Active NPI
Russell B Harrison, MD
- Family Medicine Physician
- Pendleton, OR
National Provider Identifier
1164409173
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD29141
- Practice address
- 1600 SE Court PL
Suite 201
Pendleton, OR 97801 - Phone
- (541) 276-1700
- Fax
- (541) 276-6327
- NPI assigned
- Dec 30, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Military Health Care Provider | 171000000X | 23092 | NE | |
| Family Medicine Physician | 207Q00000X | MD29141 | OR | Primary |
Addresses
Primary practice location
1600 SE Court PL
Suite 201
Pendleton, OR 97801
Mailing address
PO Box 190
Pendleton, OR 97801
Phone (541) 276-1700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 500606602 | Medicaid | OR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Medical College of Wisconsin, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
702 SW Dorion Ave
Pendleton, OR 97801-2039
Phone (541) 215-1564
Hospital & facility affiliations
- Good Shepherd Home Health
- Vange John Memorial Hospice
- St Anthony Hospital
- Good Shepherd Medical Center
- Kadlec Regional Medical Center
- Providence St Mary Medical Center
- Willowbrook Post Acute
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 19 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 15 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23092 | NE | MD | Military Health Care Provider |
| MD29141 | OR | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr. Russell B Harrison, MD PC | Current | Accepting new patients | |
| Pendleton Family Medicine LLC | Family Medicine | Past | Accepting new patients |
| Praxis Health, PC | Family Medicine | Past | Accepting new patients |
Locations
702 SW Dorion Ave
Pendleton, OR 97801
Phone (541) 215-1564
Interoperability endpoints
- https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.60460
Organizations & group practices 3
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.
-
- Primary Care Clinic/Center
- Pendleton, OR
- NPI 1154764405
-
- Family Medicine Physician
- Pendleton, OR
- NPI 1285765883
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Pendleton, OR
- NPI 1649276734
-
- Critical Access Hospital
- Hermiston, OR
- NPI 1295789667
-
- Community Based Hospice Care Agency
- Hermiston, OR
- NPI 1346295029
-
- Home Health Agency
- Hermiston, OR
- NPI 1902849375
-
- General Acute Care Hospital
- Richland, WA
- NPI 1972507580
-
- General Acute Care Hospital
- Walla Walla, WA
- NPI 1386895886
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135900800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1277769600000",
"number": "1164409173",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 190",
"city": "PENDLETON",
"state": "OR",
"postal_code": "97801",
"telephone_number": "541-276-1700",
"fax_number": "541-276-6327"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 SE COURT PL",
"address_2": "SUITE 201",
"city": "PENDLETON",
"state": "OR",
"postal_code": "97801",
"telephone_number": "541-276-1700",
"fax_number": "541-276-6327"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRISON",
"first_name": "RUSSELL",
"middle_name": "B",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-30",
"last_updated": "2010-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "171000000X",
"taxonomy_group": "",
"desc": "Military Health Care Provider",
"state": "NE",
"license": "23092",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OR",
"license": "MD29141",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "500606602",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Pendleton, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2010; 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.