Dr. John J Russell
M.D. | Pediatrics | Male
Dr. John J Russell, M.D. is a Cape Girardeau, Missouri based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Dr. John J Russell is
1610 N Kings Highway St, Suite 304, Cape Girardeau, Missouri - 63701-2196. He can be contacted on phone at
573-335-2191 and fax number 573-335-5524.
Dr. John J Russell is a sole proprietor of his business.
NPI number (Unique professional ID) for Dr. John J Russell is
1124098728 which was assigned by NPPES on 25 Jan, 2006 and it was last updated on 21 Jan, 2015.
Dr. John J Russell license number is
100521 for Pediatrics (208000000X) in Missouri.
Dr. John J Russell is a pediatrician who 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.
Complete Profile:
Dr. John J Russell basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Dr. John J Russell |
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| Credential : | M.D. |
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| Gender : | Male |
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| Sole Proprietor : | Yes |
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Business Address:
Dr. John J 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 : | 1610 N Kings Highway St, Suite 304
Cape Girardeau, MO, 63701-2196
United States |
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| Phone Number : | 573-335-2191 |
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| Fax Number : | 573-335-5524 |
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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 : | 1124098728 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 25 Jan, 2006 |
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| Last Updated On : | 21 Jan, 2015 |
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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. John J Russell are as mentioned. Primary taxonomy code for Dr. John J Russell, M.D. is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 207R00000X | Internal Medicine | No | 100521 | MO |
| 208000000X | Pediatrics | Yes | 100521 | MO |
Legacy Identifiers:
Other legacy medical identifiers of Dr. John J Russell such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 370018381 | Other | MO | RAILROAD MEDICARE |
| 125591 | Other | MO | BLUE CROSS BLUE SHIELD |
| 178739 | Other | MO | HEALTHLINK |
| 203340815 | MEDICAID | MO | |
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 : | 1610 N Kings Highway St, Suite 304
Cape Girardeau, MO, 63701-2196
United States |
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| Phone Number : | 573-335-2191 |
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| Fax Number : | 573-335-5524 |
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Business Location:
Patients can refer following map for directions to
Dr. John J 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. Last updated on 08 January, 2024.