Active NPI
Russell W Hyde, D.O.
- Surgery Physician
- Corvallis, OR
National Provider Identifier
1073877858
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- DO209456
- Practice address
- 3600 NW Samaritan Dr
Corvallis, OR 97330-5472 - Phone
- (541) 768-5111
- NPI assigned
- Jun 27, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 5101025855 | MI | |
| Trauma Surgery Physician | 2086S0127X | 5101025855 | MI | |
| Student in an Organized Health Care Education/Training Program | 390200000X | OH | ||
| Surgery Physician | 208600000X | DO209456 | OR | Primary |
Addresses
Primary practice location
3600 NW Samaritan Dr
Corvallis, OR 97330-5472
Mailing address
PO Box 1189
Corvallis, OR 97339-1189
Other practice location 1
1900 23rd St
Cuyahoga Falls, OH 44223-1404
Phone (330) 971-7225
Other practice location 2
912 S Washington Ave
Saginaw, MI 48601-2564
Phone (989) 790-1001
Other practice location 3
1431 SW 1st Ave
Ocala, FL 34471
Phone (352) 401-1000
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | rhyde93521@direct.covenanthealthcare.com | ||
| Direct Messaging Address | rhyde231757@samhealth.direct-ci.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI, OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Lake Erie College of Osteopathic Medicine, Bradenton, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3600 NW Samaritan Dr
Corvallis, OR 97330-3737
Hospital & facility affiliations
- Good Samaritan Regional Medical Center
- Samaritan Lebanon Community Hospital
- Samaritan Albany General Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.14 of 100
- Quality
- 85.78
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 78.31
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5101025855 | MI | MD | Surgery Physician |
| DO209456 | OR | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Saginaw Cooperative Hospitals, Inc | Current | Accepting new patients | |
| Saginaw Cooperative Hospitals, Inc | Surgery | Current | Accepting new patients |
| Good Samaritan Hospital Corvallis | Current | Accepting new patients | |
| Good Samaritan Hospital Corvallis | Current | Accepting new patients | |
| Saginaw Cooperative Hospital Inc | Current | Accepting new patients | |
| Good Samaritan Hospital Corvallis | Current | Accepting new patients |
Locations
1000 Houghton Ave
Saginaw, MI 48602
Phone (989) 583-6800
912 S Washington Ave
Ste 1
Saginaw, MI 48601
Phone (989) 746-7857
912 S Washington Ave
Saginaw, MI 48601
Phone (989) 791-4100
3600 NW Samaritan Dr
Ste 227
Corvallis, OR 97330
Phone (541) 768-1261
815 NW 9th St
Ste 215
Corvallis, OR 97330
Phone (541) 768-1888
3600 NW Samaritan Dr
Corvallis, OR 97330
Phone (541) 768-4906
Organizations & group practices 6
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.
-
- General Acute Care Hospital
- Corvallis, OR
- NPI 1962453134
-
- Internal Medicine Physician
- Saginaw, MI
- NPI 1346344991
-
- Family Medicine Physician
- Corvallis, OR
- NPI 1215117692
-
- Gynecologic Oncology Physician
- Corvallis, OR
- NPI 1710787916
-
- Hospitalist Physician
- Saginaw, MI
- NPI 1548877434
-
- Surgery Physician
- Saginaw, MI
- NPI 1467557819
Hospital & facility affiliations 53
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Albany, OR
- NPI 1154372340
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Albany, OR
- NPI 1326755158
Hospital
-
- Endocrinology, Diabetes & Metabolism Physician
- Albany, OR
- NPI 1346620408
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1340755200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1647820800000",
"number": "1073877858",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1189",
"city": "CORVALLIS",
"state": "OR",
"postal_code": "973391189"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3600 NW SAMARITAN DR",
"city": "CORVALLIS",
"state": "OR",
"postal_code": "973305472",
"telephone_number": "541-768-5111"
}
],
"practiceLocations": [
{
"address_1": "1900 23rd St",
"address_purpose": "LOCATION",
"city": "Cuyahoga Falls",
"state": "OH",
"postal_code": "442231404",
"country_code": "US",
"telephone_number": "330-971-7225",
"fax_number": "330-971-7227",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "912 S Washington Ave",
"address_purpose": "LOCATION",
"city": "Saginaw",
"state": "MI",
"postal_code": "486012564",
"country_code": "US",
"telephone_number": "989-790-1001",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1431 SW 1st Ave",
"address_purpose": "LOCATION",
"city": "Ocala",
"state": "FL",
"postal_code": "34471",
"country_code": "US",
"telephone_number": "352-401-1000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HYDE",
"first_name": "RUSSELL",
"middle_name": "W",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-06-27",
"last_updated": "2022-03-21",
"certification_date": "2022-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "MI",
"license": "5101025855",
"primary": false
},
{
"code": "2086S0127X",
"taxonomy_group": "",
"desc": "Surgery, Trauma Surgery",
"state": "MI",
"license": "5101025855",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "OH",
"license": null,
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "OR",
"license": "DO209456",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "rhyde93521@direct.covenanthealthcare.com",
"affiliation": "N",
"address_1": "912 S Washington Ave",
"city": "Saginaw",
"state": "MI",
"country_code": "US",
"postal_code": "486012564",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "rhyde231757@samhealth.direct-ci.com",
"affiliation": "N",
"address_1": "3600 NW Samaritan Dr",
"city": "Corvallis",
"state": "OR",
"country_code": "US",
"postal_code": "973305472",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Corvallis, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2022; 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.