Russellville Hospital Inc | |
15225 Highway 43 Ste I Russellville AL 35653-1969 | |
(256) 331-2700 | |
(256) 331-2777 |
Full Name | Russellville Hospital Inc |
---|---|
Speciality | Family Medicine |
Location | 15225 Highway 43 Ste I, Russellville, Alabama |
Authorized Official Name and Position | Ashoke Mukherji (CEO) |
Authorized Official Contact | 6157320768 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Russellville Hospital Inc Po Box 1089 Russellville AL 35653-1089 Ph: (256) 331-2700 | Russellville Hospital Inc 15225 Highway 43 Ste I Russellville AL 35653-1969 Ph: (256) 331-2700 |
NPI Number | 1780232314 |
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Provider Enumeration Date | 08/27/2019 |
Last Update Date | 08/27/2019 |
Medicare PECOS PAC ID | 3476878489 |
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Medicare Enrollment ID | O20191018002761 |
Identifier | Type | State | Issuer |
---|---|---|---|
1780232314 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Prince C Uzoije |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1811923014 PECOS PAC ID: 6204811383 Enrollment ID: I20040622001410 |
Provider Name | Karen L Moore |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1902911654 PECOS PAC ID: 4981676590 Enrollment ID: I20040812000526 |
Provider Name | Jeffrey M Saylor |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1174589410 PECOS PAC ID: 3274509336 Enrollment ID: I20040909000509 |
Provider Name | Robin B Abel |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1528360534 PECOS PAC ID: 5890756159 Enrollment ID: I20041020001229 |
Provider Name | John H Wagner |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1487634085 PECOS PAC ID: 9133180334 Enrollment ID: I20041021000272 |
Provider Name | Lee T Wimberly |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1033142054 PECOS PAC ID: 8325098726 Enrollment ID: I20050124000813 |
Provider Name | Timothy Whalen |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1518911999 PECOS PAC ID: 6002827458 Enrollment ID: I20060522000037 |
Provider Name | Wanda Hicks |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1033206545 PECOS PAC ID: 3274633292 Enrollment ID: I20070705000194 |
Provider Name | Pamela Rawdon |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1750338703 PECOS PAC ID: 5092889113 Enrollment ID: I20080807000046 |
Provider Name | William C Freeman |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1164462826 PECOS PAC ID: 3678587052 Enrollment ID: I20080910000358 |
Provider Name | Boyde Jerome Harrison |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1619908571 PECOS PAC ID: 3375445182 Enrollment ID: I20090422000225 |
Provider Name | Bonnie Bendall |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1922310218 PECOS PAC ID: 6507051190 Enrollment ID: I20110124000402 |
Provider Name | Kevin G Kelly |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1710972385 PECOS PAC ID: 5294837415 Enrollment ID: I20110201000502 |
Provider Name | Cassandra W Frieson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1740269802 PECOS PAC ID: 8921288424 Enrollment ID: I20110215000550 |
Provider Name | Amanda Nicole Morgan |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1174827026 PECOS PAC ID: 3476735531 Enrollment ID: I20110310000406 |
Provider Name | Tina Jones-davis |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1033478482 PECOS PAC ID: 2062676232 Enrollment ID: I20120620000133 |
Provider Name | Windy J Wisener |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1619235009 PECOS PAC ID: 8426209453 Enrollment ID: I20121121000174 |
Provider Name | Yelena V Chistyakova |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1295944056 PECOS PAC ID: 4183740558 Enrollment ID: I20121128000634 |
Provider Name | Keri M Meeks |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1467704643 PECOS PAC ID: 4082851019 Enrollment ID: I20130513000201 |
Provider Name | Sanjay Malhotra |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1023292596 PECOS PAC ID: 2567515968 Enrollment ID: I20131007001223 |
Provider Name | Gregory L Ramsey |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1477873917 PECOS PAC ID: 8527292143 Enrollment ID: I20131014000755 |
Provider Name | Bardya Mostafavi Naein |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1346597804 PECOS PAC ID: 7012132947 Enrollment ID: I20140708002077 |
Provider Name | Bryant K Mahaffey |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1891014742 PECOS PAC ID: 8325283666 Enrollment ID: I20140912000393 |
Provider Name | Chenyi J Chenyi |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1922387299 PECOS PAC ID: 2264651561 Enrollment ID: I20140918002190 |
Provider Name | Jena Marie Hamm |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1073866489 PECOS PAC ID: 5799007597 Enrollment ID: I20141205001396 |
Provider Name | Susan Denise Miller |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1265837769 PECOS PAC ID: 2668794322 Enrollment ID: I20141208001490 |
Provider Name | April S Brown |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1598154635 PECOS PAC ID: 5890013452 Enrollment ID: I20150409002570 |
Provider Name | Tabitha G Saylor |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1609266618 PECOS PAC ID: 4284952201 Enrollment ID: I20150422002047 |
Provider Name | Kristine Brauer |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1689067837 PECOS PAC ID: 9234458506 Enrollment ID: I20150507002651 |
Provider Name | Leslie Jeffries |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1962894030 PECOS PAC ID: 3173837069 Enrollment ID: I20150805009623 |
Provider Name | Kimkeisha Lashae Morgan |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1821473950 PECOS PAC ID: 9830409044 Enrollment ID: I20151030000015 |
Provider Name | Rebekah Mattson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1881068849 PECOS PAC ID: 9931409760 Enrollment ID: I20151201002050 |
Provider Name | Anna K Hollis |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1386982437 PECOS PAC ID: 3779884184 Enrollment ID: I20151208003323 |
Provider Name | Kenya Powell |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1235527680 PECOS PAC ID: 2365743028 Enrollment ID: I20151222001746 |
Provider Name | Amy Messer |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1215301130 PECOS PAC ID: 4789987819 Enrollment ID: I20160125001205 |
Provider Name | Kerri L Wiley |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1447565668 PECOS PAC ID: 3577757970 Enrollment ID: I20160216000882 |
Provider Name | Sherri Leigh Sanders |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1356718191 PECOS PAC ID: 3678872363 Enrollment ID: I20160502001079 |
Provider Name | Tonya M Smith |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1255787818 PECOS PAC ID: 6406140169 Enrollment ID: I20160803002727 |
Provider Name | Tay Angell Nielsen |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1083824270 PECOS PAC ID: 5991099251 Enrollment ID: I20160809001584 |
Provider Name | Sandra Lemons |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1821440017 PECOS PAC ID: 2769776996 Enrollment ID: I20160810001125 |
Provider Name | Jerelyn Tiller |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1033652581 PECOS PAC ID: 1355622150 Enrollment ID: I20170111000080 |
Provider Name | Nicole Nelson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1851839203 PECOS PAC ID: 0446534606 Enrollment ID: I20170307001620 |
Provider Name | Barry Chase Gunter |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1629442090 PECOS PAC ID: 8224308689 Enrollment ID: I20170718003947 |
Provider Name | Erica Hall |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1871016436 PECOS PAC ID: 3577837913 Enrollment ID: I20170922001994 |
Provider Name | Destiny Rashel Tucker |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1730626631 PECOS PAC ID: 6204106131 Enrollment ID: I20171108003120 |
Provider Name | Lisa Pope |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1952800641 PECOS PAC ID: 4082625983 Enrollment ID: I20180522001426 |
Provider Name | Rebecca Allred |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1740710516 PECOS PAC ID: 2163787987 Enrollment ID: I20180529001856 |
Provider Name | Crystal N Cal |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1861930927 PECOS PAC ID: 3375898414 Enrollment ID: I20180614000111 |
Provider Name | Shannon Johnson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1114435484 PECOS PAC ID: 7012266414 Enrollment ID: I20180817002012 |
Provider Name | Laquadria Symone Robinson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1619487626 PECOS PAC ID: 9133479413 Enrollment ID: I20180906003539 |
Provider Name | Brandy Nichole Jones |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1235697020 PECOS PAC ID: 1850632936 Enrollment ID: I20190418001581 |
Provider Name | Jami F Archer |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1033693411 PECOS PAC ID: 7517209422 Enrollment ID: I20190424003135 |
Provider Name | Jun Liu |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1184019903 PECOS PAC ID: 5395013429 Enrollment ID: I20190521001634 |
Provider Name | Lauren Burns |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1407323181 PECOS PAC ID: 5597091736 Enrollment ID: I20190725003648 |
Provider Name | John C Hammond |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1154766905 PECOS PAC ID: 9335389071 Enrollment ID: I20190729003496 |
Provider Name | Reagan R Lindsey |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1417416173 PECOS PAC ID: 5496081374 Enrollment ID: I20190730003820 |
Provider Name | Tarrah Kilpatrick |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1871067686 PECOS PAC ID: 5193055416 Enrollment ID: I20190928000068 |
Provider Name | Haley Shaleigh Knight |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1649731829 PECOS PAC ID: 0042643447 Enrollment ID: I20191125001740 |
Provider Name | Donald Vollmer |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1184612921 PECOS PAC ID: 1557259967 Enrollment ID: I20200116001791 |
Provider Name | Summer C Todd |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1245791912 PECOS PAC ID: 8325475536 Enrollment ID: I20200228000992 |
Provider Name | Megan Boissel |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1598308215 PECOS PAC ID: 8527495696 Enrollment ID: I20200302001726 |
Provider Name | James M Harper |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1467765594 PECOS PAC ID: 9436455433 Enrollment ID: I20200305000390 |
Provider Name | Justin James Parrott |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1053677179 PECOS PAC ID: 5597921924 Enrollment ID: I20200310002664 |
Provider Name | Hannah Dean Dugan |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1073173720 PECOS PAC ID: 7618305103 Enrollment ID: I20200316002233 |
Provider Name | Nancy E Alexander |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1447807334 PECOS PAC ID: 6305275306 Enrollment ID: I20200326000738 |
Provider Name | Tabatha Michelle Sutherland Marbutt |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1023640802 PECOS PAC ID: 3274962246 Enrollment ID: I20200327000082 |
Provider Name | Karen R Shelley |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1467937250 PECOS PAC ID: 0648609735 Enrollment ID: I20200413001359 |
Provider Name | Kimberly Hughes |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1053954248 PECOS PAC ID: 1052741824 Enrollment ID: I20200417002206 |
Provider Name | Jennifer Hopper |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1326672510 PECOS PAC ID: 3476984600 Enrollment ID: I20200504000365 |
Provider Name | Kunwal Molwani Scott |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1093290496 PECOS PAC ID: 1951647825 Enrollment ID: I20200527002901 |
Provider Name | Lauren M. Walley |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1831718394 PECOS PAC ID: 7911329396 Enrollment ID: I20200614000042 |
Provider Name | Kayla M Henderson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1487281325 PECOS PAC ID: 7416379391 Enrollment ID: I20200623001053 |
Provider Name | Shivanshu V Shrivastava |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1447634167 PECOS PAC ID: 5698199008 Enrollment ID: I20200717002760 |
Provider Name | Ashley Jasmine Pauldin |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1407481559 PECOS PAC ID: 8628497781 Enrollment ID: I20200923002591 |
Provider Name | Megan C Larrabee |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1578863940 PECOS PAC ID: 3173943875 Enrollment ID: I20201019002716 |
Provider Name | Ashley N Hanback |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1962001636 PECOS PAC ID: 2668883901 Enrollment ID: I20201118000434 |
Provider Name | Makenzie Chambers |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1801355367 PECOS PAC ID: 7113339672 Enrollment ID: I20201208000560 |
Provider Name | Michelle Eshea Quick |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1902368723 PECOS PAC ID: 1850704446 Enrollment ID: I20201228000812 |
Provider Name | Alisha Skye Kelley |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1265020283 PECOS PAC ID: 6406269471 Enrollment ID: I20210112001774 |
Provider Name | Darlina A Holcomb |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1114517018 PECOS PAC ID: 1557776200 Enrollment ID: I20210211000008 |
Provider Name | Kendra Ward Harris |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1811477193 PECOS PAC ID: 3971919143 Enrollment ID: I20210312001601 |
Provider Name | Krista K Young |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1013593664 PECOS PAC ID: 5991113011 Enrollment ID: I20210409000134 |
Provider Name | Mary Lynne Gibbons |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1740860568 PECOS PAC ID: 5799193066 Enrollment ID: I20210427000411 |
Provider Name | Ciera R Paymon |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1265017263 PECOS PAC ID: 0749696730 Enrollment ID: I20210514001040 |
Provider Name | Lela Mckinney |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1982273173 PECOS PAC ID: 9335540004 Enrollment ID: I20210701002277 |
Provider Name | Megan Allison Lang |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1194359786 PECOS PAC ID: 9335543560 Enrollment ID: I20210810000731 |
Provider Name | Dechandriss Page-nsougan |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1881098309 PECOS PAC ID: 7113321209 Enrollment ID: I20210811003495 |
Provider Name | Mary Moore |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1689077927 PECOS PAC ID: 5698097764 Enrollment ID: I20211101002209 |
Provider Name | Haley Renae Gooch |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1770248890 PECOS PAC ID: 2860881562 Enrollment ID: I20211118002156 |
Provider Name | Terngu D Ibilah |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1346761947 PECOS PAC ID: 8729477252 Enrollment ID: I20211122002380 |
Provider Name | Branden Sims |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1972265973 PECOS PAC ID: 6709276561 Enrollment ID: I20211209001896 |
Provider Name | Sandra Renae Evans |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1114680097 PECOS PAC ID: 0345631461 Enrollment ID: I20211229000323 |
Provider Name | Joycelyn R Johnson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1740949940 PECOS PAC ID: 8022409879 Enrollment ID: I20220105000863 |
Provider Name | Joy M Kello |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1447901426 PECOS PAC ID: 0446642631 Enrollment ID: I20220120001462 |
Provider Name | Coleman Kidd Cosgrove |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1659877967 PECOS PAC ID: 9436496585 Enrollment ID: I20220202000427 |
Provider Name | Philip A Haynes |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1083803654 PECOS PAC ID: 0446647416 Enrollment ID: I20220420002751 |
Provider Name | Shannon Nichols |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1659950848 PECOS PAC ID: 3971990540 Enrollment ID: I20220428002572 |
Provider Name | Christopher J Rankin |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1558368829 PECOS PAC ID: 7113995309 Enrollment ID: I20220502000213 |
Provider Name | Katherine J Rinehart |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1326628686 PECOS PAC ID: 7214315019 Enrollment ID: I20220607002659 |
Provider Name | Keitha Hallmark Mitchell |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1336888031 PECOS PAC ID: 7012396401 Enrollment ID: I20220615000432 |
Provider Name | Alesha R Thomas |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1538795851 PECOS PAC ID: 9234510553 Enrollment ID: I20220718003798 |
Provider Name | Ashley Gail Mashburn |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1215661939 PECOS PAC ID: 0345622528 Enrollment ID: I20220804001418 |
Provider Name | Adaline Macall Morris |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1861131781 PECOS PAC ID: 3971986878 Enrollment ID: I20220810000267 |
Provider Name | Amy Salmon James |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1750894382 PECOS PAC ID: 6103200746 Enrollment ID: I20220831003032 |
Provider Name | Stacie R Dewolfe |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1902040249 PECOS PAC ID: 2567847213 Enrollment ID: I20220915002038 |
Provider Name | Mary K Kelley |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1972227783 PECOS PAC ID: 5799161378 Enrollment ID: I20221005001570 |
Provider Name | Tammy Lynn Ridley |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1992971238 PECOS PAC ID: 8729102843 Enrollment ID: I20221010002435 |
Provider Name | Erika Lancaster |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1053900936 PECOS PAC ID: 2860868825 Enrollment ID: I20221014002837 |
Provider Name | Ryleigh C Tibbitt |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1699404954 PECOS PAC ID: 1153797121 Enrollment ID: I20221015000244 |
Provider Name | Byron J Hathorn |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1023749231 PECOS PAC ID: 2365819406 Enrollment ID: I20221103000122 |
Provider Name | Kassie Bryant |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1891410015 PECOS PAC ID: 2264801323 Enrollment ID: I20221212001786 |
Provider Name | Randall Bartnick |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1932827888 PECOS PAC ID: 6204205388 Enrollment ID: I20221212002516 |
Provider Name | Marla Benita Wehrwein |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1215652482 PECOS PAC ID: 8527438118 Enrollment ID: I20221222001164 |
Provider Name | Robin M Mcbrayer |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1063125938 PECOS PAC ID: 7113271818 Enrollment ID: I20230120000173 |
Provider Name | Amanda Diane Price |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1023723053 PECOS PAC ID: 5395118582 Enrollment ID: I20230309001299 |
Provider Name | Kendra L Lee |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1558970947 PECOS PAC ID: 0941674550 Enrollment ID: I20230322002058 |
Provider Name | Samantha Sims |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1750713558 PECOS PAC ID: 9335514561 Enrollment ID: I20230331000880 |
Provider Name | Dakota Thiele |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1760195358 PECOS PAC ID: 2163897000 Enrollment ID: I20230407000565 |
Provider Name | George J Melnyk |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1538141130 PECOS PAC ID: 6608881651 Enrollment ID: I20230620002851 |
Provider Name | Carrie E Moore |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1922599455 PECOS PAC ID: 9032570676 Enrollment ID: I20230731001082 |
Provider Name | Kimberly D Abernathy |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1669155784 PECOS PAC ID: 4385008218 Enrollment ID: I20230912000685 |
Provider Name | Carlos Melvin Diaz |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1881160687 PECOS PAC ID: 2264821941 Enrollment ID: I20230919003757 |
Provider Name | Melissa A West |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1780762815 PECOS PAC ID: 1658471537 Enrollment ID: I20230926003667 |
Provider Name | Olivia Deese Hawthorne |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1376204214 PECOS PAC ID: 1456706084 Enrollment ID: I20231017000856 |
Provider Name | Kaitlyn Elizabeth Seybold |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1497538011 PECOS PAC ID: 5698120178 Enrollment ID: I20231018003752 |
Provider Name | Laura Kelsey Grant |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1073210498 PECOS PAC ID: 8022465988 Enrollment ID: I20231114002806 |
Provider Name | Mary Zanco-grayson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1215531405 PECOS PAC ID: 7810336773 Enrollment ID: I20240411004653 |
Russellville Hospital Medical Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 15225 Highway 43 Ste I, Russellville, AL 35653 Phone: 256-331-2700 Fax: 256-331-2777 | |
Lakeland Cardiology & Internal Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 531 Gandy St Ne, Russellville, AL 35653 Phone: 205-485-7280 Fax: 205-485-7391 | |
Russellville Internal Medicine Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 535 Gandy St Ne, Russellville, AL 35653 Phone: 256-332-1120 Fax: 256-332-1198 | |
Almirol Internal Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 15225 Highway 43, Suite G, Russellville, AL 35653 Phone: 256-331-1900 Fax: 256-331-1901 | |
John R Almirol M.d. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 201 Jackson Ave S, Russellville, AL 35653 Phone: 256-332-3321 Fax: 256-331-0720 | |
Dba Lakeshore Pediatric Rural Health Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 603 Gandy St Ne, Russellville, AL 35653 Phone: 256-331-5055 Fax: 256-460-4647 | |
Family Medicine Of Russellville Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 605 Gandy St Ne, Russellville, AL 35653 Phone: 256-332-8969 Fax: 256-332-8353 |