Individual provider Active NPI

Russell Allan Morrison III, D.O.

  • Family Medicine Physician
  • Youngstown, OH
National Provider Identifier
1699773259
Registry record updated Dec 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
34-00-7864-M Issued in OH
Practice address
Midlothian Medical Center
2010 East Midlothian Blvd.
Youngstown, OH 44502-2951
Phone
(330) 788-8791
Fax
(330) 788-4033
NPI assigned
Jul 8, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 34-00-7864-M OH Primary

Addresses

Primary practice location

Midlothian Medical Center
2010 East Midlothian Blvd.
Youngstown, OH 44502-2951

Mailing address

Midlothian Medical Center
2010 East Midlothian Blvd.
Youngstown, OH 44502-2951
Phone (330) 788-8791

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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 1

Enrollment IDStateProvider typePAC IDDetails
I20040315000709 OH Practitioner - Family Practice 2163311374 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Ohio University, College of Osteopathic Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Midlothian Medical Center IncGroup PAC ID 8527957711, 2 clinicians
Triad Health Services LLCGroup PAC ID 9032367917, 252 clinicians
Addiction Outreach Clinic LTDGroup PAC ID 5294183893, 11 clinicians

Practice addresses (Care Compare)

2010 E Midlothian Blvd
Youngstown, OH 44502-2908
Phone (330) 788-8791

5754 Youngstown Poland Rd
Youngstown, OH 44514-1445
Phone (330) 755-3233

819 McKay CT
Suite 102
Boardman, OH 44512-5771
Phone (330) 259-4849

Hospital & facility affiliations

  • Southwoods Health at Home LLC Home health agency, Youngstown, OH, CCN 369307
  • Patriot Homecare, Inc Home health agency, Girard, OH, CCN 368406
  • Surgical Hospital at Southwoods Hospital, Youngstown, OH, CCN 360352
  • MH St Elizabeth Youngstown Hospital Hospital, Youngstown, OH, CCN 360064
  • HMHP St Elizabeth Boardman Health Center Hospital, Boardman, OH, CCN 360276

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1-10
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Midlothian Medical Center Inc Family Medicine CurrentSince Aug 1, 2003 Accepting new patients
Addiction Outreach Clinic LTD CurrentSince Nov 1, 2023 Accepting new patients

Locations

5342 Meadow Lane Ct
Sheffield Village, OH 44035
Phone (440) 934-2200

2010 E Midlothian Blvd
Youngstown, OH 44502
Phone (330) 788-6187

819 McKay Ct
Ste 102
Youngstown, OH 44512
Phone (330) 259-4849

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1120780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197244800000",
    "number": "1699773259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "MIDLOTHIAN MEDICAL CENTER",
            "address_2": "2010 EAST MIDLOTHIAN BLVD.",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445022951",
            "telephone_number": "330-788-8791",
            "fax_number": "330-788-4033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MIDLOTHIAN MEDICAL CENTER",
            "address_2": "2010 EAST MIDLOTHIAN BLVD.",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445022951",
            "telephone_number": "330-788-8791",
            "fax_number": "330-788-4033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORRISON",
        "first_name": "RUSSELL",
        "middle_name": "ALLAN",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-08",
        "last_updated": "2007-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "34-00-7864-M",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Youngstown, OH

Sources for this page

Verify at the official NPI Registry.