Active NPI
Aimee George Russell, M.D.
- Radiation Oncology Physician
- Kettering, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Physician
- License
- 35086805
- Practice address
- 3700 Southern Blvd.
Suite 101
Kettering, OH 45429-1226 - Phone
- (937) 281-3810
- Fax
- (937) 281-3812
- NPI assigned
- Jun 7, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Radiation Oncology Physician | 2085R0001X | 35086805 | OH | Primary |
Addresses
Primary practice location
3700 Southern Blvd.
Suite 101
Kettering, OH 45429-1226
Mailing address
3700 Southern Blvd.
Suite 101
Kettering, OH 45429-1226
Phone (937) 281-3810
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2697407 | Medicaid | OH |
Other names 1
- Dr. Aimee Jeanne George
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | arussell189325@direct.ketteringhealth.org | ||
| FHIR URL | https://khnarr.ketthealth.com/FHIR-PROD/api/FHIR/DSTU2/ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35086805 | OH | MD | Radiation Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kettering Independent Medical Group Inc | Current | Accepting new patients | |
| Dayton Physicians, LLC | Past | Accepting new patients |
Locations
3525 Pentagon Blvd
Ste 101
Beavercreek, OH 45431
Phone (937) 702-4060
3535 Southern Blvd
Kettering, OH 45429
Phone (937) 298-1221
4403 Far Hills Ave
Kettering, OH 45429
Phone (937) 395-3910
3700 Southern Blvd
Ste 101
Kettering, OH 45429
Phone (937) 281-3810
1 Prestige Pl
Ste 550
Miamisburg, OH 45342
Phone (937) 752-2306
1141 N Monroe Dr
Xenia, OH 45385
Phone (937) 352-2000
Organizations & group practices 2
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.
-
- Orthopaedic Surgery Physician
- Miamisburg, OH
- NPI 1629387865
-
- Durable Medical Equipment & Medical Supplies
- Dayton, OH
- NPI 1811141559
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149638400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606176000000",
"number": "1528008679",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3700 SOUTHERN BLVD.",
"address_2": "SUITE 101",
"city": "KETTERING",
"state": "OH",
"postal_code": "454291226",
"telephone_number": "937-281-3810",
"fax_number": "937-281-3812"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3700 SOUTHERN BLVD.",
"address_2": "SUITE 101",
"city": "KETTERING",
"state": "OH",
"postal_code": "454291226",
"telephone_number": "937-281-3810",
"fax_number": "937-281-3812"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUSSELL",
"first_name": "AIMEE",
"middle_name": "GEORGE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-07",
"last_updated": "2020-11-24",
"certification_date": "2020-11-24",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "OH",
"license": "35086805",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2697407",
"state": "OH"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "arussell189325@direct.ketteringhealth.org",
"affiliation": "N",
"address_1": "3700 Southern Blvd.",
"address_2": "Suite 101",
"city": "Kettering",
"state": "OH",
"country_code": "US",
"postal_code": "454291226",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://khnarr.ketthealth.com/FHIR-PROD/api/FHIR/DSTU2/",
"affiliation": "N",
"address_1": "3700 Southern Blvd.",
"address_2": "Suite 101",
"city": "Kettering",
"state": "OH",
"country_code": "US",
"postal_code": "454291226",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "AIMEE",
"last_name": "GEORGE",
"middle_name": "JEANNE",
"prefix": "DR.",
"credential": "M.D.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Kettering, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2020; 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.