National Provider Identifier
Russell E Carlson, M.D.
Russell E Carlson, M.D. is listed in the NPPES registry with a primary specialty of Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Buffalo, NY and a listed phone number of (716) 462-4415.
Profile Overview
- NPI
- 1821103029
- Provider Type
- Individual
- Primary Specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Enumeration Date
- August 20, 2006
- Last Updated
- October 28, 2023
Practice Location
- 1093 Delaware Ave Apt 5
- Buffalo, NY 14209-1655
Phone: (716) 462-4415
Mailing Address
- PO Box 7
- Buffalo, NY 14207-0007
Specialties
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician (208G00000X)
Full Record
- NPI
- 1821103029
- Entity Type
- Individual
- Last Name
- Carlson
- First Name
- Russell
- Middle Name
- E
- Name Prefix
- Dr.
- Credential
- M.D.
- Mailing Street Address
- PO Box 7
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14207-0007
- Mailing Country
- US
- Mailing Phone
- (716) 462-4415
- Mailing Fax
- (716) 303-7008
- Practice Street Address
- 1093 Delaware Ave Apt 5
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14209-1655
- Practice Country
- US
- Practice Phone
- (716) 462-4415
- Practice Fax
- (716) 303-7008
- Enumeration Date
- August 20, 2006
- Last Updated
- October 28, 2023
- Sex
- Male
- Sole Proprietor
- Yes
- Certification Date
- October 28, 2023
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician (208G00000X)
- Other Identifiers
- 7099868 (NY, Ghi), 000526654001 (NY, Blue Cross/ Blue Shield), 010549324 (NY, Nova Insurance), 040426002783 (NY, Fidelis), 010549324 (NY, United Healthcare), 00025759601 (NY, Univera Healthcare), 2197606 (NY, Independent Health), 780002093 (NY, Railroad McR), 02212417 (NY), PAR05802 (NY, North American Administrt)