Lewis Franklin Russell, M.D.

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

D8420 Issued in TX

Practice address

12709 Toepperwein Rd
Suite #206
Live Oak, TX 78233-3258

Phone

(210) 564-8000

Fax

(210) 590-7945

NPI assigned

Aug 19, 2006

Last updated

Aug 26, 2009By the provider in NPPES

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

Doctor of Medicine

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1251244800000",
    "number": "1760596415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7909 FREDERICKSBURG RD",
            "address_2": "SUITE 110",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293425",
            "telephone_number": "210-614-4544",
            "fax_number": "210-582-5522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12709 TOEPPERWEIN RD",
            "address_2": "SUITE #206",
            "city": "LIVE OAK",
            "state": "TX",
            "postal_code": "782333258",
            "telephone_number": "210-564-8000",
            "fax_number": "210-590-7945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSELL",
        "first_name": "LEWIS",
        "middle_name": "FRANKLIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-19",
        "last_updated": "2009-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "TX",
            "license": "D8420",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036247702",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hannah Rosseau
• Bo Ram Roth
• Mikailla Roundtree
• Crystal Marie Ruiz, LVN
• Kristina Ruiz
• Sharon Nicole Russell
• Ryke Rehabilitation, LLC
• Sai Healthway Pharmacy LLC (Healthway Pharmacy)
• Navid Saigal, MD
• Sakdc - Davita Dialysis Partners LP (Live Oak Dialysis)

• Urology Physician in Live Oak, TX
• Providers in Live Oak, TX by specialty
• Urology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2009; 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.