Russell B Skinner MD PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

K5697 Issued in TX

Legal business name

RUSSELL B SKINNER MD PA

Practice address

5072 W Plano Pkwy
Suite 200
Plano, TX 75093-4476

Phone

(469) 661-1100

Fax

(469) 661-1104

NPI assigned

Aug 27, 2015

Organization subpart

No

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

Authorized official

Name

Russell Brent Skinner, MDNPI 1881698538

Title

President

Phone

(469) 661-1100

Specialties & licenses 1

Addresses

Other names 1

• Family Health and Wellness of Plano Doing business as

Locations

Practitioners 3

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

• Russell B Skinner, M.D.

  • Family Medicine Physician
  • Plano, TX
  • NPI 1881698538
  NPD (past) Authorized official
• Alicia Louise Harrison, MSN APRN FNP-C

  • Family Nurse Practitioner
  • Plano, TX
  • NPI 1447931118
  NPD (past)
• Jordan Sarra Salvador, APRN

  • Family Nurse Practitioner
  • Dallas, TX
  • NPI 1093358392
  NPD (past)

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

{
    "created_epoch": "1440633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440633600000",
    "number": "1669849485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5072 W PLANO PKWY",
            "address_2": "SUITE 200",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750934476",
            "telephone_number": "469-661-1100",
            "fax_number": "469-661-1104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5072 W PLANO PKWY",
            "address_2": "SUITE 200",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750934476",
            "telephone_number": "469-661-1100",
            "fax_number": "469-661-1104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUSSELL B SKINNER MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-27",
        "last_updated": "2015-08-27",
        "status": "A",
        "authorized_official_last_name": "SKINNER",
        "authorized_official_first_name": "RUSSELL",
        "authorized_official_middle_name": "BRENT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "469-661-1100",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "K5697",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Health and Wellness of Plano",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ginger Rundell
• Kimberly Thayer Running, RD, LD
• Lauren Michelle Runyon, FNP-C
• Debra Lue Rushing, PA
• Akash Rusia
• Hope B Russell, MS.,LPC
• James David Russell, M.D.
• My Chau Elizabeth Russell, R.D.H.
• Susan Russell
• Wendy-Kaye N Russell, LPC

• Family Medicine Physician in Plano, TX
• Providers in Plano, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2015; 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.