KYLE RUSSELL (NPI# 1245771393) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245771393 |
| Entity Type | Individual |
| Full Name | KYLE RUSSELL |
| Practice Address |
921 Ne 13th St Prosthetics Department Oklahoma City OK 73104-5007 |
| Practice Telephone | 4054565656 |
| Practice Fax Number | 4054561532 |
| Mailing Telephone | 4054565656 |
| Mailing Fax Number | 4054561532 |
| Enumeration Date | 2017-03-09 |
| Last Update Date | 2017-03-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 224L00000X | Pedorthist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760083166 | Kyle A Russell | Pharmacist | 220 S St, Hwy Ok- 97, Sand Springs, OK 74063 | 2020-11-03 |
| 1164677969 | Kyle A Russell | Physician Assistant | 6 West Airport Road, Lititz, PA 17543 | 2008-11-20 |
| 1972133890 | Kyle Russell | Nurse Anesthetist, Certified Registered | 200 1st St Sw, Rochester, MN 55905-0001 | 2020-01-20 |
| 1437645611 | Kyle Russell | Student in an Organized Health Care Education/Training Program | 374 Stockholm St, Brooklyn, NY 11237-4006 | 2018-07-10 |
| Street Address |
921 NE 13TH ST PROSTHETICS DEPARTMENT |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73104-5007 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790770691 | Jill Davis Anderson | Pharmacist | 921 Ne 13th St, Oklahoma City, OK 73104-5007 | 2005-09-16 |
| 1013516749 | Stacy Dawn Lawton | Recreation Therapist | 921 Ne 13th St, Oklahoma City, OK 73104-5007 | 2020-10-23 |
| 1346848918 | Devon Marie Ponds-foster | Registered Nurse | 921 Ne 13th St, Oklahoma City, OK 73104-5007 | 2020-10-15 |
| 1962009357 | Heather Mae Holzbauer-schweitzer | Recreation Therapist | 921 Ne 13th St, Oklahoma City, OK 73104-5007 | 2020-10-08 |
| 1083211478 | Kacie Marie Ingram | Recreation Therapist | 921 Ne 13th St, Oklahoma City, OK 73104-5007 | 2020-10-08 |
| 1801402680 | Suifen Dong | Pharmacist | 921 Ne 13th St, Oklahoma City, OK 73104-5007 | 2020-09-17 |
| 1770198244 | Hayley Ellen Sewell | Pharmacist | 921 Ne 13th St, Oklahoma City, OK 73104-5007 | 2020-09-11 |
| 1912512484 | Amanda Toebe | Pharmacist | 921 Ne 13th St, Oklahoma City, OK 73104-5007 | 2020-09-11 |
| 1760095970 | Christy Tran | Pharmacist | 921 Ne 13th St, Oklahoma City, OK 73104-5007 | 2020-08-26 |
| 1861002347 | Caitlin Ann Lohrenz | Case Manager/Care Coordinator | 921 Ne 13th St, Oklahoma City, OK 73104-5007 | 2020-08-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356979645 | Kayla Campbell | Dietitian, Registered | Stephenson Cancer Center, 800 Ne 10th Street, Oklahoma City, OK 73104 | 2020-03-31 |
| 1447715453 | Roman Michael Garcia | Dentist | Ou Children's Physicians - Dental Clinic, 1200 Children's Ave, 8f, Oklahoma City, OK 73104 | 2019-02-04 |
| 1265902340 | Jenna Lyn Celii | Registered Nurse | 920 Sl Young Blvd Ste 1140, Oklahoma City, OK 73104 | 2018-11-30 |
| 1407337462 | Opus Medical, LLC | Psychiatry & Neurology | 4 Ne 10th St Suite 467, Oklahoma City, OK 73104 | 2018-08-27 |
| 1316433295 | Syed Muhammad Shakaib Quadri | Pathology | 940 Stanton L. Young Blvd., Bmsb 451, Oklahoma City, OK 73104 | 2018-07-03 |
| 1447746417 | Nimrah Bader | Internal Medicine | 800 Stanton L. Young Blvd., Aat 6300, Oklahoma City, OK 73104 | 2018-07-02 |
| 1417440793 | Helen Judith Turkson Apetor | Nurse Practitioner | 700 Ne 13th, Oklahoma City, OK 73104 | 2018-06-11 |
| 1003307935 | Mary Katlin Nixon | Obstetrics & Gynecology | 800 Stanton L Young Blvd Ste 2319, Oklahoma City, OK 73104 | 2018-05-26 |
| 1558851220 | Bryce Yohannan | Student in an Organized Health Care Education/Training Program | 800 Stanton L Young Blvd, Aat 6300, Oklahoma City, OK 73104 | 2018-05-17 |
| 1346746690 | Kacy Anne Richburg | Orthopaedic Surgery | 711 Stanton L Young Blvd Ste 111, Oklahoma City, OK 73104 | 2018-04-04 |
| Find all providers in zip 73104 | ||||
| Taxonomy Code | 224L00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Pedorthist |
| An individual who is trained in the management and treatment of conditions of the foot, ankle, and lower extremities requiring fitting, fabricating, and adjusting of pedorthic devices. |
| Notes: Source: National Uniform Claim Committee [7/1/2010: new] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356965404 | Sanjuana Caballero D B A Loveless Shoes Inc LLC | Pedorthist | 4901 W Reno Ave Ste 800, Oklahoma City, OK 73127-6398 | 2020-06-04 |
| 1578913158 | Seth Demuth | Pedorthist | 1200 Childrens Ave, Oklahoma City, OK 73104-4637 | 2016-06-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619528627 | Kristin Dee Cline | Pedorthist | 6565 S Yale Ave Ste 909, Tulsa, OK 74136-8310 | 2019-09-23 |
| 1083109250 | James Matthew Hudson | Pedorthist | 924 Nw 38th St, Lawton, OK 73505-3703 | 2018-06-28 |
| 1326359316 | Daniel Ray Brooks | Pedorthist | 6052 S Sheridan Rd, Tulsa, OK 74145-9212 | 2010-06-24 |
| City | OKLAHOMA CITY |
| Zip Code | 73104 |
Please comment or provide details below to improve the information on KYLE RUSSELL.
| 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.