Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Individual
MR. JOHN ALBERT RUSSELL JR.
Active
Individual
MR. JOHN ALBERT RUSSELL JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
140897600
—
MD
05
—
140897602
—
MD
Enumeration date
05/25/2021
Last updated
05/25/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up