| Provider / Organization | NPI | Date Certified |
|---|---|---|
| RUSSELL LEON MCELVEEN | 1275714735 | 2024-01-07 |
Russell L Mcelveen [M] graduated in 2006 from Lake Erie College Of Osteopathic Medicine, Erie and primarily specializes in Cardiac Surgery.
Russell Leon Mcelveen is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1275714735. Registration indicates Russell Leon Mcelveen is a provider of services with a specialization in Thoracic Surgery (Cardiothoracic Vascular Surgery) (Allopathic & Osteopathic Physicians, Thoracic Surgery (Cardiothoracic Vascular Surgery),) (All Other Specialties & Provider Types, ) (Thoracic Surgery (Cardiothoracic Vascular Surgery),, Allopathic & Osteopathic Physicians) (Thoracic Surgery (Cardiothoracic Vascular Surgery),, ) (Allopathic & Osteopathic Physicians, Thoracic Surgery (Cardiothoracic Vascular Surgery),) (All Other Specialties & Provider Types, ) (Thoracic Surgery (Cardiothoracic Vascular Surgery),, Allopathic & Osteopathic Physicians) (Thoracic Surgery (Cardiothoracic Vascular Surgery),, ) (Allopathic & Osteopathic Physicians, Thoracic Surgery (Cardiothoracic Vascular Surgery),) (All Other Specialties & Provider Types, ) (Thoracic Surgery (Cardiothoracic Vascular Surgery),, Allopathic & Osteopathic Physicians)
| PECOS ID | 1951540343 |
| Registration | PART-B:Y DME:Y HHA:Y PMD:Y |
| Entity Type | Individual |
| Provider Name | Dr. Russell Leon Mcelveen DO |
| Practice Office Address | 409 W OAK ST STE 202 CARBONDALE, IL US |
| Practice Office Telephone | 6185290555 |
| Practice Office Fax | 6185290556 |
| Mailing Address | PO BOX 3988 CARBONDALE, IL 629023988 US |
| Business Telephone | 6184575200 |
| Address | City / State | Phone / Fax |
|---|---|---|
| 305 W Jackson St Ste 206 | Carbondale, IL 629011474 | 6184573006 / 6184573008 |
| 2790 Clay Edwards Dr Ste 520 | North Kansas City, MO 641163274 | 8166915198 / 8163467095 |
| 4309 W Medical Center Dr Ste A200 | McHenry, IL 600508437 | 8157598070 / 8157594931 |
| 10370 Haligus Rd Ste 200 | Huntley, IL 601429582 | 8157598070 / 8157594931 |
| 1102 W 32nd St Ste 200 | Joplin, MO 648043503 | 4173475001 |
| One Hospital Dr | Columbia, MO 652120001 | 5738843278 / 5738841351 |
| Endpoint is used to receive electronic continuity of care documents (C-CDA) for outpatient referrals [Direct] | [email protected] | Direct |
| Direct Messaging Address [] | [email protected] |
| Code | Practice | License No State |
|---|---|---|
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery), Allopathic & Osteopathic Physicians Thoracic Surgery (Cardiothoracic Vascular Surgery), All Other Specialties & Provider Types Thoracic Surgery (Cardiothoracic Vascular Surgery), Allopathic & Osteopathic Physicians | 2019007716
MO |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery), Allopathic & Osteopathic Physicians Thoracic Surgery (Cardiothoracic Vascular Surgery), All Other Specialties & Provider Types Thoracic Surgery (Cardiothoracic Vascular Surgery), Allopathic & Osteopathic Physicians | 1667
SC |
| 208G00000X PRIMARY | Thoracic Surgery (Cardiothoracic Vascular Surgery), Allopathic & Osteopathic Physicians Thoracic Surgery (Cardiothoracic Vascular Surgery), All Other Specialties & Provider Types Thoracic Surgery (Cardiothoracic Vascular Surgery), Allopathic & Osteopathic Physicians | 036140179
IL |