Russell G Scara, MD

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

License

MD014365 Issued in TN

Practice address

400 E Tickle St
Dyersburg, TN 38024-3120

Phone

(800) 228-0249

Fax

(252) 222-3602

NPI assigned

Jul 23, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Regional Anesthesia Services PLLC

  • Anesthesiology Physician
  • Dyersburg, TN
  • NPI 1144321415
  NPD (past) Authorized official

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

{
    "created_epoch": "1216771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216771200000",
    "number": "1073778635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 39",
            "city": "MOREHEAD CITY",
            "state": "NC",
            "postal_code": "285570039",
            "telephone_number": "800-228-0249",
            "fax_number": "252-222-3602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 E TICKLE ST",
            "city": "DYERSBURG",
            "state": "TN",
            "postal_code": "380243120",
            "telephone_number": "800-228-0249",
            "fax_number": "252-222-3602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCARA",
        "first_name": "RUSSELL",
        "middle_name": "G",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-07-23",
        "last_updated": "2008-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "TN",
            "license": "MD014365",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3003918",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "4052744",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hari Krishna Salana, MD
• Corinthia Brooke Sanders, PHARMD
• Haley Sanders, PA-C
• John Sanders, PTA
• Nicholas Santaniello, PHARM.D.
• Erica D Scheffer, MD
• Elizabeth Schultz, OT
• Heather Scullin Schulze, PHARM D
• Select Physical Therapy Holdings
• Scott Jeffrey Self, DDS

• Pain Medicine (Anesthesiology) Physician in Dyersburg, TN
• Providers in Dyersburg, TN by specialty
• Pain Medicine (Anesthesiology) Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 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.