Ricky Russell, M.D. LLC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

RICKY RUSSELL, M.D. LLC

Practice address

501 Marshall St
Suite 603
Jackson, MS 39202-1651

Phone

(601) 985-9120

Fax

(601) 985-9122

NPI assigned

Feb 13, 2007

Last updated

Jan 29, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Ricky Gordon Russell, M.D.NPI 1053425009

Title

Physician

Phone

(601) 985-9120

Specialties & licenses 1

Addresses

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ricky Gordon Russell, MD

  • Ophthalmology Physician
  • Jackson, MS
  • NPI 1053425009
  Authorized official Same address or phone
• William Clay Ashford, M.D.

  • Ophthalmology Physician
  • Madison, MS
  • NPI 1588692636
  NPD (past)
• Julie Brewer Dawson

  • Optometrist
  • Madison, MS
  • NPI 1467861484
  NPD (past)
• Nettie Hines, OD

  • Optometrist
  • Flowood, MS
  • NPI 1386168730
  NPD (past)
• Jenny Huang Jones, OD

  • Optometrist
  • Madison, MS
  • NPI 1174902282
  NPD (past)
• Jennifer Hermetz York, O.D.

  • Optometrist
  • Ridgeland, MS
  • NPI 1083843163
  NPD (past)

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390953600000",
    "number": "1912049487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 MARSHALL ST",
            "address_2": "SUITE 603",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392021651",
            "telephone_number": "601-985-9120",
            "fax_number": "601-985-9122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 MARSHALL ST",
            "address_2": "SUITE 603",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392021651",
            "telephone_number": "601-985-9120",
            "fax_number": "601-985-9122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICKY RUSSELL, M.D. LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-13",
        "last_updated": "2014-01-29",
        "status": "A",
        "authorized_official_last_name": "RUSSELL",
        "authorized_official_first_name": "RICKY",
        "authorized_official_middle_name": "GORDON",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "601-985-9120",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tori Keshaun Richmond, MD
• Kayla Richter
• Arthur L Ricks
• Chasiti Ricks
• Janet L. Ricks, D.O.
• Ashlee D Ricotta
• Donna Carol Ricotta, NP
• Ridgewood Clinics PA
• Mildred Ridgway, MD
• David Wayne Riem Jr., MD

• Ophthalmology Physician in Jackson, MS
• Providers in Jackson, MS by specialty
• Ophthalmology Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.