William Russell MD PA

Primary specialty

Rehabilitation PractitionerTaxonomy code 225400000X

License

D0050636 Issued in MD

Legal business name

WILLIAM RUSSELL MD PA

Practice address

600 Virginia Ave Ste 2
Cumberland, MD 21502-4551

Phone

(301) 723-4380

Fax

(301) 723-4812

NPI assigned

Feb 3, 2010

Organization subpart

No

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

Authorized official

Name

Dr. William Russell, M.D.NPI 1407824956

Title

Medical Doctor

Phone

(301) 723-4380

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• William Russell, MD

  • Physical Medicine & Rehabilitation Physician
  • Cumberland, MD
  • NPI 1407824956
  NPD (past) Authorized official

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

{
    "created_epoch": "1265155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265155200000",
    "number": "1669704508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 VIRGINIA AVE STE 2",
            "address_2": "PO BOX 1726",
            "city": "CUMBERLAND",
            "state": "MD",
            "postal_code": "215024551",
            "telephone_number": "301-723-4380",
            "fax_number": "301-723-4812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 VIRGINIA AVE STE 2",
            "city": "CUMBERLAND",
            "state": "MD",
            "postal_code": "215024551",
            "telephone_number": "301-723-4380",
            "fax_number": "301-723-4812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM RUSSELL MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-03",
        "last_updated": "2010-02-03",
        "status": "A",
        "authorized_official_last_name": "RUSSELL",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "MEDICAL DOCTOR",
        "authorized_official_telephone_number": "301-723-4380",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "225400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Rehabilitation Practitioner",
            "state": "MD",
            "license": "D0050636",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI #1",
            "identifier": "1407824956",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Roy David Russell Whiteman Jr., MBA PT
• Sean Whittacre
• James Widmyer, LCADC
• Julia Ann Wiland, LCSW-C
• Kristin Vanira Wilkins, RD, LDN
• William W. Mark, Jr., M.D., P.a.
• Eric Williams, PA-C
• Mary Aleta Williams, LCPC
• Melanie Williams, LCPC
• Rodney A Williams, M.D.

• Rehabilitation Practitioner in Cumberland, MD
• Providers in Cumberland, MD by specialty
• Rehabilitation Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2010; 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.