John R. Russell, M.D.

Primary specialty

Radiation Oncology PhysicianTaxonomy code 2085R0001X

License

11109 Issued in AL

Practice address

5 Mobile Infirmary CR. Ste. G-805
Mobile Infirmary Radiation Oncology
Mobile, AL 36607-3513

Phone

(251) 435-2273

Fax

(251) 435-6599

NPI assigned

Nov 11, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AL

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

Specialty

Radiation Oncology

Education

University of Texas Medical Branch at Galveston, 1976

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Imc-Diagnostic and Medical Clinic LLCGroup PAC ID 2860399623, 168 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mobile Infirmary Medical Center Hospital, Mobile, AL, CCN 010113
• North Baldwin Infirmary Hospital, Bay Minette, AL, CCN 010129
• Thomas Hospital Hospital, Fairhope, AL, CCN 010100

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• bcbs alabama network 01G0
• bcbs alabama network 01E0
• bcbs alabama network 01B0
• bcbs alabama network 01H0
• bcbs alabama network 01A0

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.

• Imc-Diagnostic and Medical Clinic LLC

  • Internal Medicine Physician
  • Mobile, AL
  • NPI 1447201066
  Medicare reassignment Care Compare group NPD
• Imc-Diagnostic and Medical Clinic LLC

  • Multi-Specialty Clinic/Center
  • Saraland, AL
  • NPI 1568235000
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Gulf Health Hospitals, Inc

  • Family Medicine Physician
  • Bay Minette, AL
  • NPI 1154703726

  Hospital

  Care Compare affiliation
• Gulf Health Hospitals, Inc

  • General Acute Care Hospital
  • Fairhope, AL
  • NPI 1447303227
  Care Compare affiliation
• Gulf Health Hospitals, Inc.

  • General Acute Care Hospital
  • Bay Minette, AL
  • NPI 1134164924
  Care Compare affiliation
• Gulf Health Hospitals, Inc.

  • Gynecology Physician
  • Bay Minette, AL
  • NPI 1760717870

  Hospital

  Care Compare affiliation
• Mobile Infirmary Association

  • General Acute Care Hospital
  • Mobile, AL
  • NPI 1558364802
  Care Compare affiliation

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

{
    "created_epoch": "1131667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483056000000",
    "number": "1528049939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 MOBILE INFIRMARY CR.",
            "address_2": "STE. G-805",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366073513",
            "telephone_number": "251-435-2273",
            "fax_number": "251-435-6599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 MOBILE INFIRMARY CR. STE. G-805",
            "address_2": "MOBILE INFIRMARY RADIATION ONCOLOGY",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366073513",
            "telephone_number": "251-435-2273",
            "fax_number": "251-435-6599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSELL",
        "first_name": "JOHN",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-11",
        "last_updated": "2016-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "AL",
            "license": "11109",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000012148",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rural Urgent Care LLC
• Christina Rush
• Kristen Marie Rush, CRNP
• Chondra Russ, CRNP
• Janet A. Russell, CRNP
• Mary Katherine Russell, AU.D., CCC-A
• Nicole Kotval Russell I, RN
• Gregory Rutecki, MD
• Beth Miller Rutland, MD
• Guy Leslie Rutledge III, MD

• Radiation Oncology Physician in Mobile, AL
• Providers in Mobile, AL by specialty
• Radiation Oncology Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2016; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.