Robert C Russell in Springfield - Plastic And Reconstructive Surgery
Robert C Russell - NPI 1700823879
Robert C Russell is a Plastic And Reconstructive Surgery in Springfield, Illinois. Robert C Russell practices all healthcare services and medical treatments related to Plastic And Reconstructive Surgery. The NPI Number for Robert C Russell is 1700823879. The last update date is 2013-03-21.
Robert C Russell'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 is 320 E Carpenter St, Springfield, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Robert C Russell |
|---|---|
| Address | 320 E Carpenter St, Springfield, Illinois |
| Phone Number | 2175230808 |
| Fax Number | 2177535324 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1700823879 |
|---|---|
| Provider Enumeration Date | 2006-05-31 |
| 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 | Plastic And Reconstructive Surgery |
|---|---|
| Taxonomy | 2086S0122X |
| Licence No | 36061657 |
|
Definition: A surgeon who specializes in plastic and reconstructive surgery. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 36061657 | IL | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Robert C Russell by the Centers for Medicare & Medicaid Services?
The Robert C Russell has been issued the NPI (National Provider Identifier) 1700823879 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Robert C Russell?
The Robert C Russell is physically situated at 320 E Carpenter St, in the city of Springfield, state of IL, with the postal code 627025185.
What is Robert C Russell's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Robert C Russell is Plastic And Reconstructive Surgery, and the corresponding taxonomy classification code for this specialized field is 2086S0122X.
On what date did the Robert C Russell receive its 1700823879 assignment from the Centers for Medicare & Medicaid Services?
The Robert C Russell was assigned its 1700823879 by the Centers for Medicare & Medicaid Services on 2006-05-31.
As of what date was the information regarding Robert C Russell, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Robert C Russell, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2013-03-21.