DR. RUSSELL MARTIN CARLSON (NPI# 1023271137) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023271137 |
| Entity Type | Individual |
| Full Name | DR. RUSSELL MARTIN CARLSON |
| Credential | DPM |
| Practice Address |
520 Valley View Dr Moline IL 61265-6152 |
| Practice Telephone | 3097623621 |
| Practice Fax Number | 3097623690 |
| Mailing Telephone | 3097623621 |
| Mailing Fax Number | 3097623690 |
| Enumeration Date | 2008-07-08 |
| Last Update Date | 2013-05-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
135000650 | IL | Podiatric Medicine & Surgery Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659531218 | Russell Arthur Carlson | Specialist | 4800 Sand Point Way Ne, W4657, Seattle, WA 98105-3901 | 2008-06-16 |
| 1164697066 | Russell Edgar Carlson IIi | Dentist | 1145 66th St, Suite 2, Windsor Heights, IA 50311-1705 | 2008-04-23 |
| 1679791438 | Russell J Carlson | Counselor | 2600 Oakland Ave, Elkhart, IN 46517-1533 | 2007-04-24 |
| 1821103029 | Russell E Carlson | Surgery | 2695 Harlem Rd, Cheektowaga, NY 14225-4021 | 2006-08-20 |
| Street Address |
520 VALLEY VIEW DR |
| City | MOLINE |
| State | IL |
| Zip Code | 61265-6152 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750369419 | Edward A Connolly | Orthopaedic Surgery | 520 Valley View Dr, Moline, IL 61265-6194 | 2006-01-04 |
| 1306476445 | Lauren Emily Haas | Physician Assistant | 520 Valley View Dr, Moline, IL 61265-6152 | 2020-01-16 |
| 1548621774 | Dana Jo Taylor | Specialist/Technologist | 520 Valley View Dr, Ste. 500, Moline, IL 61265-6152 | 2016-03-16 |
| 1669862264 | Alison Vandegrift | Physical Therapist | 520 Valley View Dr, Moline, IL 61265-6152 | 2015-02-03 |
| 1649670332 | Katherine O'day | Occupational Therapist | 520 Valley View Dr, Moline, IL 61265-6152 | 2014-08-29 |
| 1245648963 | Jamie Porter | Physician Assistant | 520 Valley View Dr, Moline, IL 61265-6194 | 2014-07-25 |
| 1235550567 | Andrew Abatiell Md Pllc | Anesthesiology | 520 Valley View Dr, Moline, IL 61265-6152 | 2014-01-06 |
| 1679823223 | Allison M Mcgraw | Occupational Therapist | 520 Valley View Dr, Ste. 200, Moline, IL 61265-6152 | 2012-09-11 |
| 1073882858 | Ashley M Schurr | Physical Therapist | 520 Valley View Dr, Suite 200, Moline, IL 61265-6152 | 2011-12-22 |
| 1487922738 | Andrea M Black | Physician Assistant | 520 Valley View Dr, Moline, IL 61265-6194 | 2011-12-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861035438 | Ora Orthopedics, PC | Orthopaedic Surgery | 510 Valley View Drive, Moline, IL 61265 | 2019-10-25 |
| 1598231698 | Secure Dental Vi | Dentist | 106 16th St, Unit #90, Moline, IL 61265 | 2018-10-17 |
| 1487152088 | Fjellheim P.c | Chiropractor | 1535 47th Avenue, Suite 5, Moline, IL 61265 | 2018-01-29 |
| 1326567199 | Elizabeth Ann Teichler | Respiratory Therapist, Registered | 4360 7th Street, Moline, IL 61265 | 2017-09-13 |
| 1497279913 | Caroline M Mather | Behavioral Analyst | 2430 6th Avenue, Moline, IL 61265 | 2017-07-26 |
| 1639625239 | Elizabeth Anderson | Nurse's Aide | 4319 26th Ave Apt 1, Moline, IL 61265 | 2016-09-01 |
| 1437604154 | Lindsey Bollaert | Nurse Practitioner | 1100 36th Ave, Moline, IL 61265 | 2016-08-23 |
| 1437541869 | Divvymed, LLC | Pharmacy | 4300 44th Ave, Moline, IL 61265 | 2015-02-23 |
| 1477955250 | Todd Stone | Nurse Practitioner | 1100 3th Avenue, Moline, IL 61265 | 2014-09-23 |
| 1588084479 | Familia Dental Moline LLC | Dentist | 1102 4th Ave, Moline, IL 61265 | 2014-04-18 |
| Find all providers in zip 61265 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982606927 | Kevin Dennis Smith | Podiatrist | 505 Valley View Dr Ste 1, Moline, IL 61265-6138 | 2005-08-10 |
| 1801117684 | Brian Sheng Ting | Podiatrist | 840 35th Avenue Pl, Suite 102, Moline, IL 61265-8026 | 2010-06-16 |
| 1528276169 | Foot First Podiatry Centers, V.p.c. | Podiatrist | 4350 7th St, Moline, IL 61265-6870 | 2007-05-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154930485 | Mid America Foot & Ankle Specialist Illinois LLC | Podiatrist | 2003 Montgomery Rd Ste 108109, Aurora, IL 60504-9078 | 2020-07-22 |
| 1265040026 | Northern Illinois Foot & Ankle Specialists, Ltd | Podiatrist | 4121 Fairview Ave Ste 102, Downers Grove, IL 60515-2266 | 2020-07-17 |
| 1316563612 | Jacob Tilsley | Podiatrist | 610 S Maple Ave Ste 2250, Oak Park, IL 60304-1093 | 2020-06-22 |
| 1033738547 | C James Anderson Dpm LLC | Podiatrist | 1000 Eleven S Ste 3a, Columbia, IL 62236-1077 | 2020-04-14 |
| 1386263895 | C James Anderson Dpm LLC | Podiatrist | 717 Insight Ave Ste 100, O Fallon, IL 62269-2193 | 2020-04-14 |
| 1821631367 | Dr Christine Heck PC | Podiatrist | 111 N Wabash Ave Ste 1914, Chicago, IL 60602-2968 | 2019-10-28 |
| 1013562578 | Bishoy Atef Botros | Podiatrist | 820 S Damen Ave Fl 7, Chicago, IL 60612-3728 | 2019-08-01 |
| 1538623947 | Steven B Overpeck Dpm PC | Podiatrist | 25520 S Pheasant Ln Unit K, Channahon, IL 60410-8808 | 2019-01-30 |
| 1366916355 | Center for Foot and Ankle Surgery Ltd | Podiatrist | 654 W Veterans Pkwy Ste D, Yorkville, IL 60560-2510 | 2019-01-14 |
| 1497224950 | Northern Illinois Foot & Ankle Specialists, Ltd | Podiatrist | 1288 S Us Highway 12, Fox Lake, IL 60020-1950 | 2018-11-14 |
| Find all providers with the same taxonomy | ||||
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| 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.