Russell James Lolley, MD
Individual provider Active NPI Emergency Medicine Physician · Temple, TX
NPI 1174159016 · NPPES record last updated Sep 18, 2023
Key facts
- NPI
- 1174159016
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- License
- FL1397303 (TX)
- Practice address
- 2401 S 31St Street, Ms-11-Ag062
Temple, TX 76508-0001 - Phone
- (254) 724-5815
- NPI assigned
- Mar 22, 2020
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Emergency Medicine
- Education
- Texas Tech University Health Science Center School of Medicine, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Century Integrated Partners, Inc
Practice addresses (Care Compare)
5252 W University Dr
Baylor Medical Center at McKinney
McKinney, TX 75071-7822
Phone (469) 764-5000
Hospital & facility affiliations
- Baylor Scott and White Medical Center McKinney
- Medical City Plano
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of nail tissue | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230821004194 | TX | Practitioner - Emergency Medicine | 3678904521 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Questcare Medical Services, PLLC | Emergency Medicine | Current |
Accepting new patients |
| Century Integrated Partners, Inc | Emergency Medicine | Current |
Accepting new patients |
| Questcare Medical Services, PLLC | Emergency Medicine | Current |
Accepting new patients |
Locations
301 N Washington Ave
Dallas, TX 75246
Phone (469) 800-8330
3500 Gaston Ave
Dallas, TX 75246
7777 Forest Ln
Dallas, TX 75230
Phone (972) 566-7283
1400 8th Ave
Ft Worth, TX 76104
Phone (817) 922-1559
5252 W University Dr
McKinney, TX 75071
Phone (469) 764-1000
4700 Alliance Blvd
#P
Plano, TX 75093
Phone (469) 814-2000
3901 W 15th St
Plano, TX 75075
Phone (972) 519-1115
4750 President George Bush Tpke
Sachse, TX 75048
Phone (214) 477-7647
2401 S 31st St
#11
Temple, TX 76508
Phone (254) 724-2518
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Emergency Medicine Physician | 207P00000X | FL1397303 | TX | Yes |
Addresses
Primary practice location
2401 S 31St Street, Ms-11-Ag062
Temple, TX 76508-0001
Mailing address
2401 S 31St Street, Ms-11-Ag062
Temple, TX 76508-0001
Phone (254) 724-5815
Other providers in Temple, TX
- Melanie M. Lockwood
- Meryl Simon Logan
- Mylien Le Loh
- Matthew R Lohse
- John-Paul Lokey
- Michael Alan Lomax
- Jonathan Lomboy
- Diana Lomeli
- Reina London
- Lone Star Circle of Care
All providers in Temple, TX · Emergency Medicine Physician in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 18, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.