Active NPI
Russell B Allison, MD
- Orthopaedic Surgery Physician
- Coffeyville, KS
National Provider Identifier
1881663078
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 0442302
- Practice address
- 1400 W 4TH St
Coffeyville, KS 67337-3306 - Phone
- (620) 252-1639
- Fax
- (620) 252-1541
- NPI assigned
- Mar 17, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 0442302 | KS | Primary |
Addresses
Primary practice location
1400 W 4TH St
Coffeyville, KS 67337-3306
Mailing address
1400 W 4TH St
Coffeyville, KS 67337-3306
Phone (620) 252-1639
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0442302 | KS | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Arkansas Surgical Center, LLC | Current | Accepting new patients | |
| Russell B Allison | Past | Accepting new patients | |
| Russell B Allison MD PA | Past | Accepting new patients |
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.
-
- Ambulatory Surgical Clinic/Center
- Russellville, AR
- NPI 1992034763
-
- Clinical Medical Laboratory
- Pottsville, AR
- NPI 1134594229
-
- Durable Medical Equipment & Medical Supplies
- Russellville, AR
- NPI 1871706127
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142553600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1562803200000",
"number": "1881663078",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1400 W 4TH ST",
"city": "COFFEYVILLE",
"state": "KS",
"postal_code": "673373306",
"telephone_number": "620-252-1639",
"fax_number": "620-252-1541"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 W 4TH ST",
"city": "COFFEYVILLE",
"state": "KS",
"postal_code": "673373306",
"telephone_number": "620-252-1639",
"fax_number": "620-252-1541"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALLISON",
"first_name": "RUSSELL",
"middle_name": "B",
"name_prefix": "Mr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-17",
"last_updated": "2019-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "KS",
"license": "0442302",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Coffeyville, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.