| Dr Aimee George Russell, MD | |
| 3700 Southern Blvd., Suite 101, Kettering, OH 45429-1226 | |
| (937) 281-3810 | |
| (937) 281-3812 | 
| Full Name | Dr Aimee George Russell | 
|---|---|
| Gender | Female | 
| Speciality | Radiology - Radiation Oncology | 
| Location | 3700 Southern Blvd., Kettering, Ohio | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1528008679 | NPI | - | NPPES | 
| 2697407 | Medicaid | OH | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 2085R0001X | Radiology - Radiation Oncology | 35086805 (Ohio) | Primary | 
| Entity Name | Kettering Independent Medical Group Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1629387865 PECOS PAC ID: 3173710936 Enrollment ID: O20101207000425 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dr Aimee George Russell, MD 3700 Southern Blvd., Suite 101, Kettering, OH 45429-1226 Ph: (937) 281-3810 | Dr Aimee George Russell, MD 3700 Southern Blvd., Suite 101, Kettering, OH 45429-1226 Ph: (937) 281-3810 | 
| Michael Caccamo, DO Radiology Medicare: Accepting Medicare Assignments Practice Location: 540 Lincoln Park Blvd, Ste 130, Kettering, OH 45429 Phone: 937-297-6306 Fax: 937-299-6300 | |
| Luke Miller Lewis, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 3535 Southern Blvd, Kettering, OH 45429 Phone: 937-395-8646 Fax: 937-522-8100 | |
| Jeffery L Nielson, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1563 E Dorothy Ln, Kettering, OH 45429 Phone: 937-296-2853 | |
| John K Bidwell, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3535 Southern Blvd, Kettering, OH 45429 Phone: 937-296-7202 | |
| Richard A Mckenzie, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3535 Southern Blvd, Kettering, OH 45429 Phone: 937-296-7202 | |
| Donald Marger, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 2632 Woodman Center Ct, Kettering, OH 45420 Phone: 937-293-2273 | |
| Jerome Puryear Jr., MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3535 Southern Blvd, Kettering, OH 45429 Phone: 937-296-7202 |