Russell L Nelson, M.D. PC

Primary specialty

Adult Reconstructive Orthopaedic Surgery PhysicianTaxonomy code 207XS0114X

License

5646209-1205 Issued in UT

Legal business name

RUSSELL L NELSON, M.D. PC

Practice address

5323 S Woodrow St Ste 200
Murray, UT 84107-5844

Phone

(801) 747-1020

Fax

(801) 747-1023

NPI assigned

Feb 4, 2013

Organization subpart

No

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

Authorized official

Name

Russell L Nelson, MDNPI 1285628966

Title

President

Phone

(801) 747-1020

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in UT

Enrollment records 1

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Russell L Nelson, MD

  • Orthopaedic Surgery Physician
  • Salt Lake City, UT
  • NPI 1285628966
  Medicare reassignment Care Compare group Authorized official
• Conor Hodgson, PA-C

  • Physician Assistant
  • Holladay, UT
  • NPI 1720834229
  Medicare reassignment Care Compare group
• Robert Chad Bannon, PA-C

  • Physician Assistant
  • Murray, UT
  • NPI 1366877029
  Medicare reassignment
• Eric B Chatterley, PA-C

  • Surgical Physician Assistant
  • Salt Lake City, UT
  • NPI 1679807572
  Medicare reassignment
• John G Skedros, MD

  • Orthopaedic Surgery Physician
  • Salt Lake City, UT
  • NPI 1972597730
  NPD

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

{
    "created_epoch": "1359936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359936000000",
    "number": "1083953558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5323 S WOODROW ST STE 200",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841075844",
            "telephone_number": "801-747-1020",
            "fax_number": "801-747-1023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5323 S WOODROW ST STE 200",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841075844",
            "telephone_number": "801-747-1020",
            "fax_number": "801-747-1023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUSSELL L NELSON, M.D. PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-04",
        "last_updated": "2013-02-04",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "RUSSELL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "801-747-1020",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207XS0114X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
            "state": "UT",
            "license": "5646209-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bryce Rudd
• Ronald J Ruff, M.D.
• Madison Rumsey, CGC
• Brooke Runkle, PA-C
• Wendy Marie Rusin, A.P.R.N.
• Julie Russell, PSYD
• Rachelle Russell, APRN NP-C
• Trent Russell, PA
• Antonietta Anna Russo, P.H.D.
• Harold Mathew Rust, M.D.

• Adult Reconstructive Orthopaedic Surgery Physician in Murray, UT
• Providers in Murray, UT by specialty
• Adult Reconstructive Orthopaedic Surgery Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.