RUSSELL D. PETERSON D.O. – NPI #1144322504
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Health Care Provider Taxonomy Code for Family Medicine

RUSSELL PETERSON is a physician located in ROANOKE, AL. NPPES has assigned the NPI number 1144322504 to RUSSELL PETERSON on September 05, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was previously updated about 19 years ago on Jul 08, 2007. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for RUSSELL PETERSON below.

NPI Profile for
RUSSELL D. PETERSON

NPI Number
1144322504
Enumeration Date

(about 20 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
RUSSELL D. PETERSON
Credentials
D.O.
Primary location
965 US HWY 431
ROANOKE, AL 36274
Phone: (334) 863-2141 Fax: (334) 863-8733
Mailing address
PO BOX 625
ROANOKE, AL 36274-0625
Phone: (334) 863-2141 Fax: (334) 863-8733
Sole Proprietor
No
Updated
Identifiers

Identifiers for RUSSELL PETERSON

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERBCBS OF ALABAMAAL51091244
MEDICAIDAL000091244
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)		 AL DO436

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Education
MICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE - Graduated 1980
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
RUSSELL PETERSON is affiliated with the following medical group(s):
  • HOSPITAL
    • TANNER MEDICAL CENTER - CARROLLTON
      705 DIXIE STREET
      CARROLLTON, GA 30117
    • TANNER MEDICAL CENTER-EAST ALABAMA
      1032 MAIN STREET SOUTH
      WEDOWEE, AL 36278
    • WELLSTAR WEST GEORGIA MEDICAL CENTER
      1514 VERNON ROAD
      LAGRANGE, GA 30240
  • HOME HEALTH AGENCY
    • AMEDISYS HOME HEALTH OF ANNISTON
      171 TOWN CENTER DR, SUITE MPS-4
      ANNISTON, AL 36205
    • AMEDISYS HOME HEALTH OF OPELIKA
      3320 SKYWAY DRIVE, SUITE 804
      OPELIKA, AL 36801
  • NURSING HOME
    • ROANOKE REHABILITATION & HEALTHCARE CENTER
      680 SEYMOUR DRIVE
      ROANOKE, AL 36274
    • TRAYLOR RETIREMENT COMMUNITY
      1235 YANCEY STREET
      ROANOKE, AL 36274
  • HOSPICE
    • CHATTAHOOCHEE HOSPICE INC
      6 MEDICAL PARK NORTH
      VALLEY, AL 36854
    • COMPASSUS-GADSDEN
      1735 HIGHWAY 77
      SOUTHSIDE, AL 35907

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