Jeffrey S Russell, D.O.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

5101011799 Issued in MI

Practice address

327 W Chicago St
Coldwater, MI 49036-2805

Phone

(517) 278-8000

Fax

(517) 278-8007

NPI assigned

Jun 16, 2006

Sex

Male

Sole proprietor

No

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.

• The Doctors Group, P.C.

  • Family Medicine Physician
  • Battle Creek, MI
  • NPI 1043484322
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Credentials

Doctor of Osteopathy

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 19, 2013.

{
    "created_epoch": "1150416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361232000000",
    "number": "1497799654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "327 W CHICAGO ST",
            "city": "COLDWATER",
            "state": "MI",
            "postal_code": "490362805",
            "telephone_number": "517-278-8000",
            "fax_number": "517-278-8007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "327 W CHICAGO ST",
            "city": "COLDWATER",
            "state": "MI",
            "postal_code": "490362805",
            "telephone_number": "517-278-8000",
            "fax_number": "517-278-8007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSELL",
        "first_name": "JEFFREY",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-16",
        "last_updated": "2013-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "5101011799",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RR",
            "identifier": "1C CJ8339",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4836462",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kaitlyn Elizabeth Rozell, PHARMD
• Katrina Jill Rubin, OTR
• Kenneth Martin Rubin, NP
• G David Rubley, DDS
• Larry Gene Rumsey
• Kendra Russell, LPN
• Madison Elizabeth Rutz
• RX Optical Laboratories, Inc.
• Malorie Olivia Rzepka
• Mohamad Saab

• All providers in Coldwater, MI
• Internal Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2013; 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.