| Russell H Todd, MD | |
|
620 Medical Dr Ste 150, Bountiful, UT 84010-5085 | |
| (801) 298-3247 | |
| (801) 298-9675 |
| Full Name | Russell H Todd |
|---|---|
| Gender | Male |
| Speciality | General Surgery |
| Experience | 36 Years |
| Location | 620 Medical Dr Ste 150, Bountiful, Utah |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538158282 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 95 293774 1205 (Utah) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Lakeview Hospital | Bountiful, UT | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Lakeview Urology And General Surgery Llc | 8325198690 | 2 |
| Entity Name | Lakeview Urology & General Surgery Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518109032 PECOS PAC ID: 8325198690 Enrollment ID: O20090608000263 |
| Mailing Address | Practice Location Address |
|---|---|
| Russell H Todd, MD Po Box 405831, Atlanta, GA 30384-5831 Ph: () - | Russell H Todd, MD 620 Medical Dr Ste 150, Bountiful, UT 84010-5085 Ph: (801) 298-3247 |
Dr. Kevin N Clark, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 425 Medical Dr, Ste 101, Bountiful, UT 84010 Phone: 801-298-9409 Fax: 801-292-1271 | |
Dr. Larry A Sargent, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 620 Medical Dr, Suite 310, Bountiful, UT 84010 Phone: 801-295-6554 Fax: 801-294-4983 | |
Dr. Mackenzie Lee Goodwin, M.D Surgery Medicare: Accepting Medicare Assignments Practice Location: Mackenzie Goodwin Md Dba Wasatch Surgical Llc, 520 Medical Dr Ste 300, Bountiful, UT 84010 Phone: 228-273-9021 |