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RUSSELL OB-GYN CENTER FOR WOMEN A PROFESSIONAL MEDICAL CORPORATION NPI 1801018262


NPI Information

NPI: 1801018262
Provider Name: RUSSELL OB-GYN CENTER FOR WOMEN A PROFESSIONAL MEDICAL CORPORATION
Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Organization

CLIA Number: 19D0990154

Address:
8120 MAIN ST
STE. 302
HOUMA, LA
ZIP 70360
Phone: (985) 223-0682
Get Directions

RUSSELL OB-GYN CENTER FOR WOMEN A PROFESSIONAL MEDICAL CORPORATION is an obstetrics gynecology in Houma, LA. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. RUSSELL OB-GYN CENTER FOR WOMEN A PROFESSIONAL MEDICAL CORPORATION NPI is 1801018262. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

8120 MAIN ST
STE. 302
HOUMA, LA
ZIP 70360
Phone: (985) 223-0682
Fax: (985) 223-0686

The provider's authorized official is Howard W Russell .
The authorized official title is Md and has the following contact phone number (985) 223-0682.

The CLIA number assigned to this NPI record is 19D0990154 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 5/3/2007 and was last updated on 8/1/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207V00000XObstetrics & GynecologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11541753MEDICAIDLOUISIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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