Russell B Allison

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

RUSSELL B ALLISON

Practice address

5395 W Ash St Ste 1
Pottsville, AR 72858-9228

Phone

(479) 219-5034

NPI assigned

Dec 1, 2015

Organization subpart

No

Name

Sabrina Paris Tencleve

Title

Practice Manager

Phone

(479) 890-9292

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

• Russell B Allison, MD

  • Orthopaedic Surgery Physician
  • Coffeyville, KS
  • NPI 1881663078
  NPD (past)
• Joseph A Coffey, PA

  • Physician Assistant
  • Syracuse, NY
  • NPI 1245319730
  NPD (past)

Tax ID family

Arkansas Orthopaedic Insitute2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Russell B Allison MD PA

  • Durable Medical Equipment & Medical Supplies
  • Russellville, AR
  • NPI 1871706127
  NPD tax ID

Locations

• Central States Laboratory Doing business as

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 1, 2015.

{
    "created_epoch": "1448928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1448928000000",
    "number": "1134594229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1146",
            "city": "RUSSELLVILLE",
            "state": "AR",
            "postal_code": "728111146",
            "telephone_number": "479-890-9292",
            "fax_number": "479-890-6962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5395 W ASH ST STE 1",
            "city": "POTTSVILLE",
            "state": "AR",
            "postal_code": "728589228",
            "telephone_number": "479-219-5034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUSSELL B ALLISON",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-01",
        "last_updated": "2015-12-01",
        "status": "A",
        "authorized_official_last_name": "TENCLEVE",
        "authorized_official_first_name": "SABRINA",
        "authorized_official_middle_name": "PARIS",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "479-890-9292"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "04D2089584",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Central States Laboratory",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Darla L McNeely, SLP
• Pottsville Pharmacy Inc
• Pottsville Schools
• Cassandra Richard, SLP
• Patricia Ann Ricketts
• Russell B Allison MD PA
• Shannan Souza Aprn LLC
• Aspen Campbell Smith, OTD/OTR/L
• Julie Ann Smith
• Souza-Townsend Family Medical Clinic, PA

• All providers in Pottsville, AR
• Clinical Medical Laboratory in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2015; 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.