Russell Medical Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

0041403 Issued in TX

Legal business name

RUSSELL MEDICAL INC

Practice address

4410 Dillon LN
Suite 17
Corpus Christi, TX 78415-5335

Phone

(361) 808-7382

Fax

(361) 808-7367

NPI assigned

May 22, 2006

Last updated

Sep 14, 2016By 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

Mrs. Debra L Russell

Title

President

Phone

(361) 808-7382

Specialties & licenses 6

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• David D Russell, ATP, CRTS

  • Other Technician
  • Corpus Christi, TX
  • NPI 1295024719
  NPD
• Crystal R Chaffin, MBA, ATP

  • Other Technician
  • Corpus Christi, TX
  • NPI 1164181889
  NPD (past)

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

{
    "created_epoch": "1148256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473811200000",
    "number": "1578517488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4410 DILLON LN",
            "address_2": "SUITE 17",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784155335",
            "telephone_number": "361-808-7382",
            "fax_number": "361-808-7367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4410 DILLON LN",
            "address_2": "SUITE 17",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784155335",
            "telephone_number": "361-808-7382",
            "fax_number": "361-808-7367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUSSELL MEDICAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-22",
        "last_updated": "2016-09-14",
        "status": "A",
        "authorized_official_last_name": "RUSSELL",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "361-808-7382",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": "0041403",
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "TX",
            "license": "0041403",
            "primary": false
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "TX",
            "license": "0041403",
            "primary": false
        },
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "171WH0202X",
            "taxonomy_group": "",
            "desc": "Contractor, Home Modifications",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "171WV0202X",
            "taxonomy_group": "",
            "desc": "Contractor, Vehicle Modifications",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Martha Ruiz, LMT
• Peter Anthony Ruiz, M.D.
• Robert D Ruiz, DDS
• Shelby Lynn Rumfield
• Emily Angeline Rushing
• David D Russell, ATP, CRTS
• John Andrew Russell, D.O.
• Rebecca Ann Russell, MT
• Clyde Escall Rutherford, MD
• John A Rutkowski, M.D.

• Durable Medical Equipment & Medical Supplies in Corpus Christi, TX
• Providers in Corpus Christi, TX by specialty
• Durable Medical Equipment & Medical Supplies in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.