Herbert E. Russell II, D.O.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

34-00-7532-R Issued in OH

Practice address

200 W Lorain St
Oberlin, OH 44074-1026

Phone

(440) 775-1211

Fax

(440) 775-9118

NPI assigned

Jan 31, 2006

Sex

Male

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 2

Medicare fee-for-service enrollment

Enrolled in OH

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

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.

• Aultman Hospital

  • Specialist
  • Canton, OH
  • NPI 1619911054
  Medicare reassignment NPD
• Emergency Professional Services, Inc.

  • Emergency Medicine Physician
  • Seaman, OH
  • NPI 1093762353
  Medicare reassignment NPD
• Physicians Link Center LLC

  • Emergency Medicine Physician
  • Elyria, OH
  • NPI 1235172925
  Medicare reassignment NPD
• Steward Emergency Physicians Ohio Inc

  • Emergency Medicine Physician
  • Warren, OH
  • NPI 1124501861
  Medicare reassignment NPD
• Summa Emergency Associates, Inc.

  • Emergency Medicine Physician
  • Wooster, OH
  • NPI 1811936883
  Medicare reassignment NPD
• Aultman Hospital

  • Community/Retail Pharmacy
  • Canton, OH
  • NPI 1700941978
  NPD
• Canton Aultman Emergency Physicians Inc

  • Emergency Medicine Physician
  • Canton, OH
  • NPI 1801832381
  NPD
• Stark County Pathologists Inc

  • Anatomic Pathology & Clinical Pathology Physician
  • Canton, OH
  • NPI 1194030437
  NPD
• Summa Emergency Associates

  • Emergency Medicine Physician
  • Cuyahoga Falls, OH
  • NPI 1639317944
  NPD
• Emergency Medicine Physicians of Richland County, LTD

  • Emergency Medicine Physician
  • Mansfield, OH
  • NPI 1952341380
  NPD (past)
• Nes Ohio Inc

  • Emergency Medicine Physician
  • Barnesville, OH
  • NPI 1043699200
  NPD (past)
• Nes Ohio, Inc.

  • Emergency Medicine Physician
  • Oberlin, OH
  • NPI 1821070004
  NPD (past)

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

{
    "created_epoch": "1138665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1188950400000",
    "number": "1851362412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 65274",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282650274",
            "telephone_number": "800-377-8721",
            "fax_number": "304-523-2241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 W LORAIN ST",
            "city": "OBERLIN",
            "state": "OH",
            "postal_code": "440741026",
            "telephone_number": "440-775-1211",
            "fax_number": "440-775-9118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSELL",
        "first_name": "HERBERT",
        "middle_name": "E.",
        "name_suffix": "II",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-31",
        "last_updated": "2007-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OH",
            "license": "34-00-7532-R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "000000380487",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2330445",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Haley Robuck, CNP
• Jennifer Roetzer
• Kathy Rohde, ED.S
• Kimberly Jean Rollin, RN
• Jill Rene Rondini, A.T.
• Heather Lynn Russo, PA-C
• John W. Sabin, LISW
• John R Sanderson, DO
• Melanie Beth Satterfield, DDS
• Jennifer Leigh Schlesinger, MS, FNP-C

• Emergency Medicine Physician in Oberlin, OH
• Providers in Oberlin, OH by specialty
• Emergency Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2007; 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.