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DR. JOHN J RUSSELL M.D.
NPI 1124098728
Pediatrics in Cape Girardeau, MO

Active since January 25, 2006
1610 N KINGS HIGHWAY ST, SUITE 304, CAPE GIRARDEAU, MO 63701(573) 335-2191(573) 335-5524 Get Directions Write a Review

NPPES record last updated: January 21, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. John J Russell M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JOHN J RUSSELL M.D. (NPI 1124098728) is an individual pediatrics provider in Cape Girardeau, Missouri, licensed in Missouri (100521) and active in the NPI registry since January 2006.

NPPES Registry Identity

NPI1124098728
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameDR. JOHN J RUSSELLCredential: M.D.
Location Address1610 N KINGS HIGHWAY ST, SUITE 304Cape Girardeau, MO 63701-2196
Mailing Address1610 N Kings Highway St, Suite 304Cape Girardeau, MO 63701-2196 · (573) 335-2191 · Fax (573) 335-5524
Phone(573) 335-2191
Fax(573) 335-5524
Sole ProprietorYes
Enumeration DateJanuary 25, 2006
Last NPPES UpdateJanuary 21, 2015
✔ NPI 1124098728 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in MO · 100521
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Also ListedInternal MedicineTaxonomy 207R00000X · License 100521 (MO)
1610 N KINGS HIGHWAY ST, Cape Girardeau, MO 63701
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Other Identifiers 6

Other370018381MO · Railroad Medicare
Other125591MO · Blue Cross Blue Shield
Medicare ID-Type Unspecified000095083MO
Other178739MO · Healthlink
Medicare UPINF26007
Medicaid203340815MO

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is John Russell's NPI number?

The NPI number for John Russell is 1124098728. It was assigned to this individual provider in the NPPES registry on January 25, 2006.

Where is John Russell located?

John Russell practices at 1610 N Kings Highway St Suite 304, Cape Girardeau, MO 63701. The listed phone number is (573) 335-2191.

What is John Russell's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

What insurance does John Russell accept?

Health plans from Anthem Blue Cross and Blue Shield list John Russell as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for John Russell was last updated on January 21, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.