Russell J Struble, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

RS068547 Issued in MI

Practice address

200 S Wenona St
Suite 100
Bay City, MI 48706-8820

Phone

(989) 892-6587

Fax

(989) 892-3140

NPI assigned

Jul 10, 2006

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

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

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.

• Brent J Raap DO PC

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  NPD (past)
• IHS Medical Clinic

  • Family Medicine Physician
  • Essexville, MI
  • NPI 1447960380

  Family Medicine

  NPD (past)
• Sheryl Hasegawa Arthur DO PLLC

  • Family Medicine Physician
  • Bay City, MI
  • NPI 1467761510

  Family Medicine

  NPD (past)

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318032000000",
    "number": "1154355477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 S WENONA ST",
            "address_2": "SUITE 100",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487068820",
            "telephone_number": "989-892-6587",
            "fax_number": "989-892-3140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 S WENONA ST",
            "address_2": "SUITE 100",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487068820",
            "telephone_number": "989-892-6587",
            "fax_number": "989-892-3140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STRUBLE",
        "first_name": "RUSSELL",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2011-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "RS068547",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCR LICENSE NUMBER",
            "identifier": "RS068547",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4115114",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Layla Strickland
• Brittany Lynn Stringer
• Ashley Strohmer, CRNA
• Miranda Strong
• Erika Kay Strouse, BS
• Shawn Thomas Struzinsky, P.T.A.
• Alisha Strye
• Kristi Strzelecki
• Darrell W Stuart, MD
• Brandie Faye Studebaker

• All providers in Bay City, MI
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2011; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.