Holly Ann Emily Russell, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

257117-1 Issued in NY

Practice address

777 S Clinton Ave
Rochester, NY 14620-1448

Phone

(585) 279-4800

Fax

(585) 442-8319

NPI assigned

May 15, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

University of Rochester School of Medicine and Dentistry, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Highland Hospital of RochesterGroup PAC ID 5496641631, 403 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Highland Hospital Hospital, Rochester, NY, CCN 330164

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: hrussell5104@direct.urmc.rochester.edu

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Highland Hospital of Rochester

  • General Acute Care Hospital
  • Rochester, NY
  • NPI 1972548568
  Medicare reassignment Care Compare group NPD
• Internal Medicine Group

  • Internal Medicine Physician
  • Rochester, NY
  • NPI 1649220393
  Medicare reassignment NPD
• Delphi Drug & Alcohol Council, Inc

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Rochester, NY
  • NPI 1013130012
  Medicare reassignment
• Acute Care Trauma of the University of Rochester

  • Surgical Critical Care Physician
  • Rochester, NY
  • NPI 1851754634
  NPD
• Cardiac Surgery of the University of Rochester

  • Surgical Critical Care Physician
  • Rochester, NY
  • NPI 1689023277
  NPD
• Highland Hospital of Rochester

  • Family Medicine Physician
  • Rochester, NY
  • NPI 1740220698
  NPD
• Highland Hospital of Rochester

  • Community/Retail Pharmacy
  • Rochester, NY
  • NPI 1962725739
  NPD
• Internal Medicine Group

  • Obesity and Weight Management Nutrition Registered Dietitian
  • Rochester, NY
  • NPI 1184255176
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Highland Hospital of Rochester

  • General Acute Care Hospital
  • Rochester, NY
  • NPI 1972548568
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285200000000",
    "number": "1013123389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 S CLINTON AVE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146201448",
            "telephone_number": "585-279-4800",
            "fax_number": "585-442-8319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 S CLINTON AVE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146201448",
            "telephone_number": "585-279-4800",
            "fax_number": "585-442-8319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSELL",
        "first_name": "HOLLY ANN",
        "middle_name": "EMILY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-15",
        "last_updated": "2010-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "257117-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danielle Russell, LPN
• Diana Kay Russell, SLP
• Gwendolyn Russell, LMSW
• Hannah Weaver Russell
• Heather Lee Russell, FNP
• Jennifer Russell
• Kaitlyn Nicole Russell, MS, OTR/L
• Nicole Russell, MD
• Anthony Russo
• Emily Victoria Russo, LPN

• Family Medicine Physician in Rochester, NY
• Providers in Rochester, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.