James L Russell, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

E-3810 Issued in AR

Practice address

1001 Towson Ave
Fort Smith, AR 72901

Phone

(479) 441-4000

NPI assigned

Oct 11, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in AR

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

Emergency Medicine

Education

University of Arkansas College of Medicine, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Southeastern Emergency Physicians LLCGroup PAC ID 2466364997, 776 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Baptist Health - Fort Smith Hospital, Fort Smith, AR, CCN 040055
• Baptist Health - Van Buren Hospital, Van Buren, AR, CCN 040018

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.

• Southeastern Emergency Physicians LLC

  • Emergency Medicine Physician
  • Maysville, KY
  • NPI 1356379382

  AR

  Medicare reassignment Care Compare group NPD
• Baptist Medcare, Inc

  • Emergency Medicine Physician
  • Little Rock, AR
  • NPI 1699868323
  Medicare reassignment NPD
• Baptist Health Regional Hospitals

  • General Acute Care Hospital
  • Fort Smith, AR
  • NPI 1710463146
  NPD (past)
• Fort Smith Hma, LLC

  • General Acute Care Hospital
  • Fort Smith, AR
  • NPI 1578555736
  NPD (past)
• Sparks Regional Medical Center

  • Skilled Nursing Facility
  • Fort Smith, AR
  • NPI 1992916308
  NPD (past)

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

• Baptist Health Regional Hospitals

  • General Acute Care Hospital
  • Van Buren, AR
  • NPI 1154807584
  Care Compare affiliation
• Baptist Health Regional Hospitals

  • General Acute Care Hospital
  • Fort Smith, AR
  • NPI 1710463146
  Care Compare affiliation

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

{
    "created_epoch": "1128988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671062400000",
    "number": "1932197241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3820 FREE FERRY RD",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729031762",
            "telephone_number": "479-462-2932",
            "fax_number": "479-441-4932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 TOWSON AVE",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "72901",
            "telephone_number": "479-441-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSELL",
        "first_name": "JAMES",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-11",
        "last_updated": "2022-12-15",
        "certification_date": "2022-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "E3810",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AR",
            "license": "E-3810",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "152145001",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200054390A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hiam Rushdi
• Brandi L Russell, QBHP
• Brittany Russell, QBHP
• Cody Russell, QBHP
• Debra Kaye Russell, M.D.
• Kristi Russell
• Randa Russell, PRSS,QBHP
• Roy E Russell Jr., MD
• Joshua J Rust, PHARMD
• Paul Wesley Rust, LCSW

• Emergency Medicine Physician in Fort Smith, AR
• Providers in Fort Smith, AR by specialty
• Emergency Medicine Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2022; 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.