Individual provider Active NPI

Pamela K Russell, M.D.

  • Anesthesiology Physician
  • Reno, NV
National Provider Identifier
1851330286
Registry record updated Dec 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
6043 Issued in NV
Practice address
520 Hammill LN
Reno, NV 89511-2045
Phone
(775) 348-1313
Fax
(775) 348-1798
NPI assigned
Jun 4, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 6043 NV Primary
Pain Medicine (Anesthesiology) Physician 207LP2900X 6043 NV

Addresses

Primary practice location

520 Hammill LN
Reno, NV 89511-2045

Mailing address

520 Hammill LN
Reno, NV 89511-2045
Phone (775) 348-1313

Other identifiers 1

IdentifierTypeStateIssuer
2016392MedicaidNV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
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

Enrollment IDStateProvider typePAC IDDetails
I20111216000570 NV Practitioner - AnesthesiologyPractitioner - Pain Management 5395814156 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
6043NVMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Reno Tahoe Anesthesia Weaver PC Anesthesiology CurrentSince Nov 22, 2023 Accepting new patients
Metcalf, Tiller & Chen, Inc. Anesthesiology CurrentSince Nov 22, 2023 Accepting new patients

Locations

1801 W Olympic Blvd
#2152
Pasadena, CA 91199

3475 Gs Richards Blvd
#110
Carson City, NV 89703
Phone (775) 841-2000

6630 S McCarran Blvd
Ste C25
Reno, NV 89509
Phone (775) 827-5555

18653 Wedge Pkwy
Reno, NV 89511
Phone (775) 323-7500

235 W 6th St
Reno, NV 89503
Phone (775) 746-3202

5560 Kietzke Ln
Reno, NV 89511
Phone (775) 284-1612

10463 Double R Blvd
Ste 200
Reno, NV 89521
Phone (775) 562-2121

6500 Longley Ln
Reno, NV 89511
Phone (775) 331-7000

500 Damonte Ranch Pkwy
Ste 703
Reno, NV 89521
Phone (775) 398-4600

2375 E Prater Way
Sparks, NV 89434
Phone (775) 331-7000

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1149379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481328000000",
    "number": "1851330286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 HAMMILL LN",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895112045",
            "telephone_number": "775-348-1313",
            "fax_number": "775-348-1798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 HAMMILL LN",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895112045",
            "telephone_number": "775-348-1313",
            "fax_number": "775-348-1798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSELL",
        "first_name": "PAMELA",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-04",
        "last_updated": "2016-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NV",
            "license": "6043",
            "primary": true
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NV",
            "license": "6043",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2016392",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

Verify at the official NPI Registry.