Organization Active NPI

Russell England MD PLLC

  • Psychiatry Physician
  • Fairfield, IA
National Provider Identifier
1578019766
Registry record updated Aug 31, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD23126 Issued in IA
Legal business name
RUSSELL ENGLAND MD PLLC
Practice address
2709 W Briggs Ave
Ste. 4
Fairfield, IA 52556-2649
Phone
(641) 472-7216
NPI assigned
Aug 29, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2016

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

Authorized official

Name
Russell D England, M.D.
Title
Owner/Physician
Phone
(641) 472-7216

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X MD23126 IA Primary

Addresses

Primary practice location

2709 W Briggs Ave
Ste. 4
Fairfield, IA 52556-2649

Mailing address

2709 W Briggs Ave
Ste. 4
Fairfield, IA 52556-2649
Phone (641) 472-7216

Other identifiers 1

IdentifierTypeStateIssuer
MD23126OtherIASTATE MEDICAL LICENSE

National Provider Directory

National Provider Directory

Locations

200 W Lowe Ave
Ste 206
Fairfield, IA 52556
Phone (641) 472-7216

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1472428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472601600000",
    "number": "1578019766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2709 W BRIGGS AVE",
            "address_2": "STE. 4",
            "city": "FAIRFIELD",
            "state": "IA",
            "postal_code": "525562649",
            "telephone_number": "641-472-7216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2709 W BRIGGS AVE",
            "address_2": "STE. 4",
            "city": "FAIRFIELD",
            "state": "IA",
            "postal_code": "525562649",
            "telephone_number": "641-472-7216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUSSELL ENGLAND MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-29",
        "last_updated": "2016-08-31",
        "status": "A",
        "authorized_official_last_name": "ENGLAND",
        "authorized_official_first_name": "RUSSELL",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "641-472-7216",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IA",
            "license": "MD23126",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE MEDICAL LICENSE",
            "identifier": "MD23126",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfield, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2016; 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.