DR. PATRICK W RUSSELL (NPI# 1144205113) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144205113 |
| Entity Type | Individual |
| Full Name | DR. PATRICK W RUSSELL |
| Credential | D.O. |
| Practice Address |
2746 Old Us 20 W Ste A Elkhart IN 46514-1365 |
| Mailing Address |
2746 Old Us 20 W Ste A Elkhart IN 46514-1365 |
| Practice Telephone | (574) 647-1610 |
| Mailing Telephone | (574) 647-1610 |
| Enumeration Date | 2005-12-13 |
| Last Update Date | 2017-09-06 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
02001219 | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | MEDICARE RAILROAD | 130024231 | 01 |
| IN | 100114080B | 05 | |
| IN | 100114080 | 05 | |
| IN | BLUE SHIELD | 000000215919 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780989699 | Patrick K Russell | Rehabilitation Practitioner | 8524 Wildheart Ranch St, Las Vegas, NV 89131-5900 | 2011-01-24 |
| 1750356382 | Patrick Todd Russell | Internal Medicine | 800 E Dawson, Tyler, TX 75701 | 2006-02-17 |
| 1427671742 | Patrick Michael Russell | Student in an Organized Health Care Education/Training Program | 620 John Paul Jones Cir, Portsmouth, VA 23708-2111 | 2020-05-20 |
| 1275085110 | Patrick Russell | Chiropractor | 3828 S Lindbergh Blvd, 116, Saint Louis, MO 63127-1366 | 2016-10-26 |
| 1063731693 | Patrick Michael Russell | Emergency Medicine | 1155 Mill St, Reno, NV 89502-1576 | 2010-05-21 |
| 1346430030 | Patrick Winston Russell | Physical Medicine & Rehabilitation | 2045 N Franklin St, Denver, CO 80205-5437 | 2007-07-28 |
| 1912064726 | Patrick Joseph Russell | Counselor | 122 16th Ave E, Sound Mental Health, Seattle, WA 98112-5212 | 2007-01-02 |
| Street Address |
2746 OLD US 20 W STE A |
| City | ELKHART |
| State | IN |
| Zip Code | 46514-1365 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992324883 | Apeksha Shah | Nurse Practitioner | 2746 Old Us 20 W Ste A, Elkhart, IN 46514-1365 | 2020-04-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891333522 | Adam Collier | Nurse Anesthetist, Certified Registered | 600 Elkhart Boulvard, Elkhart, IN 46514 | 2019-12-12 |
| 1861034688 | Heart City Health Center, Inc. | Obstetrics & Gynecology | 1545 Cassopolis Street, Elkhart, IN 46514 | 2019-10-14 |
| 1982263398 | Fresenius Medical Care North Elkhart, LLC | Clinic/Center | 801 W Bristol St, Elkhart, IN 46514 | 2019-06-10 |
| 1487118220 | Hellenic Senior Living of Elkhart, LLC | Assisted Living Facility | 2528 Bypass Road, Elkhart, IN 46514 | 2019-01-25 |
| 1922595792 | Anna Cornelia Smith | Nutritionist | 51803 Tall Pines Dr, Elkhart, IN 46514 | 2018-04-17 |
| 1114438496 | Erika Lynn Farrell | Counselor | 3120 Suite B Windsor Court, Elkhart, IN 46514 | 2017-10-13 |
| 1740728948 | Michael Scheretie | Nurse Anesthetist, Certified Registered | 52866 Wildflower Ln, Elkhart, IN 46514 | 2017-02-08 |
| 1821355876 | Marcy Lynn Adams | Nurse Practitioner | 1104 W Bristol St, Elkhart, IN 46514 | 2012-04-16 |
| 1053694265 | Paul A. Price | Pharmacist | 1400 Cassopolis St., Elkhart, IN 46514 | 2011-09-23 |
| 1528362647 | Beacon Medical Group, Inc. | Internal Medicine | 500 Arcade Ave., Suite 400, Elkhart, IN 46514 | 2011-01-04 |
| Find all providers in zip 46514 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245357375 | Preeya Patel Grewal | Psychiatry & Neurology | 145 S Nappanee St, Elkhart, IN 46514-1967 | 2007-03-23 |
| 1306976717 | Elkhart Neurology PC | Psychiatry & Neurology | 2746 Old Us 20 W, Suite A, Elkhart, IN 46514-1364 | 2007-03-06 |
| 1508950122 | Eliud Irizarry Claudio | Psychiatry & Neurology | 1753 Fulton St, Suite A, Elkhart, IN 46514-1927 | 2006-10-03 |
| 1265437404 | Thomas R. Vidic | Psychiatry & Neurology | 303 S Nappanee St, Elkhart, IN 46514-2066 | 2005-06-15 |
| 1669477816 | Suying Wu | Psychiatry & Neurology | 303 S Nappanee St, Elkhart, IN 46514-2066 | 2005-06-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730712670 | Little Company of Mary Hospital of Indiana Inc | Psychiatry & Neurology | 600 W 13th St Ste 205, Jasper, IN 47546-1883 | 2020-02-19 |
| 1477052645 | Orthospine Monitoring LLC | Psychiatry & Neurology | 2901 Carlson Drive, Suite 375, Hammond, IN 46323 | 2018-02-02 |
| 1124430376 | Brooke Felicia Walls | Psychiatry & Neurology | 940 W 10th St, 2416, Indianapolis, IN 46202-4807 | 2014-05-22 |
| 1124453279 | Midwest Neurology Associates PC | Psychiatry & Neurology | 1100 Joliet St Ste 201, Dyer, IN 46311-1995 | 2013-09-09 |
| 1235577065 | Ryan William Pappas | Psychiatry & Neurology | 2000 Roosevelt Rd Ste 207, Valparaiso, IN 46383-2802 | 2013-06-14 |
| 1467794271 | William Louis Conte | Psychiatry & Neurology | 200 E 89th Ave # B, Merrillville, IN 46410 | 2013-03-19 |
| 1285997494 | Jordan D Raynor | Psychiatry & Neurology | 1050 Reid Pkwy., Ste. 210, Richmond, IN 47374-1160 | 2012-06-21 |
| 1578820510 | Cindy Joseph | Psychiatry & Neurology | 759 45th St, 104, Munster, IN 46321-2939 | 2012-04-16 |
| 1851657373 | Kathryn Nevel | Psychiatry & Neurology | 355 W 16th St Ste 5400, Indianapolis, IN 46202-2393 | 2012-04-10 |
| 1336414499 | Michiana Neurologic Medicine, PC | Psychiatry & Neurology | 229 Red Coach Dr Ste 105, Mishawaka, IN 46545-3195 | 2012-03-21 |
| 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.