RUSSELL KERSCHMANN (NPI# 1073686572) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073686572 |
| Entity Type | Individual |
| Full Name | RUSSELL KERSCHMANN |
| Credential | MD |
| Practice Address |
967 Mabury Rd San Jose CA 95133-1025 |
| Mailing Address |
3737 Laurel Way Redwood City CA 94062-0000 |
| Practice Telephone | 8002888008 |
| Practice Fax Number | 4089751030 |
| Mailing Telephone | 6507809346 |
| Mailing Fax Number | 4159624154 |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2009-05-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | A57159 | CA | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | MEDICARE PTAN | BJ422Y | 01 |
| CA | CA STATE LICENSE | G57159 | 01 |
| Street Address |
967 MABURY RD |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95133-1025 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154939841 | Ngan Kim Vo | Registered Nurse | 858 Gateview Ct, San Jose, CA 95133 | 2020-07-19 |
| 1508336686 | Andrew Jang | Behavior Technician | 75 E. Santa Clara St, San Jose, CA 95133 | 2018-11-30 |
| 1699269811 | Livleen Moore | Behavioral Analyst | 2828 Rainview Dr, San Jose, CA 95133 | 2018-06-20 |
| 1023526134 | Suman Sra Dds Inc | Dentist | 750 N Capitol Ave, Suite C-1, San Jose, CA 95133 | 2018-01-11 |
| 1861919797 | Maseume Quartararo | Social Worker | 1650 Las Plumas Avenue Suite K, San Jose, CA 95133 | 2017-08-22 |
| 1447789623 | San Jose Eye Care Optometry Professional Corporation | Optometrist | 301 N. Jackson Ave #1, San Jose, CA 95133 | 2017-06-09 |
| 1518336452 | Hung Tran | Pharmacist | 650 N Jackson Ave Apt 12, San Jose, CA 95133 | 2015-09-22 |
| 1487993507 | Taoyuan Chen | Acupuncturist | 866 Cape Verde Place, Sanjose, CA 95133 | 2013-02-08 |
| 1598021099 | Caminar | Community/Behavioral Health | 591 North King Rd, Suite 1, San Jose, CA 95133 | 2012-04-09 |
| 1922375070 | Hao Rong | Dentist | 1722 Commodore Dr., San Jose, CA 95133 | 2011-11-17 |
| Find all providers in zip 95133 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467965293 | Kathleen Dawn Kraskouskas | Specialist | 541 W Julian St, San Jose, CA 95110-2338 | 2017-11-15 |
| 1861927568 | Crossover Health Medical Group | Specialist | 5601 Great Oaks Pkwy, Bldg 050, San Jose, CA 95119-1003 | 2017-05-01 |
| 1629503255 | Professional Medical Claims Services | Specialist | 5646 Bluegrass Ln, San Jose, CA 95118-3513 | 2017-04-20 |
| 1669873204 | Wendy Ann Brotherton | Specialist | 1401 Parkmoor Ave Ste 230, San Jose, CA 95126-3407 | 2014-09-15 |
| 1225467756 | Ir Solutions Inc | Specialist | 105 N Bascom Ave Ste 104, San Jose, CA 95128-1811 | 2013-11-05 |
| 1558793653 | Angela Dawn Ballou | Specialist | 1052 Delna Manor Ln, San Jose, CA 95128-3457 | 2013-07-31 |
| 1295089670 | Huong Yen Duong | Specialist | 184 Checkers Dr, San Jose, CA 95116-1359 | 2012-11-06 |
| 1407116213 | Cherie Jones | Specialist | 2555 Corde Terra Cir, #331, San Jose, CA 95111-1955 | 2012-05-25 |
| 1215294129 | Nguyen Tan | Specialist | 110 Jackson St, San Jose, CA 95112-5105 | 2012-04-16 |
| 1447522602 | Daniela Bayer | Specialist | 560 S Winchester Blvd, Suite 500, San Jose, CA 95128-2560 | 2012-02-03 |
| Find all providers in SAN JOSE | ||||
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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.