Russell Wayne Doyle, PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA11684 Issued in CA

Practice address

2540 Sister Mary Columba Dr
Red Bluff, CA 96080-4327

Phone

(530) 528-8899

Fax

(530) 528-8898

NPI assigned

Aug 4, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Adam Freedhand MD Inc

  • Orthopaedic Surgery Physician
  • Saint Helena, CA
  • NPI 1245465608
  NPD (past)
• Orthopedic Surgical Institute, Inc

  • Orthopaedic Surgery Physician
  • Red Bluff, CA
  • NPI 1871797860
  NPD (past)

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195516800000",
    "number": "1720096449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2540 SISTER MARY COLUMBA DR",
            "city": "RED BLUFF",
            "state": "CA",
            "postal_code": "960804327",
            "telephone_number": "530-528-8899",
            "fax_number": "530-528-8898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2540 SISTER MARY COLUMBA DR",
            "city": "RED BLUFF",
            "state": "CA",
            "postal_code": "960804327",
            "telephone_number": "530-528-8899",
            "fax_number": "530-528-8898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOYLE",
        "first_name": "RUSSELL",
        "middle_name": "WAYNE",
        "name_prefix": "Mr.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-04",
        "last_updated": "2007-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "PA11684",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP ID NUMBER",
            "identifier": "ZZZ27575Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Danielle Dionne Dixon, D.O., M.P.H.
• CHI DO
• Riico Joseph Noriega Dotson, MD
• Laura Dougherty
• Ronda Jo Dougherty
• Dr Heidi C Mist MD Inc
• Dr. Clarence W. Winning, M.D., Inc.
• Drena Rae Drane
• Kathy Ann Dusina, LVN
• Omar Dyab, DDS

• Medical Physician Assistant in Red Bluff, CA
• Providers in Red Bluff, CA by specialty
• Medical Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2007; 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.