Allen J Russell, M.D.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

4301042036 Issued in MI

Practice address

32401 8 Mile Rd
Livonia, MI 48152-1301

Phone

(913) 359-6001

Fax

(913) 359-5552

NPI assigned

May 24, 2005

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

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

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.

• Patheous Medical PLLC

  • Diagnostic Radiology Physician
  • Leawood, KS
  • NPI 1366121527

  MI

  Medicare reassignment NPD
• Michigan Healthcare Professionals PC

  • Internal Medicine Physician
  • Farmington Hills, MI
  • NPI 1295023547

  General Practice

  NPD (past)
• NDS Radiology Inc.

  dba National Diagnostic Services

  • Diagnostic Radiology Physician
  • Novi, MI
  • NPI 1649418211
  NPD (past)
• Schoenherr Diagnostic Center, PLLC

  • Diagnostic Radiology Physician
  • Warren, MI
  • NPI 1942313044
  NPD (past)
• Theoria Medical

  • Internal Medicine Physician
  • Novi, MI
  • NPI 1609362375
  NPD (past)
• Wellbridge of Clarkston, LLC

  • Skilled Nursing Facility
  • Independence Township, MI
  • NPI 1669965299
  NPD (past)
• Wellbridge of Pinckney, LLC

  • Skilled Nursing Facility
  • Pinckney, MI
  • NPI 1952762452
  NPD (past)

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

{
    "created_epoch": "1116892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699488000000",
    "number": "1184627945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6601 COLLEGE BLVD STE 120",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662111504",
            "telephone_number": "913-359-6001",
            "fax_number": "217-897-6999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32401 8 MILE RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481521301",
            "telephone_number": "913-359-6001",
            "fax_number": "913-359-5552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSELL",
        "first_name": "ALLEN",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-05-24",
        "last_updated": "2023-11-09",
        "certification_date": "2023-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "MI",
            "license": "4301042036",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MI",
            "license": "4301042036",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "4301042036",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Janice Gilbert Rushton, PAC
• Nisha Rushton
• Steven Rusnak, PA-C
• Jessica Louise Rusnica
• Shannon Russ
• Sarah Russell, LLPC
• James M Rutkowski, RPH
• Charles Matthew Rutledge, PT, DPT
• Dymand-Marque Rutledge
• RX Optical Laboratories, Inc.

• Diagnostic Radiology Physician in Livonia, MI
• Providers in Livonia, MI by specialty
• Diagnostic Radiology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2023; 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.