James Scott Powell, M.D.

Individual provider Active NPI Neurological Surgery Physician · Russell, KY

NPI 1497778633 · NPPES record last updated Sep 26, 2012

Key facts

NPI
1497778633
Entity type
Individual (NPI type 1)
Primary specialty
Neurological Surgery Physician 207T00000X
License
25181 (KY)
Practice address
1450 Diederich Blvd
Russell, KY 41169-1719
Phone
(606) 324-7737
Fax
(606) 324-7408
NPI assigned
Jul 26, 2006
Sex
Male
Sole proprietor
Yes

Organizations & group practices 1

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25181KYMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tri State Neurology, PLLC Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X 25181 KY Yes

Addresses

Primary practice location

1450 Diederich Blvd
Russell, KY 41169-1719

Mailing address

PO Box 2205
Ashland, KY 41105-2205
Phone (606) 324-7737

Other identifiers

IdentifierTypeStateIssuer
64251812MedicaidKY

Other providers in Russell, KY

All providers in Russell, KY · Neurological Surgery Physician in Kentucky

Sources for this page

Verify at the official NPI Registry.