What is Mary Russom's NPI number?

Mary Russom's National Provider Identifier (NPI) is 1902630510, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Mary Russom's specialty?

Mary Russom is listed in the NPPES registry with a primary specialty of Personal Care Attendant (Nursing Service Related Providers).

Where is Mary Russom located?

Mary Russom's practice location on file with NPPES is 164 Sunbeam Rd, Logan, WV 25601-1310.

What is Mary Russom's phone number?

The practice phone number listed in the NPPES registry for Mary Russom is (304) 733-1094.

Is Mary Russom's NPI active?

Yes — Mary Russom's NPI (1902630510) is active in the NPPES registry as of the last update on 2024-08-27.

IndividualActive

Mary Russom

NPI 1902630510 · Personal Care Attendant · Logan, WV

Mary Russom is a Personal Care Attendant provider in Logan, WV (NPI 1902630510).

Provider details

NPI number: 1902630510
Entity type: Individual
Primary specialty: Personal Care AttendantNursing Service Related Providers
Sex: Female
Sole proprietor: No

Specialties & taxonomies

Personal Care AttendantPrimary3747P1801X
Nursing Service Related Providers

Profile Score

Basic profile(49/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
1 yr in NPPES registry
Profile completeness38% of score
83% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

164 Sunbeam Rd

Logan, WV 25601-1310

Phone: (304) 733-1094

Street-level locationGet directions

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Mailing address