Dr. George H Russell
MD | Pediatric Gastroenterology | Male
Dr. George H Russell, MD is a Portland, Maine based Pediatric doctor with medical specialization in
Pediatric Gastroenterology.
Current practice location of Dr. George H Russell is
887 Congress St, Suite 320, Portland, Maine - 04102-3100. He can be contacted on phone at
207-662-5522 and fax number 207-662-5227.
Dr. George H Russell is a sole proprietor of his business.
NPI number (Unique professional ID) for Dr. George H Russell is
1366423154 which was assigned by NPPES on 08 Nov, 2005 and it was last updated on 18 Aug, 2016.
Dr. George H Russell license number is
MD20882 for Pediatrics Pediatric Gastroenterology (2080P0206X) in Maine.
Dr. George H Russell specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs.
Complete Profile:
Dr. George H Russell basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Pediatric Gastroenterology |
|---|
| Provider Name : | Dr. George H Russell |
|---|
| Credential : | MD |
|---|
| Gender : | Male |
|---|
Business Address:
Dr. George H Russell address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 887 Congress St, Suite 320
Portland, ME, 04102-3100
United States |
|---|
| Phone Number : | 207-662-5522 |
|---|
| Fax Number : | 207-662-5227 |
|---|
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1366423154 |
|---|
| NPI Entity Type : | Individual |
|---|
| First Enrolment Date : | 08 Nov, 2005 |
|---|
| Last Updated On : | 18 Aug, 2016 |
|---|
Medicare Participation:
Dr. George H Russell participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.
| Medicare PECOS ID : | 6305882754 |
|---|
| Medicare Enrollment ID : | I20160415001534 |
|---|
| Primary Specialty : | Pediatric Medicine |
|---|
| Medical School : | University Of Massachusetts Medical School |
|---|
| Graduation Year : | 1999 |
|---|
| Accepts Medicare? | Yes. Dr. George H Russell accepts medicare insurance. |
|---|
Group Practice Association:
Dr. George H Russell is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Dr. George H Russell is associated with along with the number of members in that group. He may also accept medicare indirectly via these group practices.
| Organisation Name : | Group Practice ID | No. of Members | Practice Address | Group Accepts Medicare |
|---|
| Maine Medical Partners | 9335043967 | 808 | 55 Spring St
Scarborough, ME - 040748926
Ph: 2073967337 | Yes |
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. George H Russell are as mentioned. Primary taxonomy code for Dr. George H Russell, MD is
2080P0206X (Pediatrics Pediatric Gastroenterology).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | No | 213288 | MA |
| 2080P0206X | Pediatrics Pediatric Gastroenterology | No | 213288 | MA |
| 2080P0206X | Pediatrics Pediatric Gastroenterology | Yes | MD20882 | ME |
Legacy Identifiers:
Other legacy medical identifiers of Dr. George H Russell such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| J24704 | Other | MA | BCBS MA |
| 0192830 | MEDICAID | MA | |
| 460383 | Other | MA | TUFTS HEALTH PLAN |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 300 Southborough Dr, Suite 201
South Portland, ME, 04106-6914
United States |
|---|
| Phone Number : | 207-661-2000 |
|---|
Business Location:
Patients can refer following map for directions to
Dr. George H Russell practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.