RUSSELL MEDICAL SERVICES PLLC NPI 1689120263

Family Medicine in Lake Village, AR

NPI 1689120263 Organization Family Medicine

About RUSSELL MEDICAL SERVICES PLLC

Russell Medical Services Pllc is a primary care provider established in Lake Village, Arkansas specializing in family medicine. The NPI number of Russell Medical Services Pllc is 1689120263 and was assigned on September 2016. The practitioner's primary taxonomy code is 207Q00000X with license number C4971 (AS). The provider is registered as an organization and their NPI record was last updated 5 years ago. Russell Medical Services Pllc operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is John Randall Russell M.d. (Chief Executive Officer)

A primary care provider (PCP) like Russell Medical Services Pllc sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc

NPI

1689120263

Provider NameRUSSELL MEDICAL SERVICES PLLC
Provider Location Address5071 HIGHWAY 82 E LAKE VILLAGE, AR 71653
Provider Mailing Address5071 HIGHWAY 82 E LAKE VILLAGE, AR 71653
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date09-01-2016
Last Update Date09-01-2016


Primary Taxonomy

Taxonomy Code207Q00000X
ClassificationFamily Medicine
TypeAllopathic & Osteopathic Physicians
License No.C4971
License StateAS
Taxonomy DescriptionFamily Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Business Address

RUSSELL MEDICAL SERVICES PLLC
5071 HIGHWAY 82 E
LAKE VILLAGE, AR
ZIP 71653
Phone: (870) 515-1289

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Mailing Address

RUSSELL MEDICAL SERVICES PLLC
5071 HIGHWAY 82 E
LAKE VILLAGE, AR
ZIP 71653
Phone: (870) 515-1289



Authorized Official

Authorized Official Name JOHN RANDALL RUSSELL M.D.
Authorized Official TitleCHIEF EXECUTIVE OFFICER
Authorized Official Phone(870) 515-1289

Group Taxonomy


193400000X SINGLE SPECIALTY GROUP - This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
C68693MEDICARE UPIN (02)
54628MEDICARE PIN (08)

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.