Robert C Russell M D S C
Robert C Russell M D S C is a healthcare organization registered as Surgery Physician in Springfield, IL, holding Type 2 (organization) NPI 1396835641 since 2006. The authorized official on file is Robert Russell, Ownerpresiden.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1396835641 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Robert C Russell M D S C |
| Other name | <Unavail> |
| Practice address | 320 E CARPENTER ST, Springfield, IL, 62702 |
| Phone | 2175230808 |
| Fax | 2177535324 |
| Enumeration date | 2006-10-14 |
| Last updated in NPPES | 2013-03-21 |
Authorized official
| Name | Robert Russell |
|---|---|
| Title | Ownerpresiden |
| Phone | 2175230808 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 208600000X | Surgery Physician | Primary | 036061657 | IL |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036061657 | Medicaid | IL | — |
Copy-ready billing details
Provider: Robert C Russell M D S C NPI: 1396835641 Taxonomy: 208600000X (Surgery Physician) Address: 320 E CARPENTER ST, Springfield, IL, 62702
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1811983851 | Nicole Florence | Individual | Internal Medicine Physician | Springfield, IL |
| 1700823879 | Robert Russell | Individual | Plastic and Reconstructive Surgery Physician | Springfield, IL |
| 1528070539 | Kyle Johnson | Individual | Athletic Trainer | Springfield, IL |
| 1295747863 | Watson Orthopaedics LLC | Organization | Orthopaedic Surgery Physician | Springfield, IL |
| 1730225863 | Amy Garner | Individual | Registered Nurse | Springfield, IL |
| 1891987988 | Gary Gummerman | Individual | Physical Therapist | Springfield, IL |
| 1528226222 | Jennifer S Lee MD LLC | Organization | Plastic Surgery Physician | Springfield, IL |
| 1700183480 | Erin Zepp | Individual | Registered Dietitian | Springfield, IL |
Verify this record
Cross-check NPI 1396835641 against the authoritative CMS record: view Robert C Russell M D S C on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
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Where is Robert C Russell M D S C located?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2013-03-21.