David Joseph Russell MD PC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

MD28531 Issued in OR

Legal business name

DAVID JOSEPH RUSSELL MD PC

Practice address

2200 Bryant Williams Dr
Klamath Falls, OR 97601-1120

Phone

(541) 274-2894

Fax

(541) 274-3392

NPI assigned

Jul 15, 2008

Last updated

Oct 13, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

David J Russell, MDNPI 1578727996

Title

Owner

Phone

(541) 274-2894

Specialties & licenses 2

Addresses

Other identifiers 1

Practitioners 1

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.

• David Joseph Russell, MD

  • Surgery Physician
  • Klamath Falls, OR
  • NPI 1578727996
  NPD (past) Authorized official

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

{
    "created_epoch": "1216080000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223856000000",
    "number": "1033373451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5109",
            "city": "KLAMATH FALLS",
            "state": "OR",
            "postal_code": "976010119",
            "telephone_number": "541-882-1540",
            "fax_number": "541-882-2583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 BRYANT WILLIAMS DR",
            "city": "KLAMATH FALLS",
            "state": "OR",
            "postal_code": "976011120",
            "telephone_number": "541-274-2894",
            "fax_number": "541-274-3392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID JOSEPH RUSSELL MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-15",
        "last_updated": "2008-10-13",
        "status": "A",
        "authorized_official_last_name": "RUSSELL",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-274-2894",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "OR",
            "license": "MD28531",
            "primary": true
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "OR",
            "license": "MD28531",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "024212",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• William Colin Daniel, PSS
• Kyla Shay Daniels, LMT
• Elizabeth Dare, AU.D., CCC-A
• Anne Davenport, PT, DPT
• David H Panossian MD PC
• Lucretia David
• Zachary Davies
• Karee Davis Hernandez
• Aaron Michael Davis, DMD
• Andrea Davis

• Surgery Physician in Klamath Falls, OR
• Providers in Klamath Falls, OR by specialty
• Surgery Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2008; 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.