GRETEL L. RUSSELL (NPI# 1013989201) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013989201 |
| Entity Type | Individual |
| Full Name | GRETEL L. RUSSELL |
| Credential | MD |
| Practice Address |
3401 Independence Dr Birmingham AL 35209-5662 |
| Mailing Address |
Po Box 59552 Birmingham AL 35259-9552 |
| Practice Telephone | 2058701273 |
| Practice Fax Number | 2058701276 |
| Mailing Telephone | 2058701273 |
| Mailing Fax Number | 2058701276 |
| Enumeration Date | 2006-02-02 |
| Last Update Date | 2013-05-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 28117 | AL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | 009911070 | 05 |
| Street Address |
3401 INDEPENDENCE DR |
| City | BIRMINGHAM |
| State | AL |
| Zip Code | 35209-5662 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245228006 | Jennifer E Mccain | Emergency Medicine | 3401 Independence Dr, Birmingham, AL 35209-5662 | 2005-10-06 |
| 1174841498 | Christina Bailey Fettig | Pediatrics | 3401 Independence Dr, Birmingham, AL 35249-1900 | 2010-05-11 |
| 1962625954 | Bevelle W Worthen | Pediatrics | 3401 Independence Dr, Birmingham, AL 35209-5662 | 2007-04-10 |
| 1851441273 | Lyman Woodard Fritz | Family Medicine | 3401 Independence Dr, Suite 241, Birmingham, AL 35209-5662 | 2007-01-10 |
| 1861595043 | The Children's Hospital of Alabama | Pediatrics | 3401 Independence Dr, Birmingham, AL 35209-5662 | 2006-09-06 |
| 1235154329 | Elizabeth G Peters | Pediatrics | 3401 Independence Dr, Birmingham, AL 35209-5662 | 2006-07-12 |
| 1508802570 | Stacey S. Gilbert | Pediatrics | 3401 Independence Dr, Birmingham, AL 35209-5662 | 2006-06-20 |
| 1891731857 | Thomas G. Amason Jr. | Pediatrics | 3401 Independence Dr, Birmingham, AL 35209-5662 | 2006-06-20 |
| 1720021579 | Janie S. Stagner | Pediatrics | 3401 Independence Dr, Birmingham, AL 35209-5662 | 2006-06-13 |
| 1164465910 | Richard T. Huie | Pediatrics | 3401 Independence Dr, Birmingham, AL 35209-5662 | 2006-06-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437793510 | Marissa M Mcintyre | Registered Nurse | 3401 Independence Drive, Suite 221, Birmingham, AL 35209 | 2019-11-01 |
| 1093284457 | Patriot Healthcare of Alabama, LLC | Family Medicine | 2045 Brookwood Medical Center Drive, Suite 1, Birmingham, AL 35209 | 2018-11-15 |
| 1164902268 | Lucy Johnston | Physician Assistant | 1602 Woodfern Dr, Homewood, AL 35209 | 2018-08-17 |
| 1881184646 | Wade Louis Grady | Specialist/Technologist | 800 Larkshore Drive, Birmingham, AL 35209 | 2018-05-16 |
| 1154823029 | Taylor Payne | Physical Medicine & Rehabilitation | 109 Devon Dr, Birmingham, AL 35209 | 2018-03-06 |
| 1396251542 | 1st America Infusion Services LLC | Durable Medical Equipment & Medical Supplies | 120 Oxmoor Blvd Ste 100, Birmingham, AL 35209 | 2017-12-26 |
| 1376060954 | Hannah Holloway | Specialist/Technologist | 725 Crest Lane, Birmingham, AL 35209 | 2017-08-24 |
| 1558887463 | Paul A Rhodes | Nurse Practitioner | 631 Beacon Center Office Park, Suite 108, Birmingham, AL 35209 | 2017-08-22 |
| 1538542196 | Proteus Molecular and Clinical Lab LLC | Clinical Medical Laboratory | 218 Summit Pkwy, Suite 250, Homewood, AL 35209 | 2015-07-01 |
| 1124407739 | Randall Alban | Nurse Practitioner | 2100 Southbridge Parkway, Suite 650, Birmingham, AL 35209 | 2015-05-28 |
| Find all providers in zip 35209 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518488253 | Ananya Manchikalapati | Pediatrics | 1600 5th Ave S Ste 102, Birmingham, AL 35233-1700 | 2017-07-03 |
| 1194254490 | Maggie Lawrence | Pediatrics | 1601 7th Ave S, Birmingham, AL 35233-1710 | 2017-06-08 |
| 1154855807 | Margaret Elaine Wester | Pediatrics | 1600 7th Ave S Fl 4, Birmingham, AL 35233-1711 | 2017-04-19 |
| 1477085629 | Abbey Rocco | Pediatrics | 1600 7th Ave S Bldg Suite512, Birmingham, AL 35233-1711 | 2017-03-28 |
| 1548647407 | Anastasia T Nelson | Pediatrics | 3729 Mary Taylor Road, Birmingham, AL 35235 | 2015-04-29 |
| 1649666785 | Stephen T Clark | Pediatrics | 1700 6th Ave S # Wic9100, Birmingham, AL 35233 | 2015-04-14 |
| 1407242712 | James Raphael Statler | Pediatrics | 1600 7th Ave S # 110, Birmingham, AL 35233-1711 | 2015-04-13 |
| 1376954271 | Rona Lynzee Head | Pediatrics | 1600 7th Ave S Ste 210, Birmingham, AL 35233 | 2014-05-13 |
| 1992140784 | Erica Christen Bjornstad | Pediatrics | 1600 7th Ave S # 516, Birmingham, AL 35233 | 2013-05-07 |
| 1255686523 | John Cocoris | Pediatrics | 4334 Kennesaw Drive, Birmingham, AL 35213 | 2012-07-23 |
| Find all providers in BIRMINGHAM | ||||
| City | BIRMINGHAM |
| Zip Code | 35209 |
Please comment or provide details below to improve the information on GRETEL L. RUSSELL.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.