James Russell, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

13810 Issued in OK

Practice address

308 S Main St
Sapulpa, OK 74066-4110

Phone

(918) 224-3081

Fax

(918) 224-5059

NPI assigned

Oct 3, 2006

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in OK

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276041600000",
    "number": "1508950379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308 S MAIN ST",
            "city": "SAPULPA",
            "state": "OK",
            "postal_code": "740664110",
            "telephone_number": "918-224-3081",
            "fax_number": "918-224-5059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 S MAIN ST",
            "city": "SAPULPA",
            "state": "OK",
            "postal_code": "740664110",
            "telephone_number": "918-224-3081",
            "fax_number": "918-224-5059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSELL",
        "first_name": "JAMES",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2010-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "13810",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100134450A",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOONERCARE",
            "identifier": "100134450B",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dana Michelle Ross, D.D.S
• Dawn Ross
• Jack Rothstein
• Victoria N Rush- Wilson, LPN
• Britnei Alys Russell-Tyler
• Sheila Russell, RN
• Wilda Sample
• Halley Sanchez
• Shannon S Sandmeyer
• Toni Sanitoa

• Family Medicine Physician in Sapulpa, OK
• Providers in Sapulpa, OK by specialty
• Family Medicine Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 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.