Individual
RUSSELL ALEXANDER SHATFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
315 E BROADWAY, SUITE 195, LOUISVILLE, KY 40202-3700
(502) 629-4263
(502) 629-4282
Mailing address
PO BOX 776351, CHICAGO, IL 60677-6351
(502) 588-9490
(502) 272-5116
Taxonomy
Speciality
Code
Description
License number
State
2086S0105X
Surgery of the Hand (Surgery) Physician
Primary
30782
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000694192
ANTHEM - LAH
KY
01
—
000057058U
HUMANA - LAH
KY
01
—
121306
SIHO - LAH
KY
01
—
4632527
CIGNA - LAH
KY
01
—
50030992
PASSPORT/PASSPORT ADVANTAGE - LAH
KY
05
—
64307820
—
KY
Enumeration date
10/31/2006
Last updated
09/27/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us