Robert C. Russell, M.D.

Plastic and Reconstructive Surgery Physician · Springfield, IL

Individual Active NPI

NPI number 1700823879

Practice location

320 E Carpenter St
Springfield, IL 62702-5185
Phone
(217) 523-0808
Fax
(217) 753-5324

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NPI record

NPI
1700823879
Entity type
Individual (Type 1)
Enumeration date
May 31, 2006
Last updated
March 21, 2013
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Plastic and Reconstructive Surgery Physician Primary 2086S0122X 036061657 IL
Surgery of the Hand (Plastic Surgery) Physician 2082S0105X 036061657 IL
Surgery Physician 208600000X 036061657 IL

About Dr. Russell

Robert C. Russell, M.D. is a healthcare provider registered in the NPI registry with the primary taxonomy Plastic and Reconstructive Surgery Physician (code 2086S0122X). The practice location is 320 E Carpenter St, Springfield, IL 62702-5185. The NPI number 1700823879 was assigned on May 31, 2006 and the record was last updated on March 21, 2013.

Dr. Russell lists 3 licenses in the registry: #036061657 (IL) for Plastic and Reconstructive Surgery Physician; #036061657 (IL) for Surgery of the Hand (Plastic Surgery) Physician; #036061657 (IL) for Surgery Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Robert C. Russell, M.D.?

The NPI number is 1700823879.

What is the phone number of Dr. Russell?

The phone number listed for the practice location is (217) 523-0808.

Where is Dr. Russell located?

320 E Carpenter St, Springfield, IL 62702-5185.

What is the taxonomy code for Dr. Russell?

The primary taxonomy code is 2086S0122X – Plastic and Reconstructive Surgery Physician; 2 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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