NOAH RUSSELL (NPI# 1235672114) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1235672114 |
Entity Type | Individual |
Full Name | NOAH RUSSELL |
Practice Address |
7219 N Litchfield Rd Luke Afb AZ 85309-1529 |
Practice Telephone | 6238562273 |
Mailing Telephone | 6238562273 |
Enumeration Date | 2016-11-28 |
Last Update Date | 2018-05-11 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
N | 171000000X | Military Health Care Provider | Other Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487275178 | Noah James Russell | Counselor | 4455 Ne Highway 20, Corvallis, OR 97330-9695 | 2020-05-04 |
Street Address |
7219 N LITCHFIELD RD |
City | LUKE AFB |
State | AZ |
Zip Code | 85309-1529 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740281203 | Scott Joseph Lafont | Dentist | 7219 N Litchfield Rd, Dental Clinic, Luke Afb, AZ 85309-1529 | 2005-08-09 |
1184262347 | Denise Renee Covert | Nurse Practitioner | 7219 N Litchfield Rd, Luke Afb, AZ 85309-1529 | 2019-12-18 |
1790279685 | Tyler John Gale | Nurse Practitioner | 7219 N Litchfield Rd, Luke Afb, AZ 85309-1529 | 2018-06-14 |
1679091706 | Patrick Andrew Stockton | Nurse Practitioner | 7219 N Litchfield Rd, Luke Afb, AZ 85309-1529 | 2017-09-09 |
1417483074 | Matthew Collins | Military Health Care Provider | 7219 N Litchfield Rd, Luke Afb, AZ 85309-1529 | 2017-05-02 |
1811340565 | Collin Urbanowicz | Physician Assistant | 7219 N Litchfield Rd, Luke Afb, AZ 85309-1529 | 2016-07-18 |
1972986909 | Kristin Haskell | Advanced Practice Midwife | 7219 N Litchfield Rd, Luke Afb, AZ 85309-1529 | 2015-07-08 |
1720402993 | Samuel Beck | Pediatrics | 7219 N Litchfield Rd, Luke Afb, AZ 85309 | 2014-02-09 |
1760820989 | Bryan Geoffrey Anderson | General Practice | 7219 N Litchfield Rd, 56 Amds (bldg 810), Luke Afb, AZ 85309-1529 | 2013-06-10 |
1154665990 | Kellie Casero | Student in an Organized Health Care Education/Training Program | 7219 N Litchfield Rd, Luke Afb, AZ 85309-1529 | 2012-11-17 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912466111 | Natalie Ann Korona | Nurse Practitioner | 56 Mdg/mdos/sgof, 7219 N. Litchfield Rd, Luke Afb, AZ 85309 | 2019-03-18 |
1558647024 | Cheng Chung Tsai | Pharmacist | 72 19 N Litchfield Road, 56 Medical Group, Luke Afb, AZ 85309 | 2011-10-28 |
1053617464 | Bradley William Snyder | Military Health Care Provider | 7224 North 139th Avenue, Glendale, AZ 85309 | 2011-02-02 |
1043516610 | Charles Delvon Pickett | Military Health Care Provider | 7019 N Litchfield Ave, Luke Afb, 56/amds, Luke Afb, AZ 85309 | 2011-01-31 |
1104980663 | Maurice Edgar Young | Obstetrics & Gynecology | 56th Aerospace Medicine Squadron, Luke Afb, AZ 85309 | 2006-12-20 |
1679658538 | Wayne Allen Beaver | Psychologist | Luke Air Force Base, Bldg 317, Glendale, AZ 85309 | 2006-10-26 |
1306945472 | 56th Medical Group Sgsl | Military/U.S. Coast Guard Pharmacy | Bldg 810, Luke Afb, AZ 85309 | 2006-09-22 |
1679676571 | Anita Glenn-reller | Counselor | 317 Lightning Ave, Luke Afb, AZ 85309 | 2006-09-06 |
1346784881 | Kaleigh Moses | Registered Nurse | 13960 W Eagle St, Luke Air Force Base, AZ 85309-1426 | 2016-12-16 |
1376893511 | Melissa Ann Parra | Dentist | 7219 N Litchfield Rd., 56th Medical Group, Luke Afb, AZ 85309-1525 | 2012-09-14 |
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Taxonomy Code | 363A00000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063680445 | James Cecil Schuhs | Physician Assistant | 7219 North Litchfield Road, 56 Mdg Mdos/sgops, Luke Afb, AZ 85309-1529 | 2008-02-19 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407456585 | Chelsea Lee Townsend | Physician Assistant | 6823 S 9th Ave, Phoenix, AZ 85041-6752 | 2020-10-28 |
1780283580 | Daryl Howden | Physician Assistant | 800 E Curry Rd Apt 3019, Tempe, AZ 85281-7057 | 2020-10-22 |
1669079109 | Elizabeth Yushuva Rpac, Pllc | Physician Assistant | 23220 N 71st Dr, Glendale, AZ 85310-5872 | 2020-10-07 |
1972100949 | Amanda Alcantar | Physician Assistant | 8822 W Minnezona Ave, Phoenix, AZ 85037-1499 | 2020-10-02 |
1700483898 | Athena Marie Arbuckle | Physician Assistant | 3815 E Bell Rd Ste 3600, Phoenix, AZ 85032-2166 | 2020-10-02 |
1033725437 | Kayla Gutierrez | Physician Assistant | 4820 W Mcrae Way, Glendale, AZ 85308-4821 | 2020-09-21 |
1356957062 | Kylee Ann Lattomus | Physician Assistant | 26008 N 47th Dr, Phoenix, AZ 85083-1681 | 2020-09-17 |
1275148280 | Patricia Miriam Rus | Physician Assistant | 23615 N 105th Dr, Peoria, AZ 85383-1195 | 2020-09-15 |
1457966640 | Stephanie Alonso | Physician Assistant | 7725 N Sun Flair Dr, Tucson, AZ 85741-1582 | 2020-09-14 |
1043825367 | Lauren Elizabeth Fraijo | Physician Assistant | 13575 W Indian School Rd Ste 700, Litchfield Park, AZ 85340-4905 | 2020-09-14 |
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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.