Reid Robert Russell, D.O

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

2021-02373 Issued in NC

Practice address

1771 Tate Blvd SE Ste 101
Hickory, NC 28602-4250

Phone

(828) 315-5110

Fax

(828) 315-3911

NPI assigned

Jun 25, 2015

Sex

Male

Sole proprietor

No

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 NC

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

Specialty

Orthopedic Surgery

Education

Michigan State University College of Osteopathic Medicine, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

DLP Frye Medical Group LLCGroup PAC ID 8123397601, 125 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Guardian Home Health Home health agency, Hickory, NC, CCN 347085
• Gentiva Health Services Home health agency, Hickory, NC, CCN 347300
• Frye Regional Medical Center Hospital, Hickory, NC, CCN 340116

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: reid.russell.1@15786.direct.athenahealth.com

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.

• DLP Frye Medical Group LLC

  • Rural Health Clinic/Center
  • Lincolnton, NC
  • NPI 1154005965
  Medicare reassignment Care Compare group NPD
• DLP Frye Medical Group LLC

  • Internal Medicine Physician
  • Conover, NC
  • NPI 1962941773
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Centerwell Certified Healthcare Corp.

  • Home Health Agency
  • Hickory, NC
  • NPI 1316974272
  Care Compare affiliation
• DLP Frye Regional Medical Center LLC

  • General Acute Care Hospital
  • Hickory, NC
  • NPI 1801823349
  Care Compare affiliation
• North Carolina in-Home Partner-IX, LLC

  • Home Health Agency
  • Hickory, NC
  • NPI 1487132866
  Care Compare affiliation

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

{
    "created_epoch": "1435190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666051200000",
    "number": "1770965899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1771 TATE BLVD SE STE 101",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286024250",
            "telephone_number": "828-315-5110",
            "fax_number": "828-315-3911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1771 TATE BLVD SE STE 101",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286024250",
            "telephone_number": "828-315-5110",
            "fax_number": "828-315-3911"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "52 12th Ave NE",
            "address_purpose": "LOCATION",
            "city": "Hickory",
            "state": "NC",
            "postal_code": "286012798",
            "country_code": "US",
            "telephone_number": "828-304-2527",
            "fax_number": "828-256-1601",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUSSELL",
        "first_name": "REID",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "D.O",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-25",
        "last_updated": "2022-10-18",
        "certification_date": "2022-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MI",
            "license": "5101021890",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NC",
            "license": "2021-02373",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mohammad Fayez Rujubali, MBBS
• Runy Thao Counseling, PLLC
• Katelyn Marie Rusk, MA,LCAS-A
• C Thomas D Russell, CH
• Joseph Aaron Russell
• Madison Adair Ruth
• Ryan C Sigmon, DMD, PA
• Kate Erin Ryan, DO
• Rys Rock Your Soul
• Rosanne Rzasa

• Orthopaedic Surgery Physician in Hickory, NC
• Providers in Hickory, NC by specialty
• Orthopaedic Surgery Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2022; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.