Russell D. Meldrum, M.D. PLLC

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

51549 Issued in AZ

Legal business name

RUSSELL D. MELDRUM, M.D. PLLC

Practice address

855 W. Southern Ave.
#1114
Mesa, AZ 85210

Phone

(317) 371-7230

NPI assigned

Mar 5, 2018

Last updated

Mar 5, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Russell Meldrum, MD

Title

Owner/Physician

Phone

(317) 371-7230

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1520208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1520208000000",
    "number": "1548762719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "855 W. SOUTHERN AVE.",
            "address_2": "#1114",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "85210",
            "telephone_number": "317-371-7230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "855 W. SOUTHERN AVE.",
            "address_2": "#1114",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "85210",
            "telephone_number": "317-371-7230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUSSELL D. MELDRUM, M.D. PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-05",
        "last_updated": "2018-03-05",
        "status": "A",
        "authorized_official_last_name": "MELDRUM",
        "authorized_official_first_name": "RUSSELL",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "317-371-7230",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "AZ",
            "license": "51549",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE NUMBER",
            "identifier": "51549",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jalen Rusen
• Charles Raymond Rush, D.C.
• Daniel E Rush, D.C.
• Richard John Ruskin, MD
• Russell a. Beck, MD, PC
• Ann J Russell, P.A.
• Comonique Russell
• Edward John Russell III, COTAL
• Helen Russell, CLINICAL LIAISON BHT
• Kevin Joseph Russell, O.D.

• Orthopaedic Surgery Physician in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Orthopaedic Surgery Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2018; 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.