Phillip G Russell
STILLWATER RADIOLOGY LLC


Address: 4721 W 6th Ave, Suite 130, Stillwater, OK 74074-1549
Phone: 4057430550

Phillip G Russell (NPI# 1659353480, PAC ID# 9032136452) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.

Physician Overview

Nation Provider ID (NPI) 1659353480
PAC ID by PECOS 9032136452
Professional Enrollment ID I20051026000648
Full Name Phillip G Russell
Organization Legal Name STILLWATER RADIOLOGY LLC
Address 4721 W 6th Ave
Suite 130
Stillwater
OK 74074-1549
Phone Number 4057430550
Gender M
Credential MD
Medical School UNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE
Graduation Year 1978
Primary Specialty DIAGNOSTIC RADIOLOGY
Group Practice PAC ID 1153348578
Number of Group Practice Members 3
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
370049 STILLWATER MEDICAL CENTER
370030 BLACKWELL REGIONAL HOSPITAL

Other Locations

Address Phone Organization
4721 W 6th Ave, Suite 130, Stillwater, OK 74074-1549 4057430550 STILLWATER RADIOLOGY LLC

Organization Information

Organization Legal Name STILLWATER RADIOLOGY LLC
Physicians 3

Physicians with the same organization

Name Specialty Organization Address
Charles R Horner Jr. Diagnostic Radiology Stillwater Radiology LLC 4721 W 6th Ave, Suite 130, Stillwater, OK 74074-1549
Brandon R Mason Diagnostic Radiology Stillwater Radiology LLC 4721 W 6th Ave, Suite 130, Stillwater, OK 74074-1549

Office Location

Street Address 4721 W 6TH AVE
SUITE 130
City STILLWATER
State OK
Zip 74074-1549

Physicians in the same location

Name Specialty Organization Address
Charles R Horner Jr. Diagnostic Radiology Stillwater Radiology LLC 4721 W 6th Ave, Suite 130, Stillwater, OK 74074-1549
Brandon R Mason Diagnostic Radiology Stillwater Radiology LLC 4721 W 6th Ave, Suite 130, Stillwater, OK 74074-1549

Physicians in the same zip code

Name Specialty Organization Address
Kenda G Baker Physician Assistant Oliver Street 5.01(a) Inc. 1329 S Sangre Rd, Us Dermatology Partners, Stillwater, OK 74074-1854
Thomas C Hall Dermatology Oliver Street 5.01(a) Inc. 1329 S Sangre Rd, Us Dermatology Partners, Stillwater, OK 74074-1854
Deanna J Cummings Physician Assistant Oliver Street 5.01(a) Inc. 1329 S Sangre Rd, Us Dermatology Partners, Stillwater, OK 74074-1854
Sara K Metcalf Dermatology Oliver Street 5.01(a) Inc. 1329 S Sangre Rd, Us Dermatology Partners, Stillwater, OK 74074-1854
J Weston H. Reese Chiropractic Reese Chiropractic and Wellness, P.C. 1505 S Sangre Rd, Stillwater, OK 74074-1869
Ashton Nicole Shelton Chiropractic Reese Chiropractic and Wellness, P.C. 1505 S Sangre Rd, Stillwater, OK 74074-1869
Jennifer Pauline Childers Clinical Social Worker Jennifer Childers Lcsw Counseling LLC 2324 W 7th Pl, Stillwater, OK 74074-1927
Catherine Kindt Nurse Practitioner Stillwater Medical Center Authority 1815 W 6th Ave, Stillwater Med C Clinic W, Stillwater, OK 74074-2402
Terry N Brown Internal Medicine Stillwater Medical Center Authority 1815 W 6th Ave, Stillwater Med C Clinic W, Stillwater, OK 74074-2402
Melissa Shanay Herring Family Medicine Stillwater Medical Center Authority 1815 W 6th Ave, Stillwater Med C Clinic W, Stillwater, OK 74074-2402
Find all physicians in zip 74074

Competitor

Search similar physicians

City STILLWATER
Zip Code 74074
Specialty DIAGNOSTIC RADIOLOGY
City + Specialty STILLWATER + DIAGNOSTIC RADIOLOGY

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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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