Tasha M Russell, D.O

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

03700 Issued in KY

Practice address

64 Kirk PLZ
Inez, KY 41224

Phone

(606) 298-2520

Fax

(606) 298-2522

NPI assigned

May 16, 2011

Sex

Female

Sole proprietor

Yes

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

Enrolled in KY

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

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 and National Provider Directory roles.

• Albaree Health Services LLC

  • Internal Medicine Physician
  • Salyersville, KY
  • NPI 1730232182

  KY

  Medicare reassignment NPD
• Clay City Pediatrics, PSC

  • Primary Care Clinic/Center
  • Clay City, KY
  • NPI 1396048872

  KY

  Medicare reassignment NPD
• Eastern Kentucky Tender Care Pediatrics LLC

  • Rural Health Clinic/Center
  • Prestonsburg, KY
  • NPI 1043437254

  KY, Pediatrics

  Medicare reassignment NPD
• Frontier Medical Associates of Paintsville Inc

  • Rural Health Clinic/Center
  • Paintsville, KY
  • NPI 1568070142

  KY

  Medicare reassignment NPD
• Martin County Rural Health Clinic PLLC

  • Rural Health Clinic/Center
  • Inez, KY
  • NPI 1316363112

  KY

  Medicare reassignment NPD
• Kentucky Heart Institute Inc

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Ashland, KY
  • NPI 1235365537
  NPD (past)

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

{
    "created_epoch": "1305504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529884800000",
    "number": "1780977389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 697",
            "city": "PRESTONSBURG",
            "state": "KY",
            "postal_code": "416530697",
            "telephone_number": "606-298-2520",
            "fax_number": "606-298-2522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "64 KIRK PLZ",
            "city": "INEZ",
            "state": "KY",
            "postal_code": "41224",
            "telephone_number": "606-298-2520",
            "fax_number": "606-298-2522"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "842 E Mountain Pkwy",
            "address_purpose": "LOCATION",
            "city": "Salyersville",
            "state": "KY",
            "postal_code": "414658378",
            "country_code": "US",
            "telephone_number": "606-349-8100",
            "fax_number": "606-349-8150",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4851 Ky Route 321",
            "address_purpose": "LOCATION",
            "city": "Prestonsburg",
            "state": "KY",
            "postal_code": "416539113",
            "country_code": "US",
            "telephone_number": "606-886-1173",
            "fax_number": "606-886-2193",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "835 Parkway Dr",
            "address_purpose": "LOCATION",
            "city": "Salyersville",
            "state": "KY",
            "postal_code": "414659250",
            "country_code": "US",
            "telephone_number": "606-349-5126",
            "fax_number": "606-349-5123",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUSSELL",
        "first_name": "TASHA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "D.O",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-05-16",
        "last_updated": "2018-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "KY",
            "license": "03700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100248940",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pikeville Medical Center Inc
• Professional Medical Health Care Clinic
• Raymond D. Wells PSC
• Harold D. Reynolds, BA/PE
• Vallery O. Rice, MS,RDN,LD
• Ginger Scott
• Donald Ray Setser, M.A., LCPC
• Sheldon Clark High School Clinic
• Tricia Slone
• Lila Grace Spaulding, PTA

• Pediatrics Physician in Inez, KY
• Providers in Inez, KY by specialty
• Pediatrics Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2018; 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.