Russell Roberts is a Diagnostic Ultrasound Physician based in Rome, GA and is specialized in Diagnostic Ultrasound. Russell Roberts practices in Rome, GA and has the professional credentials of MD. The NPI Number for Russell Roberts is 1548342843 and holds a License No. 055958 (Georgia).
The current practice location address for Russell Roberts is 255 W 5Th St Sw, Rome, GA and can be reached out via phone at 706-232-1545 and via fax at 706-232-3819.
Location: 255 W 5Th St Sw, Rome, GA, 30162-0369
Provider Profile Details
NPI Number
1548342843
Provider Name
Russell Roberts
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
255 W 5Th St Sw, Rome, GA, 30162-0369
Phone Number
706-232-1545
Fax Number
706-232-3819
Provider Enumeration Date
10/19/2006
Last Update Date
03/08/2024
Provider's Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 393121 | 01 | GA | BCBS OF GA |
| 581088318A | 01 | GA | MEDICARE GROUP PROVIDER # |
| 326530183A | 05 | GA | |
| P00250939 | 01 | GA | RAILROAD MEDICARE |
Provider Business Practice Location Address Details
Address
255 W 5Th St Sw
City
State
Zip
30165-2817
Phone Number
706-232-1545
Fax Number
706-232-3819
Provider Business Mailing Address Details
Address
255 W 5Th St Sw
City
State
Zip
30165-2817
Phone Number
706-232-1545
Fax Number
706-232-3819
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Body Imaging
Taxonomy
License No.
055958 (Georgia)
Definition
A Radiology doctor of Osteopathy that specializes in Body Imaging.
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Neuroradiology
Taxonomy
License No.
055958 (Georgia)
Definition
A radiologist who diagnoses and treats diseases utilizing imaging procedures as they relate to the brain, spine and spinal cord, head, neck and organs of special sense in adults and children.
Provider's Taxonomy Details 3
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Nuclear Radiology
Taxonomy
License No.
055958 (Georgia)
Definition
A radiologist who is involved in the analysis and imaging of radionuclides and radiolabeled substances in vitro and in vivo for diagnosis and the administration of radionuclides and radiolabeled substances for the treatment of disease.
Provider's Taxonomy Details 4
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Pediatric Radiology
Taxonomy
License No.
055958 (Georgia)
Definition
A radiologist who is proficient in all forms of diagnostic imaging as it pertains to the treatment of diseases in the newborn, infant, child and adolescent. This specialist has knowledge of both imaging and interventional procedures related to the care and management of diseases of children. A pediatric radiologist must be highly knowledgeable of all organ systems as they relate to growth and development, congenital malformations, diseases peculiar to infants and children and diseases that begin in childhood but cause substantial residual impairment in adulthood.
Provider's Taxonomy Details 5
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
License No.
055958 (Georgia)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Provider's Taxonomy Details 6
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Therapeutic Radiology
Taxonomy
License No.
055958 (Georgia)
Definition
Definition to come...
Provider's Taxonomy Details 7
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Vascular & Interventional Radiology
Taxonomy
License No.
055958 (Georgia)
Definition
A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.
Provider's Taxonomy Details 8
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Ultrasound
Taxonomy
License No.
055958 (Georgia)
Definition
A Radiology doctor of Osteopathy that specializes in Diagnostic Ultrasound.
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