David S Russell, RPA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

005332-1 Issued in NY

Practice address

438 High St
Lockport, NY 14094-4742

Phone

(716) 439-0193

Fax

(716) 438-3543

NPI assigned

Jul 7, 2005

Sex

Male

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 NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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.

• Richard M Junke, M.D.

  • Family Medicine Physician
  • Lockport, NY
  • NPI 1184621153
  Medicare reassignment
• Richard M Junke MD

  • Family Medicine Physician
  • Lockport, NY
  • NPI 1801210612
  NPD (past)

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

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285286400000",
    "number": "1295733921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "438 HIGH ST",
            "city": "LOCKPORT",
            "state": "NY",
            "postal_code": "140944742",
            "telephone_number": "716-439-0193",
            "fax_number": "716-438-3543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "438 HIGH ST",
            "city": "LOCKPORT",
            "state": "NY",
            "postal_code": "140944742",
            "telephone_number": "716-439-0193",
            "fax_number": "716-438-3543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSELL",
        "first_name": "DAVID",
        "middle_name": "S",
        "credential": "RPA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-07",
        "last_updated": "2010-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "005332-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rosen, Brandt-Douglas, LCSW,PLLC
• Rochelle F Rosen, LCSWR CASAC
• Carol L Ross, LCSWR
• Marie E. Roth, LMSW
• Rudolph M Sada, MD
• Julia H Russell, LCSW
• Margaret Russell, DC
• Richard Rutherford, LMSW
• Julia Rutland, RN
• Alexandra R Ryan, LPN

• Physician Assistant in Lockport, NY
• Providers in Lockport, NY by specialty
• Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2010; 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.