LAWRENCE BENIDICT RUSSELL (NPI# 1336148147) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336148147 |
| Entity Type | Individual |
| Full Name | LAWRENCE BENIDICT RUSSELL |
| Credential | PA-C |
| Practice Address |
7287 W Ridge Rd Fairview PA 16415-1130 |
| Practice Telephone | 8148772360 |
| Practice Fax Number | 8144743561 |
| Mailing Telephone | 8148772360 |
| Mailing Fax Number | 8144743561 |
| Enumeration Date | 2005-07-14 |
| Last Update Date | 2013-04-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | MA000191L | PA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | RR MEDICARE | P00111403 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407853237 | Lawrence I Russell | Internal Medicine | 4212 West Congress Street, Suite 1401, Lafayette, LA 70506 | 2005-07-07 |
| 1992041909 | Lawrence Russell | Case Manager/Care Coordinator | 2000 Aldersgate Rd, Little Rock, AR 72205-7018 | 2012-12-19 |
| 1578895884 | Lawrence Julian Russell Jr. | Occupational Therapy Assistant | 1500 Palm Beach Rd, Stuart, FL 34994-4044 | 2010-02-11 |
| Street Address |
7287 W RIDGE RD |
| City | FAIRVIEW |
| State | PA |
| Zip Code | 16415-1130 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952300725 | Michael Andrew Spellacy | Family Medicine | 7287 W Ridge Rd, Fairview, PA 16415-1130 | 2005-07-14 |
| 1568974889 | Paige M King | Physician Assistant | 7287 W Ridge Rd, Fairview, PA 16415-1130 | 2017-10-26 |
| 1598289340 | Julia Anne Trimble | Physician Assistant | 7287 W Ridge Rd, Fairview, PA 16415-1130 | 2017-08-02 |
| 1033562533 | Regional Health Services Inc | Non-Pharmacy Dispensing Site | 7287 W Ridge Rd, Fairview, PA 16415-1130 | 2016-07-20 |
| 1063889657 | Nicole M Strand | Nurse Practitioner | 7287 W Ridge Rd, Fairview, PA 16415-1130 | 2015-08-31 |
| 1619386349 | Dameon L Covert | Nurse Practitioner | 7287 W Ridge Rd, Fairview, PA 16415-1130 | 2014-08-06 |
| 1295087815 | Caroline Anne Strait | Physician Assistant | 7287 W Ridge Rd, Fairview, PA 16415-1130 | 2012-10-05 |
| 1245253129 | Allison Barbara Mailliard | Family Medicine | 7287 W Ridge Rd, Fairview, PA 16415-1130 | 2006-07-25 |
| 1497755292 | Brian Joseph Stark | Family Medicine | 7287 W Ridge Rd, Fairview, PA 16415-1130 | 2005-07-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013451947 | Stefanie Hallowell | Counselor | 2445 West 34th Street, Fairview, PA 16415 | 2016-12-12 |
| 1952621203 | Katherine Walenciak Ulrich | Speech-Language Pathologist | 6019 Pebble Creek Dr, Fairview, PA 16415 | 2010-06-09 |
| 1366560815 | Medical Associates of Erie | Family Medicine | 7686 West Ridge Rd, Fairview, PA 16415 | 2007-03-26 |
| 1306979943 | Susan E Maland | Prosthetist | 7371 Fairweather Drive, Fairview, PA 16415 | 2007-03-13 |
| 1821172610 | Lawrence John Amenta | Dentist | 7435 West Ridge Rd, Box 496, Fariview, PA 16415 | 2006-10-25 |
| 1356360762 | Richard Sy Sposito | Family Medicine | 7686 West Ridge Rd., Fairview, PA 16415 | 2006-07-18 |
| 1477518124 | Richard Anthony Ortoski | Family Medicine | 7686 West Ridge Road, Fairview, PA 16415 | 2006-04-18 |
| 1184099012 | Mary Kathryn Washok | Occupational Therapy Assistant | 900 Manchester Road, Fairview, PA 16415 | 2015-12-03 |
| 1578938403 | Laurie Jackson Hudson | Physical Therapist | 900 Manchester Road, Fairview, PA 16415 | 2015-12-03 |
| 1689748766 | Michael William Brown | Dentist | 7435 West Ridge Rd, Fairview, PA 16415-0496 | 2006-11-20 |
| Find all providers in zip 16415 | ||||
| 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 |
|---|---|---|---|---|
| 1780216010 | Milo Jackson Simpson | Physician Assistant | 2340 Fairview Blvd Ste 600d, Fairview, TN 37062-9457 | 2020-02-05 |
| 1568974889 | Paige M King | Physician Assistant | 7287 W Ridge Rd, Fairview, PA 16415-1130 | 2017-10-26 |
| 1598289340 | Julia Anne Trimble | Physician Assistant | 7287 W Ridge Rd, Fairview, PA 16415-1130 | 2017-08-02 |
| 1295087815 | Caroline Anne Strait | Physician Assistant | 7287 W Ridge Rd, Fairview, PA 16415-1130 | 2012-10-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093316762 | Alyssa Ann Mikes | Physician Assistant | 6 New Countryside Dr, West Chester, PA 19382-6456 | 2020-11-08 |
| 1720689011 | Marissa Dawn Lamary | Physician Assistant | 1500 Fifth Ave Bldg Leveld, Mckeesport, PA 15132-2422 | 2020-11-04 |
| 1013517796 | Kifany M Gower | Physician Assistant | 1158 Wyoming Ave, Exeter, PA 18643-1815 | 2020-10-30 |
| 1922608645 | Meghan Michelle Allen | Physician Assistant | 4800 Friendship Ave Ste 439, Pittsburgh, PA 15224-1722 | 2020-10-30 |
| 1912507807 | Rachel Nye | Physician Assistant | 124 Home Depot Dr Ste D, Franklin, PA 16323-8030 | 2020-10-29 |
| 1487254306 | Zane T Mcguire | Physician Assistant | 378 W Chestnut St Ste 103, Washington, PA 15301-4661 | 2020-10-29 |
| 1740889443 | Tricia Harenza | Physician Assistant | 27 Sandy Ln Ste 250, Lewistown, PA 17044-1372 | 2020-10-22 |
| 1336748425 | Alexis Marie Ivosevic | Physician Assistant | 98 Deer Park Ln, Hawley, PA 18428-8223 | 2020-10-20 |
| 1780283986 | Margaret Ann Malloy | Physician Assistant | 3223 N Broad St Fl 1, Philadelphia, PA 19140-5007 | 2020-10-20 |
| 1851990170 | Jessica Marie Giordano | Physician Assistant | 201 Penn Valley Ter, Yardley, PA 19067-1028 | 2020-10-19 |
| Find all providers with the same taxonomy | ||||
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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.