Individual
DR. JOHN J RUSSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
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
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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