Russell Marcus, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

2101 Issued in SC

Practice address

800 N Fant St
Anderson, SC 29621-5708

Phone

(864) 512-1335

NPI assigned

Apr 15, 2014

Last updated

Apr 9, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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

• Anmed Health

  dba AnMed

  • Emergency Medicine Physician
  • Anderson, SC
  • NPI 1710918321
  Medicare reassignment
• Ich ER Services, LLC

  • Emergency Medicine Physician
  • Anderson, SC
  • NPI 1174002059
  Medicare reassignment
• Anmed Health

  dba AnMed Primary Care - Piedmont

  • Family Medicine Physician
  • Piedmont, SC
  • NPI 1255137832
  NPD
• Anmed Health

  dba AnMed EmPath

  • Community/Behavioral Health Agency
  • Anderson, SC
  • NPI 1629843099
  NPD
• Diagnostic Radiology of Anderson, P.a.

  • Diagnostic Radiology Physician
  • Anderson, SC
  • NPI 1922125269
  NPD
• Piedmont Pathology Associates PA

  • Anatomic Pathology & Clinical Pathology Physician
  • Anderson, SC
  • NPI 1235101965
  NPD
• Anmed Health

  dba AnMed

  • General Acute Care Hospital
  • Anderson, SC
  • NPI 1417919531

  Physician Assistant

  NPD (past)

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

{
    "created_epoch": "1397520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586390400000",
    "number": "1730508896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15575 WELLS HWY",
            "city": "SENECA",
            "state": "SC",
            "postal_code": "296781664",
            "telephone_number": "864-886-2000",
            "fax_number": "864-888-3618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 N FANT ST",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296215708",
            "telephone_number": "864-512-1335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARCUS",
        "first_name": "RUSSELL",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-04-15",
        "last_updated": "2020-04-09",
        "certification_date": "2020-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "SC",
            "license": "2101",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "SC",
            "license": "2101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Philip M. Manly
• April Nicole Mann, APRN
• Lakshmangowda Maragondanahalli, M D
• Donna Gibson Marcengill, FNP-C
• Janet Lee Marchant, APRN FNP
• Aleshia Mardjetko, LISW-CP
• Marie Anthony Company, LLC (Senior Helpers)
• Eric Marin, DO
• Linda Markovich
• Marks Health Care LLC

• Physician Assistant in Anderson, SC
• Providers in Anderson, SC by specialty
• Physician Assistant in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2020; 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.