DR. ANN B RUSSELL (NPI# 1285701243) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285701243 |
| Entity Type | Individual |
| Full Name | DR. ANN B RUSSELL |
| Other Name | ANN B. KELTGEN |
| Credential | M.D. |
| Practice Address |
11602 W Center Rd Suite 150 Omaha NE 68144-4440 |
| Practice Telephone | 4029917337 |
| Practice Fax Number | 4029917373 |
| Mailing Telephone | 4029917337 |
| Mailing Fax Number | 4029917373 |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2014-08-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 19783 | NE | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NE | 1200713 | 05 | |
| NE | 1200715 | 05 | |
| NE | 1201468 | 05 | |
| NE | 1200712 | 05 | |
| NE | 1201187 | 05 | |
| NE | MIDLANDS CHOICE | 2932 | 01 |
| NE | 1200714 | 05 | |
| IA | 0961003 | 05 | |
| NE | 1200147 | 05 | |
| NE | BCBS OF NE | 30715 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366659153 | Ann Marie Russell | Lactation Consultant, Non-RN | 12621 Hedgetree Ct, Poway, CA 92064-6432 | 2007-05-17 |
| 1972696631 | Ann M . Russell | Midwife | 916 Pacific Ave 2nd Floor, Everett, WA 98201 | 2006-10-02 |
| 1689845620 | Ann Carol Russell | Social Worker | 819 Bloomington Rd, Champaign, IL 61820-2101 | 2008-03-18 |
| 1881719805 | Ann J Russell | Physician Assistant | 1959 S Val Vista Dr, Suite 106, Mesa, AZ 85204-7356 | 2007-03-20 |
| 1619944345 | Ann Russell | Counselor | 380 Copperfield Blvd Ne, Concord, NC 28025-2402 | 2006-03-01 |
| Street Address |
11602 W CENTER RD SUITE 150 |
| City | OMAHA |
| State | NE |
| Zip Code | 68144-4440 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578528550 | Daniel J Kirsch | Obstetrics & Gynecology | 11602 W Center Rd, Suite 150, Omaha, NE 68144-4440 | 2006-04-20 |
| 1427296896 | Obstetrics Aesthetics & Gynecology, PC | Obstetrics & Gynecology | 11602 W Center Rd, Suite 150, Omaha, NE 68144-4440 | 2009-01-23 |
| 1376594523 | Laura E Wilwerding | Pediatrics | 11602 W Center Rd, Suite 150, Omaha, NE 68144-4440 | 2006-05-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720627292 | Jessica Wissink | Physical Therapist | 2275 South 132nd St, Omaha, NE 68144 | 2020-01-02 |
| 1881165397 | Elle Klink | Chiropractor | 2527 S 140th Street, Omaha, NE 68144 | 2018-12-10 |
| 1336649987 | Colton A Palmer | Nurse Practitioner | 11725 Arbor St Ste 230, Omaha, NE 68144 | 2018-02-20 |
| 1780121335 | Deborah Palmer | Massage Therapist | 2429 South 120th, Omaha, NE 68144 | 2017-01-20 |
| 1750833851 | Amanda Mcgary Tatro | Counselor | 11929 Elm St Suite 12a, Omaha, NE 68144 | 2016-10-25 |
| 1770946105 | Kindis Ward | Counselor | 13435 A. Street, Omaha, NE 68144 | 2016-04-02 |
| 1649679937 | Brian Douglas Smith | Physical Therapist | 13934 Gold Circle, Omaha, NE 68144 | 2014-08-22 |
| 1346587334 | Elite Professionals Home Care LLC | Home Health | 13306 A Street, Omaha, NE 68144 | 2013-01-10 |
| 1821345471 | Angelia D Henderson | Skilled Nursing Facility | 2525 S. 135th Ave, Omaha, NE 68144 | 2012-08-13 |
| 1073872123 | Midwest Physical Therapy Services, PC | Physical Therapist | 11640 Arbor Street #200, Omaha, NE 68144 | 2012-05-10 |
| Find all providers in zip 68144 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508467580 | Stephen Lazoritz | Pediatrics | 4245 S 121st Plz, Omaha, NE 68137-2132 | 2020-11-05 |
| 1760976385 | Eric Spencer West | Pediatrics | 982185 Nebraska Medical Center Omaha, Omaha, NE 68198-2185 | 2018-06-18 |
| 1669962130 | Rachel Kathryn Schlueter | Pediatrics | 982185 Nebraska Medical Cente, Omaha, NE 68198-2185 | 2018-05-10 |
| 1063862779 | Evin Lackore | Pediatrics | Unmc Pediatrics Residency Program, 982185 Nebraska Medical Center, Omaha, NE 68198 | 2016-06-14 |
| 1881049708 | Dundee Pediatrics, LLC | Pediatrics | 5018 Underwood Ave, Suite 200, Omaha, NE 68132-2236 | 2016-04-28 |
| 1962866418 | Children's Hospital & Medical Center | Pediatrics | 110 N 175th St Ste 1600, Children's Outpatient Surgery Center, Omaha, NE 68118-3581 | 2016-04-11 |
| 1437513264 | Beyond Care Pediatrics LLC | Pediatrics | 16945 Frances St Ste 200b, Omaha, NE 68130-2312 | 2016-04-07 |
| 1891155313 | Children's Hospital & Medical Center | Pediatrics | 4825 Dodge St, Children's Hospital & Medical Center Urgent Care Dundee, Omaha, NE 68132-3110 | 2016-02-25 |
| 1558735795 | Cynthia Wengel | Pediatrics | 16324 Hamilton Cir, Omaha, NE 68118-2463 | 2015-11-27 |
| 1053793836 | Austin Maurice Vandeberg | Pediatrics | 1224 S 52nd St, Omaha, NE 68106-1728 | 2015-06-29 |
| Find all providers in OMAHA | ||||
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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.