| Russell W Norwood, MD | |
|
12935 Gregory St, Blue Island, IL 60406-2428 | |
| (708) 385-4433 | |
| Not Available |
| Full Name | Russell W Norwood |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 40 Years |
| Location | 12935 Gregory St, Blue Island, Illinois |
| 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 |
|---|---|---|---|
| 1518935022 | NPI | - | NPPES |
| 000000690225 | Other | KY | BCBS |
| P00928212 | Other | KY | RR MEDICARE |
| 7100017330 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | R11145 (Missouri) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Piedmont Columbus Regional Midtown | Columbus, GA | Hospital |
| Piedmont Columbus Regional Northside | Columbus, GA | Hospital |
| Miller County Hospital | Colquitt, GA | Hospital |
| Stephens County Hospital | Toccoa, GA | Hospital |
| Southern Regional Medical Center | Riverdale, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Northside Radiology Associates Llc | 4486555398 | 256 |
| Coastal Radiology Associates Pllc | 8224002696 | 24 |
| Entity Name | Imaging Associates Of Indiana Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699072611 PECOS PAC ID: 1254503345 Enrollment ID: O20190523001165 |
| Entity Name | Coastal Radiology Associates Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144270307 PECOS PAC ID: 8224002696 Enrollment ID: O20200124000535 |
| Entity Name | Louisville Radiology Imaging Consultants Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639115447 PECOS PAC ID: 2264436120 Enrollment ID: O20200127001363 |
| Entity Name | Sonoran Radiology Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033745708 PECOS PAC ID: 3375964505 Enrollment ID: O20200526002412 |
| Entity Name | Northside Radiology Associates Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013960657 PECOS PAC ID: 4486555398 Enrollment ID: O20200826002727 |
| Entity Name | Columbus Diagnostic Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316108624 PECOS PAC ID: 3375455884 Enrollment ID: O20230623001733 |
| Mailing Address | Practice Location Address |
|---|---|
| Russell W Norwood, MD 3300 Burr Oak Ave, 2nd Floor, Blue Island, IL 60406-3802 Ph: (708) 388-0423 | Russell W Norwood, MD 12935 Gregory St, Blue Island, IL 60406-2428 Ph: (708) 385-4433 |
Dr. Neel Shah, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 12935 Gregory St, Blue Island, IL 60406 Phone: 708-597-2000 | |
Dr. Gregorio M Tolentino Jr., MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 2310 York St, Suite M, Blue Island, IL 60406 Phone: 708-396-0910 Fax: 708-388-4354 | |
Dr. Barbara May Wieties-malm, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 12935 Gregory St, Blue Island, IL 60406 Phone: 708-597-2000 | |
Dr. Lee R Christensen, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 12935 Gregory St, Blue Island, IL 60406 Phone: 708-597-2000 |