Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1497754477 Deactivated / Inactive NPI Male Practitioner

Dr. James Bishop Russell , MD

Plastic Surgery • Conway, AR

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. James Russell has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date July 20, 2005
NPI Deactivation Date March 20, 2006
Total Practice Duration ~1 Years of Practice (2005 – 2006)

Professional Overview & Biography Verified Profile Summary

Dr. James Russell, MD was a registered Plastic Surgery practicing in Conway, AR. Throughout an active medical career spanning 1 years, Dr. Russell provided care at the practice location at 1014 HARKRIDER ST until profile deactivation on 2006-03-20.

Practice Location & Contact Primary Location

Practice Address

1014 Harkrider St
Suite 3

Conway, AR 72032

Telephone 5013369733
Associated Practice Facility / Clinic
🏢 Baker Medical, Inc. Facility NPI 1366478562

Specialty Benchmarks & Practice Insights

Comparative analytics for Plastic Surgery in Conway, AR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 25.2 Yrs
Regional Practice Density
1 Specialists

Practicing in Conway, AR (32 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Plastic Surgery Primary Specialty

NUCC Taxonomy Code: 208200000X

State License AR N7364

A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Health Advantage
52632
Commercial Insurance / Payer ID Blue Cross
5B553

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

6 Associated Practitioners
Leah Martin , ANP

Nurse Practitioner - Family

NPI 1033329701

Adult Nurse Practitioner

NPI 1285662809

Doctor of Pharmacy (Pharm.D.)

Hannah Blaylock

Nurse Practitioner - Family

NPI 1518335587
NPI 1558952341

Doctor of Pharmacy (Pharm.D.)

Staci Daily , PA-C

Physician Assistant - Medical

NPI 1760720155

Physician Assistant (Certified)

NPI 1942976642

Doctor of Pharmacy (Pharm.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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Updated Practice Location July 08, 2007

Registered at 1014 HARKRIDER ST, SUITE 3, CONWAY, AR 72032 (Tel: 5013369733)

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Updated Business Mailing Address July 08, 2007

Registered at 904 AUTUMN RD SUITE 500, PRACTICE PLUS, LITTLE ROCK, AR 72211

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Provider Name / Credentials Updated July 08, 2007

Recorded as JAMES RUSSELL, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Plastic Surgery (License #N7364 in AR)

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NPI Profile Reactivated June 27, 2006

Record officially reactivated for active practice on June 27, 2006

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NPI Profile Deactivated March 20, 2006

Record deactivated on March 20, 2006

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Initial NPI Registration & Enumeration July 20, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1497754477
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 20, 2005
Last Update: July 08, 2007
Deactivation Date: March 20, 2006
Sole Proprietor: No

Mailing Address

904 Autumn Rd Suite 500, Practice Plus

Little Rock, AR 72211

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.