NPIMap

Individual provider Active NPI

Russell N McDonald, D.O.

  • Family Medicine Physician
  • Groves, TX
National Provider Identifier
1669451266
Registry record updated Jul 26, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
E8705 Issued in TX
Practice address
6000 39TH St
Groves, TX 77619-4652
Phone
(409) 962-8509
Fax
(409) 962-9763
NPI assigned
Jan 11, 2006
Last updated
Jul 26, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 26, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X E8705 TX
Family Medicine Physician 207Q00000X E8705 TX Primary

Addresses

Primary practice location

6000 39TH St
Groves, TX 77619-4652

Mailing address

6000 39TH St
Groves, TX 77619-4652
Phone (409) 962-8509

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040803000735 TX Practitioner - Family PracticePractitioner - Emergency Medicine 0749251841 Reassigns benefits to 3 organizations
Receives reassigned benefits from 1 practitioner
Practice locations: Groves, TX

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Osteopathy, Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Home Visiting Doctors Management LLC CurrentSince Feb 12, 2018 Accepting new patients
American Visiting Doctors LLC CurrentSince Apr 20, 2018 Accepting new patients
Healthcare Liaison Services, LLC CurrentSince Apr 20, 2018 Accepting new patients
Russell N. McDonald Family Medicine PastSince Dec 16, 2010 Accepting new patients
Southeast Emergency Physician Associates, P.a. Emergency Medicine Past Accepting new patients
Memorial Hospital San Augustine Past Accepting new patients
Lacomb Health & Wellness, PLLC PastSince Aug 3, 2018 Accepting new patients
Jasper Emergency Medicine Associates PA Emergency Medicine Past Accepting new patients
Bellville Hospital District Emergency Medicine Past Accepting new patients
Bellville Medical Center Family Medicine PastSince Aug 6, 2019 Accepting new patients
Jefferson Emergency Medicine Associates PA Emergency Medicine Past Accepting new patients
Grigoriy Rodonaia MD PA Past Accepting new patients
Sabine County Hospital District Emergency Medicine Past Accepting new patients
Emergency Medicine Physicians of Dallas PA Emergency Medicine Past Accepting new patients
Memorial Hospital of Polk County PastSince Jan 1, 2002 Accepting new patients

Locations

5050 Quorum Dr
Ste 700
Dallas, TX 75254
Phone (214) 402-0101

Interoperability endpoints

  • Direct secure messaging: russell.mcdonald@3387.securemail.prognocis.com

Practitioners & affiliated clinicians

Practitioners 1

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.

Organizations & group practices 15

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1136937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185408000000",
    "number": "1669451266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6000 39TH ST",
            "city": "GROVES",
            "state": "TX",
            "postal_code": "776194652",
            "telephone_number": "409-962-8509",
            "fax_number": "409-962-0763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6000 39TH ST",
            "city": "GROVES",
            "state": "TX",
            "postal_code": "776194652",
            "telephone_number": "409-962-8509",
            "fax_number": "409-962-9763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDONALD",
        "first_name": "RUSSELL",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-11",
        "last_updated": "2007-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "E8705",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "E8705",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Groves, TX

Sources for this page

Verify at the official NPI Registry.