Individual
RUSSELL ALAN CHEANEY
Active
Individual
RUSSELL ALAN CHEANEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
ME138842
FL
207LP2900X
Pain Medicine (Anesthesiology) Physician
29897
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050032552
RAILROAD MEDICARE
NC
01
—
1141346001
CIGNA
NC
01
—
22112
BCBSNC
NC
01
—
4597856
AETNA
NC
01
—
80413
MEDCOST
NC
05
—
8922112
—
NC
05
—
N29897
—
SC
Enumeration date
05/22/2006
Last updated
03/20/2019
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