Stuart Russell

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

CRNA1397 Issued in AZ

Practice address

2330 E Jasmine St
Mesa, AZ 85213-2922

Phone

(480) 980-7302

NPI assigned

May 1, 2017

Last updated

May 1, 2017By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

The Pain Center of Arizona, PCGroup PAC ID 0749183325, 13 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

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.

• Pain Center of Arizona PC

  • Interventional Pain Medicine Physician
  • Peoria, AZ
  • NPI 1871650739
  Medicare reassignment Care Compare group NPD
• Dec Anesthesia LLC

  • Anesthesiology Physician
  • Mesa, AZ
  • NPI 1093006520
  Medicare reassignment NPD
• Freedom Anesthesia Partners LLC

  • Anesthesiology Physician
  • Scottsdale, AZ
  • NPI 1336952472
  Medicare reassignment NPD
• Sunset Anesthesia, LLC

  • Certified Registered Nurse Anesthetist
  • Mesa, AZ
  • NPI 1841561347

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• The Pain Center of Arizona, PC

  dba The Pain Center of Arizona

  • Clinical Medical Laboratory
  • Phoenix, AZ
  • NPI 1154780237
  NPD
• East Valley Endoscopy LLC

  • Ambulatory Surgical Clinic/Center
  • Mesa, AZ
  • NPI 1164414447
  NPD (past)
• Mesa Az Endoscopy ASC LLC

  dba Desert Endoscopy Center

  • Ambulatory Surgical Clinic/Center
  • Mesa, AZ
  • NPI 1770557233
  NPD (past)

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

{
    "created_epoch": "1493596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493596800000",
    "number": "1134654874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2330 E JASMINE ST",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852132922",
            "telephone_number": "480-980-7302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2330 E JASMINE ST",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852132922",
            "telephone_number": "480-980-7302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSELL",
        "first_name": "STUART",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-05-01",
        "last_updated": "2017-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "AZ",
            "license": "CRNA1397",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edward John Russell III, COTAL
• Helen Russell, CLINICAL LIAISON BHT
• Kevin Joseph Russell, O.D.
• Kristen Russell
• Sara Anne Russell, LPC
• Tara Nicole Russell, MS, BCBA, LBA
• Antonio Joseph Russo
• Raechel Russo
• Melissa Jean Rutherford, MSN, APRN, FNP-C
• Claire Rutkowski

• Certified Registered Nurse Anesthetist in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Certified Registered Nurse Anesthetist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.