Robert C Russell M D S C in Springfield - Surgery

Robert C Russell M D S C - NPI 1396835641

Robert C Russell M D S C is a Surgery in Springfield, Illinois. Robert C Russell M D S C practices all healthcare services and medical treatments related to Surgery. The NPI Number for Robert C Russell M D S C is 1396835641. The last update date is 2013-03-21.

Robert C Russell M D S C's current location address is 320 E Carpenter St, Springfield, Illinois. You can contact this provider via phone number 2175230808 and fax number 2177535324. The mailing address for Robert C Russell M D S C is 320 E Carpenter St, Springfield, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Organization Robert C Russell M D S C
Address 320 E Carpenter St, Springfield, Illinois
Phone Number 2175230808
Fax Number 2177535324
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNERPRESI
Authorized Official Name Russell C Robert
Credentials MD
Telephone Number 2175230808

NPI Number Detail

NPI Number 1396835641
Provider Enumeration Date 2006-10-14
Last Updated Date 2013-03-21

Provider Mailing Address Detail

Address 320 E Carpenter St
City Springfield
State Illinois (IL)
Post Code 627025185
Phone Number 2175230808
Fax Number 2177535324

Provider's Primary Taxonomy Detail

Speciality Surgery
Taxonomy 208600000X
Licence No 36061657
Definition:
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue;

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
36061657 IL --

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FAQs about Robert C Russell M D S C

What is the unique 10-digit identification code issued to Robert C Russell M D S C by the Centers for Medicare & Medicaid Services?

The Robert C Russell M D S C has been assigned the NPI (National Provider Identifier) 1396835641 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you please provide the complete street address where Robert C Russell M D S C is physically located?

The Robert C Russell M D S C is physically situated at the following address: 320 E Carpenter St, Springfield, IL, 627025185.

What is Robert C Russell M D S C's specialized field of practice, and what is the corresponding taxonomy classification code?

The Robert C Russell M D S C's area of specialization is Surgery, and the corresponding taxonomy code that categorizes this field of practice is 208600000X.

On what date did Robert C Russell M D S C receive its 1396835641 assignment from the Centers for Medicare & Medicaid Services?

The Robert C Russell M D S C was assigned its 1396835641 on 2006-10-14, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the information pertaining to Robert C Russell M D S C most recently updated or revised?

The details related to Robert C Russell M D S C, including its address, specialty, and other relevant information, were last updated or revised on 2013-03-21.

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