Raymond R Russell
LIFESPAN PHYSICIAN GROUP INC


Address: 11 Friendship St, Newport, RI 02840-2209

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).

Physician Overview

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

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
410012 THE MIRIAM HOSPITAL
410007 RHODE ISLAND HOSPITAL
410006 NEWPORT HOSPITAL

Other Locations

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 Information

Organization Legal Name LIFESPAN PHYSICIAN GROUP INC
Physicians 560

Physicians with the same organization

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

Office Location

Street Address 11 FRIENDSHIP ST
City NEWPORT
State RI
Zip 02840-2209

Physicians in the same location

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
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Physicians in the same zip code

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
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Competitor

Search similar physicians

City NEWPORT
Zip Code 02840
Specialty CARDIOVASCULAR DISEASE (CARDIOLOGY)
City + Specialty NEWPORT + CARDIOVASCULAR DISEASE (CARDIOLOGY)

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Dataset Information

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.

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