Joseph Thomas Russell, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

S3449 Issued in TX

Practice address

504 Lipscomb St
Bonham, TX 75418-4028

Phone

(903) 583-8585

NPI assigned

Feb 14, 2018

Last updated

Oct 30, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in OK, TX2 enrollments

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 2

Specialty

Family Practice

Education

University of North Texas HSC, College of Osteopathic Med, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Elite Integral Staffing LLCGroup PAC ID 0648612341, 15 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Alliancehealth Madill Hospital, Madill, OK, CCN 371326
• Alliancehealth Madill Nursing home, CCN 37Z326

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

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

• Elite Integral Staffing LLC

  dba Elite Integral Staffing

  • Emergency Medicine Physician
  • Durant, OK
  • NPI 1609648062
  Medicare reassignment Care Compare group NPD
• Hospitalist Medicine Physicians of Texas - Cypress PLLC

  • Internal Medicine Physician
  • Bonham, TX
  • NPI 1184458838
  Medicare reassignment NPD
• Nes Oklahoma, Inc.

  • Emergency Medicine Physician
  • Ponca City, OK
  • NPI 1528040722
  Medicare reassignment NPD
• Marshall County Hma, LLC

  dba AllianceHealth Madill

  • Critical Access Hospital
  • Madill, OK
  • NPI 1467476556
  NPD (past)

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

• Marshall County Hma, LLC

  dba AllianceHealth Madill

  • Medicare Defined Swing Bed Hospital Unit
  • Madill, OK
  • NPI 1053414037

  Nursing home

  Care Compare affiliation
• Marshall County Hma, LLC

  dba AllianceHealth Madill

  • Critical Access Hospital
  • Madill, OK
  • NPI 1467476556
  Care Compare affiliation

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

{
    "created_epoch": "1518566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730246400000",
    "number": "1053811273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "504 LIPSCOMB ST",
            "city": "BONHAM",
            "state": "TX",
            "postal_code": "754184028",
            "telephone_number": "903-583-8585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "504 LIPSCOMB ST",
            "city": "BONHAM",
            "state": "TX",
            "postal_code": "754184028",
            "telephone_number": "903-583-8585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSELL",
        "first_name": "JOSEPH",
        "middle_name": "THOMAS",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-02-14",
        "last_updated": "2024-10-30",
        "certification_date": "2024-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "6746",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "S3449",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Radiology Associates of Denison, LLP
• Kajuri Ramchand, DDS
• Beverly Ann Ransom, RN
• Robert F. Bloom MD
• Nima Ruhani, PHARMD
• Sai Drugs Inc (Fannin Pharmacy)
• Sai Drugs Inc (Fannin Pharmacy)
• Sai Infusion Pharmacy Inc
• Sam Rayburn Isd
• Sam Rayburn Memorial Veterans Center

• Family Medicine Physician in Bonham, TX
• Providers in Bonham, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2024; 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.