Active NPI
Edward Russek, M.D.
- Psychiatry Physician
- Harrisburg, PA
National Provider Identifier
1700938776
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- MD035844L
- Practice address
- 1800 Linglestown Rd
Suite 201
Harrisburg, PA 17110-3347 - Phone
- (717) 233-3630
- Fax
- (717) 233-3439
- NPI assigned
- Jan 18, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | MD035844L | PA | Primary |
Addresses
Primary practice location
1800 Linglestown Rd
Suite 201
Harrisburg, PA 17110-3347
Mailing address
1800 Linglestown Rd
Suite 201
Harrisburg, PA 17110-3347
Phone (717) 233-3630
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 462629 | Other | PA | PROVIDER ID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Jan 1, 2011 through Jan 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD035844L | PA | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169078400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1493769600000",
"number": "1700938776",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1800 LINGLESTOWN RD",
"address_2": "SUITE 201",
"city": "HARRISBURG",
"state": "PA",
"postal_code": "171103347",
"telephone_number": "717-233-3630",
"fax_number": "717-233-3439"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1800 LINGLESTOWN RD",
"address_2": "SUITE 201",
"city": "HARRISBURG",
"state": "PA",
"postal_code": "171103347",
"telephone_number": "717-233-3630",
"fax_number": "717-233-3439"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUSSEK",
"first_name": "EDWARD",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-18",
"last_updated": "2017-05-03",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "PA",
"license": "MD035844L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PROVIDER ID",
"identifier": "462629",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Harrisburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2017; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.