Active NPI
Lucille Joyce Russell, M.D.
- Anesthesiology Physician
- Yardley, PA
National Provider Identifier
1700109451
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 036067024
- Practice address
- 1440 Pheasant Run Cir
Yardley, PA 19067-3921 - Phone
- (215) 579-2163
- Fax
- (215) 579-2503
- NPI assigned
- Mar 9, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 036067024 | IL | Primary |
Addresses
Primary practice location
1440 Pheasant Run Cir
Yardley, PA 19067-3921
Mailing address
1440 Pheasant Run Cir
Yardley, PA 19067-3921
Phone (215) 579-2163
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036067024 | IL | MD | Anesthesiology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1268092800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1268092800000",
"number": "1700109451",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1440 PHEASANT RUN CIR",
"city": "YARDLEY",
"state": "PA",
"postal_code": "190673921",
"telephone_number": "215-579-2163",
"fax_number": "215-579-2503"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1440 PHEASANT RUN CIR",
"city": "YARDLEY",
"state": "PA",
"postal_code": "190673921",
"telephone_number": "215-579-2163",
"fax_number": "215-579-2503"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUSSELL",
"first_name": "LUCILLE",
"middle_name": "JOYCE",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-03-09",
"last_updated": "2010-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "IL",
"license": "036067024",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Yardley, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.