RUSSELL K PAUL (NPI# 1245208727) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245208727 |
| Entity Type | Individual |
| Full Name | RUSSELL K PAUL |
| Credential | MD |
| Practice Address |
9602 Stockdale Hwy Bakersfield CA 93311-3618 |
| Practice Telephone | 6082765882 |
| Practice Fax Number | 8005099882 |
| Mailing Telephone | 6082765882 |
| Mailing Fax Number | 8005099882 |
| Enumeration Date | 2006-03-09 |
| Last Update Date | 2009-09-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
G88519 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 34489000 | 05 |
| Street Address |
9602 STOCKDALE HWY |
| City | BAKERSFIELD |
| State | CA |
| Zip Code | 93311-3618 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881686707 | Krishna R Kylasa | Radiology | 9602 Stockdale Hwy, Bakersfield, CA 93311-3618 | 2005-08-17 |
| 1376875088 | Levi Ray Dansby | Radiology | 9602 Stockdale Hwy, Bakersfield, CA 93311-3618 | 2010-02-04 |
| 1205028016 | Irene Shmayevich Dansby | Radiology | 9602 Stockdale Hwy, Bakersfield, CA 93311-3618 | 2007-08-15 |
| 1073663845 | Nicolas James Andrews | Radiology | 9602 Stockdale Hwy, Bakersfield, CA 93311-3618 | 2007-01-11 |
| 1932208568 | Robert S Port | Specialist | 9602 Stockdale Hwy, Bakersfield, CA 93311 | 2006-09-21 |
| 1518986868 | Gary D Shipman | Radiology | 9602 Stockdale Hwy, Bakersfield, CA 93311-3618 | 2006-07-18 |
| 1942236443 | Quest Imaging Medical Associates, Inc. | Clinic/Center | 9602 Stockdale Hwy, Bakersfield, CA 93311-3618 | 2006-06-25 |
| 1477589976 | Donald E. Cornforth, Md, Inc. | Radiology | 9602 Stockdale Hwy, Bakersfield, CA 93311 | 2006-06-25 |
| 1114953148 | James A Cusator Jr. | Radiology | 9602 Stockdale Hwy, Bakersfield, CA 93311-3618 | 2006-06-23 |
| 1447223169 | Lorraine Marjorie Ash | Radiology | 9602 Stockdale Hwy, Bakersfield, CA 93311-3618 | 2006-02-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104469030 | Bk New Age. Inc. | Internal Medicine | 11703 Privet Pl, Bakersfield, CA 93311 | 2019-10-23 |
| 1245713197 | Brandon Mccullough | Dentist | 11120 Stockdale Hwy, #103, Bakersfield, CA 93311 | 2018-09-06 |
| 1871001602 | Centric Health | Internal Medicine | 4531 Buena Vista Rd, Bakersfield, CA 93311 | 2018-01-15 |
| 1518484971 | Alexandria Noelle Wilson | Specialist/Technologist | 9800 Green Oak Pl, Bakersfield, CA 93311 | 2017-08-26 |
| 1477093169 | Vishnu Patel | Pharmacist | 11500 Wakehurst Ct, Bakersfield, CA 93311 | 2017-03-01 |
| 1487102364 | Christina Lewis | Nurse Practitioner | 9900 Stockdale Hwy Ste 203, Bakersfield, CA 93311 | 2016-09-20 |
| 1629424866 | New Horizon Surgical Center, LLC | Clinic/Center | 4500 Trade Center Drive, Bakersfield, CA 93311 | 2016-05-06 |
| 1316300767 | Ellen Mccrary | Optometrist | 9000 Ming Ave Ste L1-b, Bakersfield, CA 93311 | 2016-04-02 |
| 1083076764 | Pratik Patel | Dentist | 8701 Camino Media Ste A, Bakersfield, CA 93311 | 2016-03-22 |
| 1194196832 | Providence Medical Group | General Acute Care Hospital | 1806 Wadsworth Avenue, Bakersfield, CA 93311 | 2015-10-07 |
| Find all providers in zip 93311 | ||||
| Taxonomy Code | 2085R0204X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Vascular & Interventional Radiology |
| A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427551340 | Riverwalk Medical Corporation | Radiology | 5000 Commerce Drive, Bakersfield, CA 99309 | 2018-03-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134739949 | Ava Vascular | Radiology | 1281 W. C. Street, Suite 200, Colton, CA 92324 | 2020-08-06 |
| 1306467204 | Saleh Radiology of Inland Empire | Radiology | 15276 Ledgestone St, Fontana, CA 92336-4048 | 2020-05-01 |
| 1366084535 | Luo Xu | Radiology | 757 Westwood Plz # 2146, Los Angeles, CA 90095-8358 | 2019-10-09 |
| 1346717824 | Cvs Medical Group, Inc | Radiology | 201 W Garvey Ave Ste 102-502, Monterey Park, CA 91754-7418 | 2018-11-01 |
| 1407353675 | Art Vascular & Interventional Associates Inc | Radiology | 324 S Beverly Dr Ste 345, Beverly Hills, CA 90212-4801 | 2018-04-12 |
| 1568971869 | Broad Reach Specialty Surgery Inc | Radiology | 8117 West Manchester Ave, Ste 368, Playa Del Rey, CA 90293 | 2017-09-29 |
| 1407393754 | Valley Vascular Partners Inc | Radiology | 19231 Victory Blvd Ste 155, Reseda, CA 91335-6329 | 2017-01-25 |
| 1124497342 | Neurointerventional Surgery Consultants, PC | Radiology | 534 S Brea Blvd, Brea, CA 92821-5304 | 2015-09-17 |
| 1578946026 | Clarity Radiology, LLC | Radiology | 39 Via Navarro, Greenbrae, CA 94904-1215 | 2015-07-01 |
| 1669863981 | Pedes Vascular San Fernando Valley | Radiology | 16260 Ventura Boulevard, Suite 210, Encino, CA 91436-2203 | 2015-02-09 |
| Find all providers with the same taxonomy | ||||
| City | BAKERSFIELD |
| Zip Code | 93311 |
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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.