Individual provider Active NPI

Darilynn Thomas Russell, M.D.

  • Emergency Medicine Physician
  • Avon, OH
National Provider Identifier
1275867806
Registry record updated Sep 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
35.125111 Issued in OH
Practice address
1997 Healthway Dr
Avon, OH 44011-2834
Phone
(440) 988-6660
NPI assigned
Sep 29, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 35.125111 OH Primary

Addresses

Primary practice location

1997 Healthway Dr
Avon, OH 44011-2834

Mailing address

1997 Healthway Dr
Avon, OH 44011-2834
Phone (216) 798-2411

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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

Enrollment IDStateProvider typePAC IDDetails
I20141208001890 OH Practitioner - Emergency Medicine 8022330703 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emergency Professional Services, Inc.Group PAC ID 7214832435, 121 clinicians

Practice addresses (Care Compare)

4065 Ctr Rd
Brunswick, OH 44212-2918
Phone (330) 558-0123

Hospital & facility affiliations

  • Southwest General Health Center Hospital, Middleburg Heights, OH, CCN 360155

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35.125111OHMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Magis Emergency Medicine LLC Emergency Medicine CurrentSince Nov 1, 2019 Accepting new patients
Physicians Link Center LLC Emergency Medicine CurrentSince Nov 1, 2014 Accepting new patients
Emergency Professional Services, Inc. Emergency Medicine CurrentSince Jul 10, 2020 Accepting new patients
Ohio Emergency Professionals Inc Emergency Medicine CurrentSince Aug 1, 2015 Accepting new patients

Locations

12420 Milestone Center Dr
Ste 200
Germantown, MD 20876
Phone (336) 509-7515

254 Cleveland Ave
Amherst, OH 44001
Phone (440) 988-2831

1997 Healthway Dr
Avon, OH 44011
Phone (440) 329-7720

5901 E Royalton Rd
Broadview Heights, OH 44147
Phone (440) 792-9005

630 E River St
Elyria, OH 44035
Phone (440) 329-7450

630 Eaton Ave
Hamilton, OH 45013
Phone (513) 867-2000

18697 Bagley Rd
Middleburg Heights, OH 44130
Phone (440) 816-8000

651 W Marion Rd
Mount Gilead, OH 43338
Phone (419) 946-5015

32800 Lorain Rd
North Ridgeville, OH 44039
Phone (440) 406-5500

7007 Powers Blvd
Parma, OH 44129
Phone (440) 743-4000

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1254182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569369600000",
    "number": "1275867806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1997 HEALTHWAY DR",
            "city": "AVON",
            "state": "OH",
            "postal_code": "440112834",
            "telephone_number": "216-798-2411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1997 HEALTHWAY DR",
            "city": "AVON",
            "state": "OH",
            "postal_code": "440112834",
            "telephone_number": "440-988-6660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSELL",
        "first_name": "DARILYNN",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-09-29",
        "last_updated": "2019-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OH",
            "license": "35.125111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Avon, OH

Sources for this page

Verify at the official NPI Registry.