Mark W Russell

MD | Pediatric Cardiology | Male

Mark W Russell, MD is a Ann Arbor, Michigan based Pediatric doctor with medical specialization in Pediatric Cardiology. Current practice location of Mark W Russell is 1500 E Medical Center Dr, 11th Floor Cs Mott Childrens Hospital Room 661, Ann Arbor, Michigan - 48109-5204. He can be contacted on phone at 734-764-5176. Mark W Russell is a sole proprietor of his business.
NPI number (Unique professional ID) for Mark W Russell is 1083620256 which was assigned by NPPES on 31 Jul, 2006 and it was last updated on 29 Apr, 2013. Mark W Russell license number is 4301060392 for Pediatrics Pediatric Cardiology (2080P0202X) in Michigan.
Mark W Russell provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.
Complete Profile:
Mark W Russell basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
Specialization :Pediatrics Pediatric Cardiology
Provider Name :Mark W Russell
Credential :MD
Gender :Male
Business Address:
Mark W 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 :1500 E Medical Center Dr, 11th Floor Cs Mott Childrens Hospital Room 661
Ann Arbor, MI, 48109-5204
United States
Phone Number :734-764-5176
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 : 1083620256
NPI Entity Type : Individual
First Enrolment Date : 31 Jul, 2006
Last Updated On : 29 Apr, 2013
Medicare Participation:
Mark W Russell participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.
Medicare PECOS ID :3971645631
Medicare Enrollment ID :I20100119000752
Primary Specialty :Pediatric Medicine
Medical School :Duke University School Of Medicine
Graduation Year :1989
Accepts Medicare?Yes. Mark W Russell accepts medicare insurance.
Group Practice Association:
Mark W 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 Mark W 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 IDNo. of MembersPractice AddressGroup Accepts Medicare
Regents Of The University Of Michigan377949685628551500 E Medical Ctr Dr 2nd Floor Recp A
Ann Arbor, MI - 481090999
Yes
Regents Of The University Of Michigan377949685628551500 E Medical Ctr Dr 2nd Floor Recp B
Ann Arbor, MI - 481090999
Yes
Regents Of The University Of Michigan377949685628551500 E Medical Ctr
Suite 0331
Ann Arbor, MI - 481090999
Ph: 7349365738
Yes
Regents Of The University Of Michigan377949685628551500 E Medical Ctr Dr 2nd Lr Rm C213 Recp C
Med Inn
Ann Arbor, MI - 481090999
Ph: 7347635459
Yes
Regents Of The University Of Michigan377949685628551500 E Medical Ctr Dr 1st Floor Recp C
Ann Arbor, MI - 481090999
Yes
Regents Of The University Of Michigan377949685628551500 E Medical Ctr Dr
Ann Arbor, MI - 481090999
Yes
Regents Of The University Of Michigan377949685628551500 E Medical Ctr Dr 1st Floor Recp D
Taubman Center
Ann Arbor, MI - 481090999
Yes
Regents Of The University Of Michigan377949685628551500 E Medical Ctr Dr B1 Floor Recp Emergency
University Hosptial
Ann Arbor, MI - 481090999
Ph: 7349366666
Yes
Regents Of The University Of Michigan377949685628551500 E Medical Ctr Dr 1st Floor Recp E
Ann Arbor, MI - 481090999
Yes
Regents Of The University Of Michigan377949685628551500 E Medical Ctr Dr 1st Floor
Ann Arbor, MI - 481090999
Yes
Regents Of The University Of Michigan377949685628551500 E Medical Ctr Dr 2nd Floor Recp F
Taubman Center
Ann Arbor, MI - 481090999
Ph: 7349365823
Yes
Regents Of The University Of Michigan377949685628551500 E Medical Ctr 2nd Floor Recp G
Taubman Center
Ann Arbor, MI - 481090999
Ph: 7349365020
Yes
Regents Of The University Of Michigan377949685628551500 E Medical Ctr Dr 1st Floor Recp G
Ann Arbor, MI - 481090999
Yes
Regents Of The University Of Michigan377949685628551500 E Medical Ctr Dr 1st Floor Emg Lab
University Hospital
Ann Arbor, MI - 481090999
Ph: 7349367184
Yes
Regents Of The University Of Michigan377949685628551500 E Medical Ctr Dr Level
358 Cancer And Geriatrics Center
Ann Arbor, MI - 481090999
Ph: 7346478901
Yes
Regents Of The University Of Michigan377949685628551500 E Medical Ctr Dr 2nd Floor Recp
2b355 University Hopital
Ann Arbor, MI - 481090999
Ph: 7349369250
Yes
Regents Of The University Of Michigan377949685628551500 E Medical Ctr Dr 1st Floor Room
Ann Arbor, MI - 481090999
Yes
Regents Of The University Of Michigan377949685628551500 E Medical Ctr Dr 3rd Fl Taubman Ctr Recp A
Ann Arbor, MI - 481095000
Ph: 7346477321
Yes
Regents Of The University Of Michigan377949685628551500 E Medical Ctr Dr
Ann Arbor, MI - 481095000
Yes
Regents Of The University Of Michigan377949685628551500 E Medical Ctr Dr 1st Fl Rec D
Taubman Center
Ann Arbor, MI - 481095000
Ph: 7347645175
Yes
Regents Of The University Of Michigan377949685628551500 E Medical Ctr Dr 1st Fl
Taubman Ctr Rec D
Ann Arbor, MI - 481095000
Ph: 7349364185
Yes
Regents Of The University Of Michigan377949685628551500 E Medical Ctr Dr 1st Fl Rec F
Mott Hospital
Ann Arbor, MI - 481095000
Ph: 7347645176
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 Mark W Russell are as mentioned. Primary taxonomy code for Mark W Russell, MD is 2080P0202X (Pediatrics Pediatric Cardiology).
Taxonomy Code SpecialityPrimaryLicense No.State
208000000XPediatricsNo4301060392MI
2080P0202XPediatrics Pediatric CardiologyYes4301060392MI
Legacy Identifiers:
Other legacy medical identifiers of Mark W Russell such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
IdentifierIdentifier TypeStateIssuer
3226763MEDICAIDMI
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 :3621 S State St, 700 Kms Place
Ann Arbor, MI, 48108
United States
Phone Number :734-936-2047
Business Location:
Patients can refer following map for directions to Mark W 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.