Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. John R. Russell, MD

Individual provider Family Medicine Physician · NPI 1952380651

Dr. John R. Russell, MD is a Family Practice in Lake Village, Arkansas. Graduated from University of Arkansas College of Medicine in 1975, 51 years ago. Practices with Southeast Rehab LLC, a 4-clinician group and accepts Medicare assignment. Licensed in Arkansas.

Years since qualifying
51
Trained at
University of Arkansas College of Medicine
Licensed in
AR
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

608 S Highway 65 82
Lake Village, AR 71653-1743
Phone: (870) 265-9810
Fax: (870) 265-9813
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Hospitalist Physician (primary) Taxonomy 208M00000X · Licence C4971 (AR)
Family Medicine Physician Taxonomy 207Q00000X · Licence C4971 (AR)

Record details

NPI number1952380651
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJanuary 11, 2006
Last updated in NPPESOctober 1, 2024
Certification dateOctober 1, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolUNIVERSITY OF ARKANSAS COLLEGE OF MEDICINE
Graduated 1975 (51 years in practice)
Group practice Southeast Rehab Llc. — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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