Donald L. Russell, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

35-04-6531 Issued in OH

Practice address

400 Medical Park Dr
Dover, OH 44622-3207

Phone

(330) 454-8076

Fax

(330) 454-3927

NPI assigned

Jan 11, 2006

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 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

Specialty

Cardiovascular Disease (Cardiology)Also: Internal Medicine

Education

Ohio State University College of Medicine, 1981

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Aultman Deuble Heart and Vascular Hospital, LLCGroup PAC ID 1850726126, 109 clinicians

The Union Hospital AssociationGroup PAC ID 0648177725, 16 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Union Hospital Hospital, Dover, OH, CCN 360010

Merit-based Incentive Payment System (MIPS)

Final score

80.19 of 100Reported as group

Quality

63.25

Promoting interoperability

98

Improvement activities

40

Cost

72.4

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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 Deuble Heart & Vascular Hospital, LLC

  • Cardiovascular Disease Physician
  • Canton, OH
  • NPI 1306495718
  Medicare reassignment Care Compare group NPD
• The Union Hospital Association

  • Rural Acute Care Hospital
  • Dover, OH
  • NPI 1871606921
  Medicare reassignment Care Compare group
• Community Pathologists Inc

  • Anatomic Pathology & Clinical Pathology Physician
  • Dover, OH
  • NPI 1467779397
  NPD
• RC Hastedt MD Inc

  • Anatomic Pathology Physician
  • Dover, OH
  • NPI 1235324104
  NPD
• Orrville Hospital Foundation

  • Rural Health Clinic/Center
  • Dover, OH
  • NPI 1477150308
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• The Union Hospital Association

  • Rural Acute Care Hospital
  • Dover, OH
  • NPI 1871606921
  Care Compare affiliation

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

{
    "created_epoch": "1136937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612915200000",
    "number": "1902885742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 6TH ST SW",
            "address_2": "SUITE A2-710",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447101702",
            "telephone_number": "330-454-8076",
            "fax_number": "330-454-3927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 MEDICAL PARK DR",
            "city": "DOVER",
            "state": "OH",
            "postal_code": "446223207",
            "telephone_number": "330-454-8076",
            "fax_number": "330-454-3927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSELL",
        "first_name": "DONALD",
        "middle_name": "L.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-11",
        "last_updated": "2021-02-10",
        "certification_date": "2021-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35-04-6531",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0556483",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• James F Ross
• Brenlyn Rostad, PT, DPT
• Toni Elizabeth Rostash, LSW
• Sarah Leigh Rothacher, CDCA
• Amy Irene Rufener, RN
• Karen Marie Russell, DTR, CHC
• Ryan L Dunn, PH.D., Inc
• Mikayla Leann Ryan, M.S., CCC-SLP
• Tamara L Sabo, LPCC, LCDCIII
• Sharma Saith, MD

• Internal Medicine Physician in Dover, OH
• Providers in Dover, OH by specialty
• Internal Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2021; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.