Paul A Russell

Primary specialty

SpecialistTaxonomy code 174400000X

License

PTA 1269 Issued in AR

Practice address

2278 Albert Pike Rd Ste B
Hot Springs, AR 71913-4157

Phone

(501) 767-0808

NPI assigned

Jul 26, 2006

Last updated

Jul 8, 2007By 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 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• PKH Enterprises, Inc.

  dba Hot Springs Sports Medicine

  • Specialist
  • Hot Springs, AR
  • NPI 1346204161
  NPD (past)

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1811911688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2278 ALBERT PIKE RD STE B",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719134157",
            "telephone_number": "501-767-0808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2278 ALBERT PIKE RD STE B",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719134157",
            "telephone_number": "501-767-0808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSELL",
        "first_name": "PAUL",
        "middle_name": "A",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "AR",
            "license": "PTA 1269",
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "AR",
            "license": "AT325",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adrianne Rush, LMT
• Russell M. Gorman, DDS., PA
• Russell S Gornichec MD PC (Laser Solutions Medical Spa and Weight Loss)
• Jessica Russell
• Mark S Russell, M.D.
• Shenita Russell, RRT
• Katie Ryan
• Holly Wacaster Sadowski, LCSW
• Safe Harbor Behavioral Health PLLC
• Safe Haven Psychiatry PLLC (Safe Haven Psychiatry)

• Specialist in Hot Springs, AR
• Providers in Hot Springs, AR by specialty
• Specialist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.