Russel Pardoe, M.D., Inc.

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

RUSSEL PARDOE, M.D., INC.

Practice address

2752 Harrison Ave
Suite a
Eureka, CA 95501-4738

Phone

(707) 445-3075

Fax

(707) 445-3076

NPI assigned

May 8, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Russel Pardoe, M.D.

Title

Owner

Phone

(707) 445-3075

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

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

• Robert M Green Jr., MD

  • Plastic and Reconstructive Surgery Physician
  • Eureka, CA
  • NPI 1932198249
  NPD (past)
• Mark B Pardoe, M.D.

  • Plastic Surgery Physician
  • Eureka, CA
  • NPI 1407930209
  NPD (past)

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

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219708800000",
    "number": "1992918551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2752 HARRISON AVE",
            "address_2": "SUITE A",
            "city": "EUREKA",
            "state": "CA",
            "postal_code": "955014738",
            "telephone_number": "707-445-3075",
            "fax_number": "707-445-3076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2752 HARRISON AVE",
            "address_2": "SUITE A",
            "city": "EUREKA",
            "state": "CA",
            "postal_code": "955014738",
            "telephone_number": "707-445-3075",
            "fax_number": "707-445-3076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUSSEL PARDOE, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-08",
        "last_updated": "2008-08-26",
        "status": "A",
        "authorized_official_last_name": "PARDOE",
        "authorized_official_first_name": "RUSSEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "707-445-3075",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0093660",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brandi Ruf
• Amalia Ruiz, LVN
• Maria Elena Ruiz, R.N
• Mario Ruiz
• Khemraj Rupee, M.D.
• Jessica Russell
• Alyssa Rustin
• Charles Anthony Rutherford, RN
• Loretta Lee Ruud
• Daniel Ryan, O.D.

• Specialist in Eureka, CA
• Providers in Eureka, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2008; 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.