Active NPI
Russell Carlisle Hess, DO
- Family Medicine Physician
- MC Sherrystown, PA
National Provider Identifier
1447254297
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- OS006862L
- Practice address
- 70 Academy St
MC Sherrystown, PA 17344-2116 - Phone
- (717) 637-4188
- Fax
- (717) 637-7803
- NPI assigned
- Jun 9, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | OS006862L | PA | Primary |
Addresses
Primary practice location
70 Academy St
MC Sherrystown, PA 17344-2116
Mailing address
70 Academy St
MC Sherrystown, PA 17344-2116
Phone (717) 637-4188
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1243569 | Medicaid | PA | |
| 582297 | Other | PA | MEDICARE LEGACY PROVIDER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118275200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1446163200000",
"number": "1447254297",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "70 ACADEMY ST",
"city": "MC SHERRYSTOWN",
"state": "PA",
"postal_code": "173442116",
"telephone_number": "717-637-4188",
"fax_number": "717-637-7803"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "70 ACADEMY ST",
"city": "MC SHERRYSTOWN",
"state": "PA",
"postal_code": "173442116",
"telephone_number": "717-637-4188",
"fax_number": "717-637-7803"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HESS",
"first_name": "RUSSELL",
"middle_name": "CARLISLE",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-09",
"last_updated": "2015-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "PA",
"license": "OS006862L",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1243569",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE LEGACY PROVIDER",
"identifier": "582297",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in MC Sherrystown, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 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.