William Lee Russell, MD

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

License

9794 Issued in TN

Practice address

120 Frank Martin Rd
Suite 101
Shelbyville, TN 37160-7194

Phone

(931) 685-0986

Fax

(931) 685-0988

NPI assigned

Oct 26, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.71772

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.

• Shelbyville Clinic Corp

  • Durable Medical Equipment & Medical Supplies
  • Shelbyville, TN
  • NPI 1164601399
  NPD (past)
• Shelbyville Clinic Corp

  • Family Medicine Physician
  • Shelbyville, TN
  • NPI 1295785699
  NPD (past)
• University Surgical Associates PC

  • Surgery Physician
  • Chattanooga, TN
  • NPI 1437102704
  NPD (past)
• University Surgical Associates, PLLC

  • Surgery Physician
  • Chattanooga, TN
  • NPI 1972520963

  Vascular Surgery

  NPD (past)
• Ut Physicians Inc

  • Internal Medicine Physician
  • Chattanooga, TN
  • NPI 1770575490
  NPD (past)

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

{
    "created_epoch": "1130284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389744000000",
    "number": "1700876158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 FRANK MARTIN RD",
            "address_2": "SUITE 101",
            "city": "SHELBYVILLE",
            "state": "TN",
            "postal_code": "371607194",
            "telephone_number": "931-685-0986",
            "fax_number": "931-685-0988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 FRANK MARTIN RD",
            "address_2": "SUITE 101",
            "city": "SHELBYVILLE",
            "state": "TN",
            "postal_code": "371607194",
            "telephone_number": "931-685-0986",
            "fax_number": "931-685-0988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSELL",
        "first_name": "WILLIAM",
        "middle_name": "LEE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-26",
        "last_updated": "2014-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "TN",
            "license": "9794",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Rudolf
• Rupard & Mackens Medical Group PLLC
• Rupard & Speake Medical Group PLLC
• Rupard & Speake Pediatric Group PLLC
• Joseph Howard Rupard, M D
• Rutherford County Primary Care
• Aubrey Sanders, PHARMD
• Brian Nathan Sarapin, P.A.
• Rhonda Saylor, M.A.
• Jordan L Schlabach, DPT

• Vascular Surgery Physician in Shelbyville, TN
• Providers in Shelbyville, TN by specialty
• Vascular Surgery Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2014; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.