Active NPI
Janet Young Russell, M.D.
- Family Medicine Physician
- Chandler, AZ
National Provider Identifier
1639327075
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 25180
- Practice address
- 4939 W Ray Rd
Suite 28
Chandler, AZ 85226-2065 - Phone
- (480) 785-8800
- NPI assigned
- Aug 27, 2008
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 25180 | AZ | Primary |
Addresses
Primary practice location
4939 W Ray Rd
Suite 28
Chandler, AZ 85226-2065
Mailing address
12014 E Welsh TRL
Scottsdale, AZ 85259-5108
Phone (480) 451-8150
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 25180 | Other | AZ | ARIZONA STATE MEDICAL LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25180 | AZ | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1219795200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1219795200000",
"number": "1639327075",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12014 E WELSH TRL",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852595108",
"telephone_number": "480-451-8150"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4939 W RAY RD",
"address_2": "SUITE 28",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "852262065",
"telephone_number": "480-785-8800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUSSELL",
"first_name": "JANET",
"middle_name": "YOUNG",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-08-27",
"last_updated": "2008-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AZ",
"license": "25180",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ARIZONA STATE MEDICAL LICENSE",
"identifier": "25180",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Chandler, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.