Russell Owen Schub, D.O.

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

H35058 Issued in MD

Practice address

8875 Centre Park Dr
Suite D
Columbia, MD 21045-2114

Phone

(410) 730-1000

Fax

(410) 730-8615

NPI assigned

Aug 9, 2006

Last updated

Jan 8, 2009By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MD, DC2 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 2

Specialty

Gastroenterology

Education

New York College of Osteo Medicine of New York Institute of Technology, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lifebridge Community Physicians IncGroup PAC ID 3678751468, 183 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

83.23 of 100Reported as group

Quality

60.26

Promoting interoperability

100

Improvement activities

40

Cost

76.75

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Physician Assistant

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://51252f2e-8a78-46ff-b455-e688f2e6b977.gastro.prod.fhir.ema-api.com/fhir/r4/

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.

• Lifebridge Community Physicians, Inc

  • Cardiovascular Disease Physician
  • Timonium, MD
  • NPI 1174815807
  Medicare reassignment Care Compare group NPD
• Greenbelt Endoscopy Center,LLC

  • Endoscopy Clinic/Center
  • Lanham, MD
  • NPI 1538116439

  DC

  Medicare reassignment NPD
• Advanced Anesthesia, LLC

  • Clinic/Center
  • Columbia, MD
  • NPI 1194961730
  NPD (past) Authorized official
• Advanced Endoscopy Center of Howard County, LLC

  • Endoscopy Clinic/Center
  • Columbia, MD
  • NPI 1831214717
  Authorized official Same address or phone
• Dr Russell O Schub PA

  • Gastroenterology Physician
  • Columbia, MD
  • NPI 1336332998
  Authorized official Same address or phone
• Greenbelt Endoscopy Center, LLC

  • Endoscopy Clinic/Center
  • Lanham, MD
  • NPI 1013170521
  NPD
• Lifebridge Community Physicians Inc

  • Cardiovascular Disease Physician
  • Lutherville, MD
  • NPI 1740086149
  NPD
• Lifebridge Community Physicians, Inc.

  dba BW Primary Care, LLC

  • Family Medicine Physician
  • Eldersburg, MD
  • NPI 1891247003
  NPD
• Frederick Health Hospital Inc

  dba Frederick Health Hospital

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1231372800000",
    "number": "1679583587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8875 CENTRE PARK DR",
            "address_2": "SUITE D",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210452114",
            "telephone_number": "410-730-1000",
            "fax_number": "410-730-8615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8875 CENTRE PARK DR",
            "address_2": "SUITE D",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210452114",
            "telephone_number": "410-730-1000",
            "fax_number": "410-730-8615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHUB",
        "first_name": "RUSSELL",
        "middle_name": "OWEN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-09",
        "last_updated": "2009-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "MD",
            "license": "H35058",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "526471500",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tomi Schon, LCSW-C
• Jaime Schramski, RN / BSN
• Felicia Schrock
• Kathleen Schroeder, RN, BSN, MPA
• Jessica Terrell Schrumm, BSN, RNC-OB, C-EFM
• Madeline Schuck
• Deborah Elaine Schultz, RN
• Melissa Schultz
• Kyle Schuster
• Eric A Schwartz, MD

• Gastroenterology Physician in Columbia, MD
• Providers in Columbia, MD by specialty
• Gastroenterology Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.