NPIMap

Organization Active NPI

Russellville Physicians LLC

  • Cardiovascular Disease Physician
  • Russellville, AL
National Provider Identifier
1215219134
Registry record updated Jun 25, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
31191 Issued in AL
Legal business name
RUSSELLVILLE PHYSICIANS LLC
Doing business as
Russellville Cardiology
Practice address
15225 Highway 43
Suite B
Russellville, AL 35653-1999
Phone
(256) 331-5828
Fax
(256) 331-5829
NPI assigned
Sep 16, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2015

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

Authorized official

Name
Christine Stewart
Title
President
Phone
(256) 332-8679

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0000X 31191 AL Primary

Addresses

Primary practice location

15225 Highway 43
Suite B
Russellville, AL 35653-1999

Mailing address

P.O. Box 1216
Russellville, AL 35653-1999
Phone (256) 331-5828

Other identifiers 2

IdentifierTypeStateIssuer
132621MedicaidAL
169984MedicaidAL

Other names 1

  • Russellville Cardiology Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Russellville Cardiology2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1316131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435190400000",
    "number": "1215219134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 1216",
            "city": "RUSSELLVILLE",
            "state": "AL",
            "postal_code": "356531999",
            "telephone_number": "256-331-5828",
            "fax_number": "256-331-5829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15225 HIGHWAY 43",
            "address_2": "SUITE B",
            "city": "RUSSELLVILLE",
            "state": "AL",
            "postal_code": "356531999",
            "telephone_number": "256-331-5828",
            "fax_number": "256-331-5829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUSSELLVILLE PHYSICIANS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-16",
        "last_updated": "2015-06-25",
        "status": "A",
        "authorized_official_last_name": "STEWART",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "256-332-8679"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "AL",
            "license": "31191",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "132621",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "169984",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Russellville Cardiology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Russellville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.