Russell Alexander Shatford
Surgery of the Hand
315 E Broadway Suite 195
Louisville
, Kentucky 40202-3700
Russell Alexander Shatford
Surgery of the Hand
315 E Broadway Suite 195
Louisville
, Kentucky 40202-3700
(502) 272-5116
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About
Features
Specialties
- Surgery of the Hand
Languages spoken
- English
Location
First Address
- Russell Alexander Shatford
- Po Box 776351
- Chicago, IL
- Zip : 60677-6351
- Fax : (502) 272-5116
- Phone : (502) 588-9490
Second Address
- Russell Alexander Shatford
- 315 E Broadway Suite 195
- Louisville, KY
- Zip : 40202-3700
- Fax : (502) 629-4282
- Phone : (502) 629-4263
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2086S0105X | Surgery of the Hand | 30782 | KY |
National Provider Identifier
| NPI | 1073699252 |
|---|---|
| Provider Name | Russell Alexander Shatford |
| First Address | Chicago, IL 60677-6351 |
| Second Address | Louisville, KY 40202-3700 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 31/10/2006 |
| Last Update Date | 21/01/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 000000694192 | ANTHEM - LAH (01) | KY |
| 000057058U | HUMANA - LAH (01) | KY |
| 121306 | SIHO - LAH (01) | KY |
| 4632527 | CIGNA - LAH (01) | KY |
| 50030992 | PASSPORT/PASSPORT ADVANTAGE - LAH (01) | KY |
| 64307820 | (05) | KY |
| F85459 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.