MR. JONATHAN R. RUSSELL (NPI# 1336142553) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336142553 |
| Entity Type | Individual |
| Full Name | MR. JONATHAN R. RUSSELL |
| Credential | M.D. |
| Practice Address |
10130 Louetta Rd Suite G Houston TX 77070-2118 |
| Practice Telephone | 8326985500 |
| Mailing Telephone | 8326985500 |
| Enumeration Date | 2005-05-23 |
| Last Update Date | 2016-08-15 |
| NPI Deactivation Date | 03/15/2006 |
| NPI Reactivation Date | 2006-03-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174400000X | Specialist | L0557 | TX | Other Service Providers |
| Y | 207V00000X | Obstetrics & Gynecology | L0557 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 143751903 | 05 | |
| TX | 143751904 | 05 | |
| TX | BLUE CROSS BLUE SHIELD | 1336142553 | 01 |
| TX | BLUE CROSS BLUE SHIELD | 8FX325 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174922447 | Jonathan Michael Russell | Physician Assistant | 705 Oak St Unit 11, Big Rapids, MI 49307-3108 | 2014-08-22 |
| 1396934196 | Jonathan Forrest Russell | Physician Assistant | 221 Ne Main St, Winston, OR 97496-6562 | 2007-10-17 |
| 1083265805 | Jonathan Bo Russell | Counselor | 390 40th St, Oakland, CA 94609-2633 | 2019-09-23 |
| 1770069379 | Jonathan Scott Russell | Social Worker | 2126 N 1st St Ste F, Jacksonville, AR 72076-2868 | 2018-07-17 |
| 1689030124 | Jonathan David Russell | Speech-Language Pathologist | 250 Fairview Rd, Thousand Oaks, CA 91361-2456 | 2016-01-14 |
| 1013301910 | Jonathan Foster Russell | Ophthalmology | 900 Nw 17th St, Miami, FL 33136-1119 | 2015-03-27 |
| 1558576546 | Jonathan Russell | Optometrist | 12100 Se Stevens Ct, Suite 106, Clackamas, OR 97086-4707 | 2007-05-11 |
| Street Address |
10130 LOUETTA RD SUITE G |
| City | HOUSTON |
| State | TX |
| Zip Code | 77070-2118 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699017756 | Eric D Miller | Dentist | 10130 Louetta Rd, Suite H, Houston, TX 77070-2118 | 2013-03-26 |
| 1225351125 | Guardian Health Systems | Pharmacy | 10130 Louetta Rd, Suite C, Houston, TX 77070-2118 | 2010-03-05 |
| 1881826378 | Jonathan R Russell, M.d., P.a. | Specialist | 10130 Louetta Rd, Ste G, Houston, TX 77070-2118 | 2009-08-17 |
| 1194957696 | Michelle G Barcio, M.d., P.a. | Specialist | 10130 Louetta Rd, Ste G, Houston, TX 77070-2118 | 2009-08-17 |
| 1386826329 | Nicole S. Brassell O.d. P. C. | Optometrist | 10130 Louetta Rd, Ste. B, Houston, TX 77070-2116 | 2007-12-01 |
| 1609069673 | Louetta Cutten Medical Center | Clinic/Center | 10130 Louetta Rd, Suite L, Houston, TX 77070-2118 | 2007-08-23 |
| 1447230685 | Derrick A Mitchell | Emergency Medicine | 10130 Louetta Rd, Suite L, Houston, TX 77070-2118 | 2006-01-21 |
| 1851394068 | Michelle G Barcio | Specialist | 10130 Louetta Rd, Ste G, Houston, TX 77070-2116 | 2005-05-23 |
| 1013910215 | Betty J Edwards | Specialist | 10130 Louetta Rd, Ste G, Houston, TX 77070-2116 | 2005-05-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356962666 | Polyanna De La Garza Optometrist Pllc | Optometrist | 22438 Tomball Parkway, Houston, TX 77070 | 2020-04-28 |
| 1871113837 | Carolyn Hong Nguyen | Radiology | 18220 Tx 249, Houston, TX 77070 | 2020-04-20 |
| 1942831268 | Rea May Roque Danao | Registered Nurse | 18220 Tx-249, Houston, TX 77070 | 2020-01-27 |
| 1124669866 | Endocrine Diabetes and Thyroid Specialists of Houston Pllc | Internal Medicine | 18220 Texas 249 Access Rd, Houston, TX 77070 | 2019-10-03 |
| 1851944300 | Oculus Cypresswood, LLC | Optometrist | Hwy 249 & Cypresswood, Houston, TX 77070 | 2019-07-23 |
| 1740832310 | Oculus Cypresswood, LLC | Optometrist | Highway 249 & Cypresswood, Houston, TX 77070 | 2019-07-12 |
| 1750846176 | Karen Fletcher | Occupational Therapy Assistant | Silverado Vintage Preserve, 10120 Louette Rd, Houston, TX 77070 | 2019-02-11 |
| 1154803518 | Geraldine Santillan Villanueva | Physical Therapist | 13220 Breton Ridge St., Houston, TX 77070 | 2018-09-02 |
| 1467945865 | Pure G Kids, LLC | Clinic/Center | 21175 Tomball Pkwy Ste 379, Houston, TX 77070 | 2018-06-11 |
| 1063902518 | Stephanie Leona Bloodworth | Marriage & Family Therapist | 9950 Cypresswood Dr Ste 214, Houston, TX 77070 | 2018-05-10 |
| Find all providers in zip 77070 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508487273 | Victoria Ann Petruzzi | Obstetrics & Gynecology | 1401 St. Joseph Pkwy., Sks1106a, Houston, TX 77002 | 2020-05-04 |
| 1962052605 | Sharee Anne Valencia | Obstetrics & Gynecology | 11947 North Fwy, Houston, TX 77060-1700 | 2019-09-15 |
| 1881251239 | Andrea Marie Costello | Obstetrics & Gynecology | Gme, Attn: Dottie Mersinger, 6670 Bertner Ave., R2-216, Houston, TX 77030 | 2019-05-21 |
| 1144784406 | Martha Laird | Obstetrics & Gynecology | 5618 Bankside Dr, Houston, TX 77096-6119 | 2019-01-30 |
| 1588134407 | The Women's Health Solution | Obstetrics & Gynecology | 5751 Blythewood St Ste 200, Houston, TX 77021-5404 | 2018-12-04 |
| 1720569411 | Champions Women's Center, P.a. | Obstetrics & Gynecology | 17070 Red Oak Dr Ste 400, Houston, TX 77090-2616 | 2018-08-22 |
| 1942711668 | Total Women's Care Pllc | Obstetrics & Gynecology | 2050 North Loop W Ste 130, Houston, TX 77018-8111 | 2017-10-20 |
| 1821451667 | L. Natalie Carroll, M.d. P A | Obstetrics & Gynecology | 2656 S Loop W Ste 575, Houston, TX 77054-5622 | 2016-03-30 |
| 1841652120 | Iris Alejandra Trochez Valladares | Obstetrics & Gynecology | 13215 Dotson Rd Ste 200, Houston, TX 77070-4535 | 2016-03-24 |
| 1255702544 | Leen Al-hafez | Obstetrics & Gynecology | 3105 Norfolk St, Apartment 18305, Houston, TX 77098-2916 | 2015-10-12 |
| Find all providers in HOUSTON | ||||
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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.