NPIMap

Organization Active NPI

Russell N. McDonald

  • Family Medicine Physician
  • Groves, TX
National Provider Identifier
1023450244
Registry record updated Jul 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
E8705 Issued in TX
Legal business name
RUSSELL N. MCDONALD
Practice address
6000 39TH St
Groves, TX 77619-4600
Phone
(409) 962-8509
Fax
(409) 962-0763
NPI assigned
Jul 30, 2013
Last updated
Jul 30, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2013

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

Authorized official

Name
Aubrey D Spicer
Title
Practice Manager
Phone
(409) 962-8509

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X E8705 TX Primary

Addresses

Primary practice location

6000 39TH St
Groves, TX 77619-4600

Mailing address

6000 39TH St
Groves, TX 77619-4600
Phone (409) 962-8509

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1375142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375142400000",
    "number": "1023450244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6000 39TH ST",
            "city": "GROVES",
            "state": "TX",
            "postal_code": "776194600",
            "telephone_number": "409-962-8509",
            "fax_number": "409-962-0763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6000 39TH ST",
            "city": "GROVES",
            "state": "TX",
            "postal_code": "776194600",
            "telephone_number": "409-962-8509",
            "fax_number": "409-962-0763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUSSELL N. MCDONALD",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-30",
        "last_updated": "2013-07-30",
        "status": "A",
        "authorized_official_last_name": "SPICER",
        "authorized_official_first_name": "AUBREY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "409-962-8509"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "E8705",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Groves, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.