Thomas Bennett Russell
MD | Pediatrics | Male
Thomas Bennett Russell, MD is a Charlotte, North Carolina based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Thomas Bennett Russell is
1001 Blythe Blvd, Medical Center Plaza Ste 601, Charlotte, North Carolina - 28203-5866. He can be contacted on phone at
704-381-9900.
Thomas Bennett Russell is a sole proprietor of his business.
NPI number (Unique professional ID) for Thomas Bennett Russell is
1770622789 which was assigned by NPPES on 06 Feb, 2007 and it was last updated on 04 May, 2023.
Thomas Bennett Russell license number is
2012-01500 for Pediatrics (208000000X) in North Carolina.
Thomas Bennett 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:
Thomas Bennett Russell basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
|---|
| Provider Name : | Thomas Bennett Russell |
|---|
| Credential : | MD |
|---|
| Gender : | Male |
|---|
Business Address:
Thomas Bennett 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 : | 1001 Blythe Blvd, Medical Center Plaza Ste 601
Charlotte, NC, 28203-5866
United States |
|---|
| Phone Number : | 704-381-9900 |
|---|
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 : | 1770622789 |
|---|
| NPI Entity Type : | Individual |
|---|
| First Enrolment Date : | 06 Feb, 2007 |
|---|
| Last Updated On : | 04 May, 2023 |
|---|
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 Thomas Bennett Russell are as mentioned. Primary taxonomy code for Thomas Bennett Russell, MD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 207ZH0000X | Pathology, Hematology | No | 2012-01500 | NC |
| 2080P0207X | Pediatrics, Pediatric Hematology-Oncology | No | 2012-01500 | NC |
| 208000000X | Pediatrics | Yes | 2012-01500 | NC |
Endpoints:
Endpoints provide a simple, secure, scalable, and standards-based way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the Internet. It is used by EHR systems (Electronic Health Records).
| Endpoint Type | Endpoint | Affiliation | Use | Content | Address |
|---|
DIRECT
(Direct Messaging Address) | trussell1099281@CarolinasHealthcareSystem.direct-ci.com
| |
|
| 1001 Blythe Blvd, Medical Center Plaza, Ste 601
Charlotte, NC, 28203-5866
United States |
CONNECT
(CONNECT URL) | https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service
2.16.840.1.113883.3.667.2 | | OTHER
Other
CMS esMD eMDR |
| 100 N 6th St Ste 900A,
Minneapolis, MN, 55403-1516
United States |
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 : | Po Box 19305
Charlotte, NC, 28219-9305
United States |
|---|
Business Location:
Patients can refer following map for directions to
Thomas Bennett 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.