Douglas Blane Russell in Yanceyville - Physician Assistant
Douglas Blane Russell - NPI 1487617619
Douglas Blane Russell is a Physician Assistant in Yanceyville, North Carolina. Douglas Blane Russell practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Douglas Blane Russell is 1487617619. The last update date is 2022-10-05.
Douglas Blane Russell's current location address is 439 Us Hwy 158 West, Yanceyville, North Carolina. You can contact this provider via phone number 3366941181. The mailing address for Douglas Blane Russell is 439 Us Hwy 158 West, Yanceyville, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Douglas Blane Russell |
|---|---|
| Address | 439 Us Hwy 158 West, Yanceyville, North Carolina |
| Phone Number | 3366941181 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1487617619 |
|---|---|
| Provider Enumeration Date | 2006-04-10 |
| Last Updated Date | 2022-10-05 |
Provider Mailing Address Detail
| Address | 439 Us Hwy 158 West |
|---|---|
| City | Yanceyville |
| State | North Carolina (NC) |
| Post Code | 27379 |
| Phone Number | 3366941181 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 103359 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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What is the unique 10-digit identification code assigned to Douglas Blane Russell by the Centers for Medicare & Medicaid Services?
The Douglas Blane Russell has been issued the NPI (National Provider Identifier) 1487617619, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
What is Douglas Blane Russell's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Douglas Blane Russell is Physician Assistant, and the taxonomy code that categorizes this field of expertise is 363A00000X.
When did the Douglas Blane Russell receive its 1487617619?
The Douglas Blane Russell was issued its 1487617619 on 2006-04-10, which is the date when the organization was assigned this unique identifier.
On what date did the Douglas Blane Russell receive its 1487617619 assignment from the Centers for Medicare & Medicaid Services?
The Douglas Blane Russell was assigned its 1487617619 by the Centers for Medicare & Medicaid Services on 2006-04-10.
As of what date were the Douglas Blane Russell's details last updated?
The information pertaining to the Douglas Blane Russell, including its address, specialty, and other details, was most recently updated on 2022-10-05.