RUSSELL J PROCTOR MD LLC NPI 1952485658

Internal Medicine in Orange Beach, AL

NPI 1952485658 Organization Internal Medicine

About RUSSELL J PROCTOR MD LLC

Russell J Proctor Md Llc is an internal medicine provider established in Orange Beach, Alabama specializing in internal medicine. The NPI number of Russell J Proctor Md Llc is 1952485658 and was assigned on October 2006. The practitioner's primary taxonomy code is 207R00000X. The provider is registered as an organization and their NPI record was last updated 3 years ago. Russell J Proctor Md Llc operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Dr. Russell J Proctor Md (Owner)

An internist like Russell J Proctor Md Llc is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

NPI

1952485658

Provider NameRUSSELL J PROCTOR MD LLC
Provider Location Address4223 ORANGE BEACH BLVD STE. A ORANGE BEACH, AL 36561
Provider Mailing AddressPO BOX 7627 MOBILE, AL 36670
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date10-25-2006
Last Update Date06-21-2018


Primary Taxonomy

Taxonomy Code207R00000X
ClassificationInternal Medicine
TypeAllopathic & Osteopathic Physicians
Taxonomy DescriptionA physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Business Address

RUSSELL J PROCTOR MD LLC
4223 ORANGE BEACH BLVD
STE. A
ORANGE BEACH, AL
ZIP 36561
Phone: (251) 981-8713

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Mailing Address

RUSSELL J PROCTOR MD LLC
PO BOX 7627
MOBILE, AL
ZIP 36670
Phone: (251) 974-1550
Fax: (251) 974-1551



Authorized Official

Authorized Official NameDR. RUSSELL J PROCTOR MD
Authorized Official TitleOWNER
Authorized Official Phone(251) 974-1550

Group Taxonomy


193200000X MULTI-SPECIALTY GROUP - This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Secondary Taxonomies


The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
1207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary DiseaseNo

Taxonomy Description: an internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

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
=========OTHER (01)AL

Other Providers at the same location


The following 12 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1538118666FOLEY CLINIC CORP
Organization
Family Medicine4223 ORANGE BEACH BLVD STE. B
ORANGE BEACH, AL 36561
(251) 981-8550
1508805110 JENNIFER MELISSA BYRD PT
Individual
Physical Therapist4223 ORANGE BEACH BLVD SUITE D
ORANGE BEACH, AL 36561
(251) 981-1300
1548294713 ABBY M ELLENBURG PT
Individual
Specialist4223 ORANGE BEACH BLVD SUITE D
ORANGE BEACH, AL 36561
(251) 981-1300
1134140304 MARK JOSEPH GRANGER PT
Individual
Physical Therapist4223 ORANGE BEACH BLVD SUITE D
ORANGE BEACH, AL 36561
(251) 981-1300
1417978321 ASHLEY K SPRAYBERRY PT
Individual
Physical Therapist4223 ORANGE BEACH BLVD SUITE D
ORANGE BEACH, AL 36561
(251) 981-1300
1912920133 ANTHONY T KENNON PT
Individual
Physical Therapist4223 ORANGE BEACH BLVD SUITE D
ORANGE BEACH, AL 36561
(251) 981-1300
1902968696 KIMBERLY A HALL PT
Individual
Physical Therapist4223 ORANGE BEACH BLVD SUITE D
ORANGE BEACH, AL 36561
(251) 981-1300
1669695847 TRELLA D BOONE PT
Individual
Physical Therapist4223 ORANGE BEACH BLVD SUITE D
ORANGE BEACH, AL 36561
(251) 981-1300
1821267444 MELISSA R LACOUR PT
Individual
Physical Therapist4223 ORANGE BEACH BLVD SUITE D
ORANGE BEACH, AL 36561
(251) 981-1300
1790861615DR. STEVEN WAYNE GRAVELY D.C.
Individual
Chiropractor4223 ORANGE BEACH BLVD SUITE B
ORANGE BEACH, AL 36561
(251) 980-2225
1699109926SWG ENTERPRISES PC
Organization
Chiropractor4223 ORANGE BEACH BLVD SUITE B
ORANGE BEACH, AL 36561
(251) 974-2225
1356556815GRAVELY CHIROPRACTIC PC
Organization
Chiropractor4223 ORANGE BEACH BLVD SUITE B
ORANGE BEACH, AL 36561
(251) 980-2225

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.