James Russell Keller Stackhouse, MD
James Russell Keller Stackhouse, MD is an Ophthalmology in Fernandina, Florida. Qualified in 2009, 17 years ago. Practices with Russell Stackhouse MD PA, a 13-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Florida and Georgia.
- Years since qualifying
- 17
- Licensed in
- FL, GA
- In the registry since
- 2009
- Specialties on file
- 2
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
6 S 14th StFernandina, FL 32034
Phone: (904) 261-5741
Fax: (904) 261-7383
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (2)
- 542069 Us Highway 1, Callahan, FL 32011-8110 — (904) 261-5741
- 31 S 6th St, Macclenny, FL 32063-2311 — (904) 261-5741
Specialties & licences
| Ophthalmology Physician (primary) | Taxonomy 207W00000X · Licence ME117902 (FL) |
|---|---|
| Ophthalmology Physician | Taxonomy 207W00000X · Licence 770778 (GA) |
Record details
| NPI number | 1750517710 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | No |
| NPI enumerated | June 4, 2009 |
| Last updated in NPPES | September 29, 2021 |
| Certification date | September 29, 2021 |
| Mailing address | 6 S 14th St, Fernandina Beach, FL 32034-3212 |
Medicare enrollment
| Medicare specialty | OPHTHALMOLOGY |
|---|---|
| Medical school | OTHER |
| Graduated | 2009 (17 years in practice) |
| Group practice | Russell Stackhouse Md Pa — 13 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |
Other providers in Fernandina
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Russell Stackhouse MD PA
6 S 14th St, Fernandina, FL 32034-3212 · (904) 261-5741