Ricky Gordon Russell in Jackson - Ophthalmology
Ricky Gordon Russell - NPI 1053425009
Ricky Gordon Russell is a Ophthalmology in Jackson, Mississippi. Ricky Gordon Russell practices all healthcare services and medical treatments related to Ophthalmology. The NPI Number for Ricky Gordon Russell is 1053425009. The last update date is 2014-01-29.
Ricky Gordon Russell's current location address is 501 Marshall St, Jackson, Mississippi. You can contact this provider via phone number 6019859120 and fax number 6019859122. The mailing address for Ricky Gordon Russell is 501 Marshall St, Jackson, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ricky Gordon Russell |
|---|---|
| Address | 501 Marshall St, Jackson, Mississippi |
| Phone Number | 6019859120 |
| Fax Number | 6019859122 |
| Sole Proprietor | Y |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1053425009 |
|---|---|
| Provider Enumeration Date | 2006-08-18 |
| Last Updated Date | 2014-01-29 |
Provider Mailing Address Detail
| Address | 501 Marshall St |
|---|---|
| City | Jackson |
| State | Mississippi (MS) |
| Post Code | 392021651 |
| Phone Number | 6019859120 |
| Fax Number | 6019859122 |
Provider's Primary Taxonomy Detail
| Speciality | Ophthalmology |
|---|---|
| Taxonomy | 207W00000X |
| Licence No | 9309 |
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Definition: An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This incl |
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Post Comment/ Review Below
What is the Ricky Gordon Russell's 1053425009?
The Ricky Gordon Russell's NPI (National Provider Identifier) Number is 1053425009. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Ricky Gordon Russell's facilities are situated?
The facilities of Ricky Gordon Russell are physically located at the following address: 501 Marshall St, Jackson, MS, 392021651.
What is the Ricky Gordon Russell's specialty and taxonomy code?
The Ricky Gordon Russell's specialty is Ophthalmology, and the corresponding taxonomy code is 207W00000X.
On what date did the Ricky Gordon Russell receive its 1053425009 assignment from the Centers for Medicare & Medicaid Services?
The Ricky Gordon Russell was assigned its 1053425009 by the Centers for Medicare & Medicaid Services on 2006-08-18.
As of what date was the information pertaining to Ricky Gordon Russell, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Ricky Gordon Russell, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2014-01-29.
NPI Number: 1215930425
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