Organization Active NPI

Russellville Physicians LLC

  • Internal Medicine Physician
  • Russellville, AL
National Provider Identifier
1669861662
Registry record updated Jan 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
RUSSELLVILLE PHYSICIANS LLC
Practice address
15225 Highway 43
Russellville, AL 35653-1999
Phone
(256) 331-1900
Fax
(256) 331-1901
NPI assigned
Jan 13, 2015
Last updated
Jan 13, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2015

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

Authorized official

Name
Steve Clapp
Title
President
Phone
(865) 269-4074

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

15225 Highway 43
Russellville, AL 35653-1999

Mailing address

15225 Highway 43
Russellville, AL 35653-1999
Phone (256) 331-1900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150609001012 AL Part B Supplier - Clinic/Group Practice 6507187044 Receives reassigned benefits from 5 practitioners
Practice locations: Russellville, AL

National Provider Directory

National Provider Directory
Tax ID family
Russellville Cardiology2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

42030 Highway 195
Ste E
Haleyville, AL 35565
Phone (205) 485-7188

15225 Highway 43
Ste G
Russellville, AL 35653
Phone (256) 331-1900

15225 Highway 43
Ste I
Russellville, AL 35653
Phone (256) 331-2700

Practitioners & affiliated clinicians

Practitioners 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1421107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421107200000",
    "number": "1669861662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15225 HIGHWAY 43",
            "city": "RUSSELLVILLE",
            "state": "AL",
            "postal_code": "356531999",
            "telephone_number": "256-331-1900",
            "fax_number": "256-331-1901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15225 HIGHWAY 43",
            "city": "RUSSELLVILLE",
            "state": "AL",
            "postal_code": "356531999",
            "telephone_number": "256-331-1900",
            "fax_number": "256-331-1901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUSSELLVILLE PHYSICIANS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-13",
        "last_updated": "2015-01-13",
        "status": "A",
        "authorized_official_last_name": "CLAPP",
        "authorized_official_first_name": "STEVE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "865-269-4074"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Russellville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.