Stephanie Jane Russ in Indianapolis - Family Medicine
Stephanie Jane Russ - NPI 1629239355
Stephanie Jane Russ is a Family Medicine in Indianapolis, Indiana. Stephanie Jane Russ practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Stephanie Jane Russ is 1629239355. The last update date is 2023-11-27.
Stephanie Jane Russ's current location address is 6626 E. 75th Street, Indianapolis, Indiana. You can contact this provider via phone number 7652984569 and fax number 7652984568. The mailing address for Stephanie Jane Russ is 6626 E. 75th Street, Indianapolis, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Stephanie Jane Russ |
|---|---|
| Address | 6626 E. 75th Street, Indianapolis, Indiana |
| Phone Number | 7652984569 |
| Fax Number | 7652984568 |
| Sole Proprietor | N |
| Credentials | DO |
NPI Number Detail
| NPI Number | 1629239355 |
|---|---|
| Provider Enumeration Date | 2008-06-25 |
| Last Updated Date | 2023-11-27 |
Provider Mailing Address Detail
| Address | 6626 E. 75th Street |
|---|---|
| City | Indianapolis |
| State | Indiana (IN) |
| Post Code | 462502890 |
| Phone Number | 7652984569 |
| Fax Number | 7652984568 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 11014474A |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 200975760 | IN | -- | |
| P01430098 | IN | RAILROAD MEDICARE |
Post Comment/ Review Below
What is the Stephanie Jane Russ's unique identification number?
The Stephanie Jane Russ has been assigned the NPI (National Provider Identifier) Number 1629239355 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete physical location address of Stephanie Jane Russ?
The Stephanie Jane Russ is physically situated at 6626 E. 75Th Street, in the city of Indianapolis, state of IN, with the postal code 462502890.
What is the Stephanie Jane Russ's area of specialization and corresponding taxonomy classification?
The Stephanie Jane Russ's specialty field is Family Medicine, and it falls under the taxonomy code 207Q00000X, which categorizes healthcare providers based on their specialties.
When was the Stephanie Jane Russ's 1629239355 issued?
The Stephanie Jane Russ's 1629239355 was issued on 2008-06-25.
As of what date were the Stephanie Jane Russ's details last updated?
The information pertaining to the Stephanie Jane Russ, including its address, specialty, and other details, was most recently updated on 2023-11-27.
NPI Number: 1023014131
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