Russell C Tolley, MD

Primary specialty

Hematology & Oncology PhysicianTaxonomy code 207RH0003X

License

28166 Issued in CO

Practice address

80 Health Park Dr
Ste 270
Louisville, CO 80027-9584

Phone

(303) 661-1860

Fax

(303) 661-1861

NPI assigned

Dec 6, 2005

Sex

Male

Sole proprietor

No

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 CO

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 Medicine

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.

• Rocky Mountain Cancer Centers LLP

  • Hematology & Oncology Physician
  • Greenwood Village, CO
  • NPI 1518941186
  Medicare reassignment NPD
• Portercare Adventist Health System

  • Physical Medicine & Rehabilitation Physician
  • Denver, CO
  • NPI 1164834008
  NPD
• Portercare Adventist Health System

  • Otolaryngology Physician
  • Greenwood Village, CO
  • NPI 1760761928
  NPD
• Portercare Adventist Health System

  • Urology Physician
  • Lakewood, CO
  • NPI 1942165626
  NPD
• Rocky Mountain Cancer Centers, LLP

  • Hematology & Oncology Physician
  • Longmont, CO
  • NPI 1538762760
  NPD

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

{
    "created_epoch": "1133827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1451347200000",
    "number": "1851375414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 HEALTH PARK DR",
            "address_2": "STE 270",
            "city": "LOUISVILLE",
            "state": "CO",
            "postal_code": "800279584",
            "telephone_number": "303-661-1860",
            "fax_number": "303-661-1861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 HEALTH PARK DR",
            "address_2": "STE 270",
            "city": "LOUISVILLE",
            "state": "CO",
            "postal_code": "800279584",
            "telephone_number": "303-661-1860",
            "fax_number": "303-661-1861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOLLEY",
        "first_name": "RUSSELL",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-06",
        "last_updated": "2015-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "CO",
            "license": "28166",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01281666",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ashley Tipton, LPCC
• Felicia Mae Titus
• TMS Holdings, LLC
• Whitney Gazlay Todaro, MS OTR
• Colleen Mary Todd, MA, LPC, CACIII
• Christine Noel Tornrose, LPC, LAC
• Stephanie Trabant, OTR
• Olivia Trainor, DC
• Thuyminh Tran, PA
• Anna Kiryn Trask, PA-C

• Hematology & Oncology Physician in Louisville, CO
• Providers in Louisville, CO by specialty
• Hematology & Oncology Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2015; 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.