Individual
DR. RUSSELL E CARLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1093 DELAWARE AVE APT 5, BUFFALO, NY 14209-1655
(716) 462-4415
(716) 303-7008
Mailing address
PO BOX 7, BUFFALO, NY 14207-0007
(716) 462-4415
(716) 303-7008
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
189175
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00025759601
UNIVERA HEALTHCARE
NY
01
—
000526654001
BLUE CROSS/ BLUE SHIELD
NY
01
—
010549324
NOVA INSURANCE
NY
05
—
02212417
—
NY
01
—
040426002783
FIDELIS
NY
01
—
2197606
INDEPENDENT HEALTH
NY
01
—
7099868
GHI
NY
01
—
780002093
RAILROAD MCR
NY
01
—
PAR05802
NORTH AMERICAN ADMINISTRT
NY
Enumeration date
08/20/2006
Last updated
10/28/2023
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