Russell Medical Services PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

C4971 Issued in AS

Legal business name

RUSSELL MEDICAL SERVICES PLLC

Practice address

5071 Highway 82 E
Lake Village, AR 71653

Phone

(870) 515-1289

NPI assigned

Sep 1, 2016

Organization subpart

No

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

Authorized official

Name

John Randall Russell, M.D.

Title

Chief Executive Officer

Phone

(870) 515-1289

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1472688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472688000000",
    "number": "1689120263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5071 HIGHWAY 82 E",
            "city": "LAKE VILLAGE",
            "state": "AR",
            "postal_code": "71653",
            "telephone_number": "870-515-1289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5071 HIGHWAY 82 E",
            "city": "LAKE VILLAGE",
            "state": "AR",
            "postal_code": "71653",
            "telephone_number": "870-515-1289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUSSELL MEDICAL SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-01",
        "last_updated": "2016-09-01",
        "status": "A",
        "authorized_official_last_name": "RUSSELL",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "RANDALL",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "870-515-1289",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "AS",
            "license": "C4971",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark Stephen Robinson, OD
• Syrina Robinson
• Alice Mae Rogers-Johnson, RNP
• Samantha Rogers
• Teresa Rone
• John R. Russell, MD
• Salpe Adult Daycare Center
• Mary A Sanders
• Candace Brooke Scott, LCSW
• Daniel Shelton Jr.

• Family Medicine Physician in Lake Village, AR
• Providers in Lake Village, AR by specialty
• Family Medicine Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2016; 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.