Cathryn Louise Russell, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

262472 Issued in NY

Practice address

198 E 121St St FL 5
New York, NY 10035-3523

Phone

(212) 803-5892

NPI assigned

Feb 28, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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.

• DHHS IHS Phoenix Area

  • Critical Access Hospital
  • Polacca, AZ
  • NPI 1356628028

  Family Medicine, TX

  Medicare reassignment NPD
• Janian Medical Care, P.C.

  • Psychiatry Physician
  • New York, NY
  • NPI 1871926782

  Family Medicine

  NPD (past)
• Boulevard Family Practice

  • Family Medicine Physician
  • Athens, GA
  • NPI 1194133884
  NPD (past)
• Boulevard Family Practice

  • Family Medicine Physician
  • Athens, GA
  • NPI 1508392267
  NPD (past)

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

{
    "created_epoch": "1204156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1245409739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "745 E 6TH ST APT 3B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100096995",
            "telephone_number": "917-407-8641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "198 E 121ST ST FL 5",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100353523",
            "telephone_number": "212-803-5892"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1010 Prince Ave",
            "address_2": "Suite 184",
            "address_purpose": "LOCATION",
            "city": "Athens",
            "state": "GA",
            "postal_code": "306065805",
            "country_code": "US",
            "telephone_number": "706-850-6134",
            "fax_number": "706-850-6318",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUSSELL",
        "first_name": "CATHRYN",
        "middle_name": "LOUISE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-28",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "262472",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Russell L. Berdoff, M.D., P.C.
• Russell L. Berdoff, M.D., P.C.
• Russell Stram PT Lac
• Bernadith Russell, MD
• Carlie Russell
• Cherie Russell, NP
• Christopher Russell, LP
• Cortessa Lynn Russell, MD
• Eileen M. Russell, PH.D.
• Emily Russell

• Family Medicine Physician in New York, NY
• Providers in New York, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.