Individual provider Active NPI

Russell J. Norris, M.D.

  • Orthopaedic Surgery Physician
  • La Crosse, WI
National Provider Identifier
1669488144
Registry record updated Jun 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
63587 Issued in WI
Practice address
1900 South Ave
La Crosse, WI 54601-5467
Phone
(608) 775-7485
Fax
(608) 775-8421
NPI assigned
Aug 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2015

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 2008-00859 NC
Orthopaedic Trauma Physician 207XX0801X 2008-00859 NC
Orthopaedic Surgery Physician 207X00000X 63587 WI Primary

Addresses

Primary practice location

1900 South Ave
La Crosse, WI 54601-5467

Mailing address

1900 South Ave
La Crosse, WI 54601-5467
Phone (608) 775-7485

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, WI, IA3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20081003000552 NC Practitioner - Orthopedic Surgery 6800964818 Reassigns benefits to 2 organizations
I20150512002855 WI Practitioner - Orthopedic Surgery 6800964818 Reassigns benefits to 2 organizations
I20150513000287 IA Practitioner - Orthopedic Surgery 6800964818 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of North Carolina at Chapel Hill School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vidant Medical Group LLCGroup PAC ID 0345343893, 986 clinicians

Practice addresses (Care Compare)

2325 Stantonsburg Rd
Greenville, NC 27834-7534
Phone (919) 731-4048

Hospital & facility affiliations

  • Ecu Health Medical Center Hospital, Greenville, NC, CCN 340040
  • Vidant Roanoke Chowan Hospital Hospital, Ahoskie, NC, CCN 340099

Procedures performed for Medicare patients

ProcedureNumber of procedures
Knee replacement1-10
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2008-00859NCMDOrthopaedic Trauma Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gundersen Clinic LTD CurrentSince May 26, 2015 Accepting new patients
DHP of North Carolina PC Orthopaedic Surgery CurrentSince Aug 10, 2012 Accepting new patients
Gundersen Lutheran Medical Center Inc CurrentSince May 26, 2015 Accepting new patients
Gundersen Lutheran Medical Center Inc Current Accepting new patients
Palmer Lutheran Health Center, Inc. CurrentSince Jan 1, 2016 Accepting new patients
Gundersen Lutheran Medical Center, Inc CurrentSince May 26, 2015 Accepting new patients
Gundersen Lutheran Express Care, Inc CurrentSince May 26, 2015 Accepting new patients
Vidant Medical Group LLC CurrentSince Apr 10, 2019 Accepting new patients

Locations

235 8th Ave W
Cresco, IA 52136
Phone (319) 547-2101

1830 State Highway 9
Decorah, IA 52101
Phone (563) 382-2639

112 Jefferson St
West Union, IA 52175
Phone (563) 422-3811

2380 W Arlington Blvd
Greenville, NC 27834
Phone (252) 744-0100

2325 Stantonsburg Rd
Greenville, NC 27834
Phone (252) 752-5156

401 N Main St
Kenansville, NC 28349
Phone (910) 296-0941

2000 Neuse Blvd
New Bern, NC 28560
Phone (252) 633-8104

1836 South Ave
La Crosse, WI 54601
Phone (608) 788-8102

1900 South Ave
La Crosse, WI 54601
Phone (608) 775-2287

1910 South Ave
La Crosse, WI 54601
Phone (608) 775-2287

1600 Main St
Onalaska, WI 54650
Phone (608) 783-4681

610 E Taylor St
Prairie du Chien, WI 53821
Phone (608) 326-6466

Organizations & group practices 8

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

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435622400000",
    "number": "1669488144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 SOUTH AVE",
            "city": "LA CROSSE",
            "state": "WI",
            "postal_code": "546015467",
            "telephone_number": "608-775-7485",
            "fax_number": "608-775-8421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 SOUTH AVE",
            "city": "LA CROSSE",
            "state": "WI",
            "postal_code": "546015467",
            "telephone_number": "608-775-7485",
            "fax_number": "608-775-8421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NORRIS",
        "first_name": "RUSSELL",
        "middle_name": "J.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-01",
        "last_updated": "2015-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NC",
            "license": "2008-00859",
            "primary": false
        },
        {
            "code": "207XX0801X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Trauma",
            "state": "NC",
            "license": "2008-00859",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "WI",
            "license": "63587",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Crosse, WI

Sources for this page

Verify at the official NPI Registry.