Russell Chiropractic Health P.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

HR004208 Issued in MI

Legal business name

RUSSELL CHIROPRACTIC HEALTH P.C.

Practice address

15195 Allen Rd.
Southgate, MI 48195-2921

Phone

(734) 284-9800

Fax

(734) 284-9088

NPI assigned

Nov 29, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Hubert William Russell Jr., D.C.NPI 1720021231

Title

Doctorowner

Phone

(734) 284-9800

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Hubert William Russell Jr., D.C.

  • Chiropractor
  • Southgate, MI
  • NPI 1720021231
  Medicare reassignment Care Compare group NPD Authorized official
• Christopher Gavin Russell, D.C.

  • Chiropractor
  • Southgate, MI
  • NPI 1154738144
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200441600000",
    "number": "1932276946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15195 ALLEN RD",
            "city": "SOUTHGATE",
            "state": "MI",
            "postal_code": "481952921",
            "telephone_number": "734-284-9800",
            "fax_number": "734-284-9088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15195 ALLEN RD.",
            "city": "SOUTHGATE",
            "state": "MI",
            "postal_code": "481952921",
            "telephone_number": "734-284-9800",
            "fax_number": "734-284-9088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUSSELL CHIROPRACTIC HEALTH P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-29",
        "last_updated": "2008-01-16",
        "status": "A",
        "authorized_official_last_name": "RUSSELL",
        "authorized_official_first_name": "HUBERT",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "DOCTOROWNER",
        "authorized_official_telephone_number": "734-284-9800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "HR004208",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2906559",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MICHIGAN",
            "identifier": "950H227880",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Ann Rucinski, LMSW
• Deauvia Rucker
• Brandie Ruffin
• Steve A Ruffolo
• Toni Rushlow
• Christopher Gavin Russell, D.C.
• Hubert William Russell Jr., D.C.
• Milianya Marie Nicole Russell
• Vanessa Russell, BSW
• Courtney Ruvolo, DPT

• Chiropractor in Southgate, MI
• Providers in Southgate, MI by specialty
• Chiropractor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.