Individual
RUSSELL ALAN CHEANEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3333 CATTLEMEN RD STE 100, SARASOTA, FL 34232-6057
(941) 379-5884
Mailing address
PO BOX 890561, CHARLOTTE, NC 28289-0561
(800) 919-1190
(706) 737-2272
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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