{"npi":"1316092182","type":"NPI-2","status":"active","name":{"display":"Renee J Russell MD INC","other":[],"organization_name":"RENEE J RUSSELL MD INC","authorised_official":"Renee Russell"},"specialty":{"primary_taxonomy":"207Q00000X","primary_taxonomy_description":"Family Medicine","slug":"family-medicine","schema_org_specialty":"PrimaryCare","all":[{"code":"207Q00000X","description":"Family Medicine","primary":true,"state":"OK","license":"22021"}]},"addresses":[{"purpose":"LOCATION","street_1":"900 E 13TH ST","city":"GROVE","state":"OK","postal_code":"743442975","country_code":"US","street_2":"SUITE 104","phone":"9187863100","fax":"9187863108"},{"purpose":"MAILING","street_1":"1110 NEO LOOP","city":"GROVE","state":"OK","postal_code":"743446046","country_code":"US","phone":"9187863100","fax":"9187863108"}],"license":{"state":"OK","number":"22021"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"100017290D","state":"OK","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20070710000295","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"OK","pac_id":"6406956234"}]},"enumeration_date":"2007-01-24","last_updated":"2016-11-11","_meta":{"source":"NPPES","snapshot_date":"2016-11-11","doc_url":"https://findmynpi.com/api"}}