Russ McAffee, A.T.C.

Primary specialty

Sports Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081S0010X

License

AT-187 Issued in ID

Practice address

275 S. 5TH Ave.
Ste. 140
Pocatello, ID 83201

Phone

(208) 232-4267

NPI assigned

Jul 18, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Center for Orthopedic Rehabilitation

  • Physical Therapist
  • Pocatello, ID
  • NPI 1801944400
  NPD (past)

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1669490298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 HARVARD ST",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832013419",
            "telephone_number": "208-681-5852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 S. 5TH AVE.",
            "address_2": "STE. 140",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "83201",
            "telephone_number": "208-232-4267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCAFFEE",
        "first_name": "RUSS",
        "name_prefix": "Mr.",
        "credential": "A.T.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081S0010X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": "ID",
            "license": "AT-187",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jason Arthur Mauseth, DDS
• Maximum Security Inc
• Amanda Mayer
• Richard M Maynard, D.O.
• Tyler Forrest Mayo, D.O.
• Ethan McAllister
• Jared Evan McAlvey
• Lyn Nicole McArthur, PH.D.
• Aryssa Dawn McBride, LMSW
• Stephanie McBride, CADC

• Sports Medicine (Physical Medicine & Rehabilitation) Physician in Pocatello, ID
• Providers in Pocatello, ID by specialty
• Sports Medicine (Physical Medicine & Rehabilitation) Physician in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.