RUSSELLVILLE PHYSICIAN PRACTICES LLC – NPI #1649387523
Otolaryngology

An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.

RUSSELLVILLE PHYSICIAN PRACTICES LLC is an otolaryngologist located in RUSSELLVILLE, AL. NPPES has assigned the NPI number 1649387523 to RUSSELLVILLE PHYSICIAN PRACTICES LLC on August 24, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207Y00000X from the Health Care Provider Taxonomy code set, which is classified as Otolaryngology.

The NPI profile was previously updated about 12 years ago on Aug 17, 2014. 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 RUSSELLVILLE PHYSICIAN PRACTICES LLC below.

NPI Profile for
RUSSELLVILLE PHYSICIAN PRACTICES LLC

NPI Number
1649387523
Enumeration Date

(about 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
RUSSELLVILLE PHYSICIAN PRACTICES LLC
Primary location
715 GANDY ST NE
RUSSELLVILLE, AL 35653-1922
Phone: (256) 332-1800 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
DONALD BIVACCA
PRESIDENT
Phone: (615) 920-7000
Updated
Identifiers

Identifiers for RUSSELLVILLE PHYSICIAN PRACTICES LLC

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
MEDICAIDAL529919480
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
207Y00000X
- Otolaryngology (Primary)
207X00000X
- Orthopaedic Surgery

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.