Individual
DR. JOHN J RUSSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1610 N KINGS HIGHWAY ST, SUITE 304, CAPE GIRARDEAU, MO 63701-2196
(573) 335-2191
(573) 335-5524
Mailing address
1610 N KINGS HIGHWAY ST, SUITE 304, CAPE GIRARDEAU, MO 63701-2196
(573) 335-2191
(573) 335-5524
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
100521
MO
208000000X
Pediatrics Physician
Primary
100521
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
125591
BLUE CROSS BLUE SHIELD
MO
01
—
178739
HEALTHLINK
MO
05
—
203340815
—
MO
01
—
370018381
RAILROAD MEDICARE
MO
Enumeration date
01/25/2006
Last updated
01/21/2015
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