Anthony Henryk Russell, MD

Primary specialty

Therapeutic Radiology PhysicianTaxonomy code 2085R0203X

License

40275 Issued in MA

Practice address

100 Blossom St
Cox LL
Boston, MA 02114-2606

Phone

(617) 726-8650

Fax

(617) 726-3603

NPI assigned

Nov 17, 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

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1132185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354579200000",
    "number": "1376525014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9142",
            "city": "CHARLESTOWN",
            "state": "MA",
            "postal_code": "021299142",
            "telephone_number": "617-726-7559",
            "fax_number": "617-726-3603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 BLOSSOM ST",
            "address_2": "COX LL",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021142606",
            "telephone_number": "617-726-8650",
            "fax_number": "617-726-3603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSELL",
        "first_name": "ANTHONY",
        "middle_name": "HENRYK",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-17",
        "last_updated": "2012-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0203X",
            "taxonomy_group": "",
            "desc": "Radiology, Therapeutic Radiology",
            "state": "MA",
            "license": "40275",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2003937",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS MA",
            "identifier": "J25906",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS HEALTH PLAN",
            "identifier": "040275",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shoshana Anne Ruskin, NP
• Christiana M Russ, M.D.
• Michaela Russ
• Suzanne Lee Russell-Curtis, RD, LDN, CDE
• Eleanor Russell-Goldman, MD, PHD
• Brian Michael Russell
• Christopher G Russell, PA-C
• Christopher W Russell, M.D.
• Elizabeth B Russell, PA-C
• Emily Russell, PA-C

• Therapeutic Radiology Physician in Boston, MA
• Providers in Boston, MA by specialty
• Therapeutic Radiology Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2012; 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.