, Newport, RI 02840-2107 | |
| Gracious A Audette | Clinical Social Worker | 40 Channing St, Newport, RI 02840-2165 | |
| Nikhil C Panda | Cardiac Electrophysiology | Lifespan Physician Group Inc | 19 Friendship St, Newport, RI 02840-2200 |
| Ned H Gutman | Cardiovascular Disease (cardiology) | Lifespan Physician Group Inc | 19 Friendship St, Newport, RI 02840-2200 |
| Rolf H Langeland | Orthopedic Surgery | Lifespan Physician Group Inc | 19 Friendship St, Newport, RI 02840-2200 |
| Find all physicians in zip 02840 | |||
| City | NEWPORT |
| Zip Code | 02840 |
| Specialty | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| City + Specialty | NEWPORT + CARDIOVASCULAR DISEASE (CARDIOLOGY) |
Please comment or provide details below to improve the information on Raymond R 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.