ZACHARY RUSSELL ATC, LAT, CSCS, OTC
NPI 1750753182
Orthopaedic Surgery - Sports Medicine in Watkinsville, GA
- Individual
- Male
- Orthopaedic Surgery
- Sports Medicine
About ZACHARY RUSSELL
This page provides the complete NPI Profile along with additional information for Zachary Russell, a provider established in Watkinsville, Georgia with a medical specialization in Orthopaedic Surgery, focusing in sports medicine . The healthcare provider is registered in the NPI registry with number 1750753182 assigned on October 2015. The practitioner's primary taxonomy code is 207XX0005X with license number AT003715 (GA). The provider is registered as an individual and his NPI record was last updated 7 years ago.
- NPI
- 1750753182 Verify this NPI
- Provider Name
- ZACHARY RUSSELL ATC, LAT, CSCS, OTC
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 1305 JENNINGS MILL ROAD BUILDING 300, SUITE 110 WATKINSVILLE, GA 30677
- Location Phone
- (706) 613-5880
- Location Fax
- (706) 613-5880
- Mailing Address
- 5883 N NEVADA AVE 324 COLORADO SPRINGS, CO 80918
- Mailing Phone
- (678) 481-6519
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 10-26-2015
- Last Update Date
- 09-27-2019
- Code Navigator
Location Map
Secondary Locations
- 2200 Bonforte Blvd
Pueblo, CO 81001
(678) 481-6519
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Orthopaedic Surgery Sports Medicine
- Taxonomy Code
- 207XX0005X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- AT003715
- License State
- GA
- Taxonomy Description
- An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 390200000X | Student, Health Care | Student in an Organized Health Care Education/Training Program | 0001416 (CO) |
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1750753182, enumerated as an "individual" on October 26, 2015.
The provider is located at 1305 JENNINGS MILL ROAD BUILDING 300, SUITE 110 WATKINSVILLE, GA 30677 and the phone number is (706) 613-5880.
Orthopaedic Surgery with taxonomy code 207XX0005X and a focus in Sports Medicine.
