DR. TOD S RUSSELL (NPI# 1336164946) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336164946 |
| Entity Type | Individual |
| Full Name | DR. TOD S RUSSELL |
| Credential | M.D. |
| Practice Address |
1050 Jabara Ave Seymour Johnson Afb Goldsboro NC 27531-2310 |
| Practice Telephone | 9197220928 |
| Practice Fax Number | 9197221952 |
| Mailing Telephone | 9197220928 |
| Mailing Fax Number | 9197221952 |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0208X |
Pediatrics Specialization: Pediatric Infectious Diseases |
MD048688L | PA | Allopathic & Osteopathic Physicians |
| Street Address |
1050 JABARA AVE SEYMOUR JOHNSON AFB |
| City | GOLDSBORO |
| State | NC |
| Zip Code | 27531-2310 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821087818 | Todd Alan Cesar | Social Worker | 1050 Jabara Ave, Seymour Johnson Afb, Goldsboro, NC 27531-2310 | 2005-10-21 |
| 1184137457 | Jason H Trinh | Pharmacist | 1050 Jabara Ave, Goldsboro, NC 27531-2310 | 2017-11-09 |
| 1184152910 | David Vincent Peter Espitia | Military Health Care Provider | 1050 Jabara Ave, Goldsboro, NC 27531-2310 | 2017-05-24 |
| 1972050920 | Brittany Denise Booker | Nurse Practitioner | 1050 Jabara Ave, Goldsboro, NC 27531-2310 | 2016-09-07 |
| 1699144923 | Matthew Keeney Williams | Physical Therapist | 1050 Jabara Ave, Goldsboro, NC 27531-2310 | 2015-09-16 |
| 1992144778 | Anthony J Meelan | Family Medicine | 1050 Jabara Ave, Goldsboro, NC 27531-2310 | 2013-06-14 |
| 1679829634 | Luke Li | Psychiatry & Neurology | 1050 Jabara Ave, Goldsboro, NC 27531-2310 | 2012-07-27 |
| 1538432018 | Elliott John Sally | Pediatrics | 1050 Jabara Ave, Sjafb, Pediatric Clinic, Goldsboro, NC 27531-2310 | 2012-02-15 |
| 1235440439 | Stacy Marie Neagles | Military Health Care Provider | 1050 Jabara Ave, Goldsboro, NC 27531-2310 | 2010-06-23 |
| 1790931723 | Joshua S Swantek | Pharmacist | 1050 Jabara Ave, Seymour Johnson Afb, Goldsboro, NC 27531 | 2008-08-11 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376185348 | Adam Golos | Pharmacist | 2803 Medical, N Campus Dr, Goldsboro, NC 27531 | 2019-10-11 |
| 1346747011 | Rachel Eden Leigh Palmer | Military Health Care Provider | 2803 Medical Campus Dr, Seymour Johnson Afb, NC 27531 | 2018-04-10 |
| 1689108508 | Peri Fouss | Pediatrics | 2803 Medical Campus Drive, Goldsboro, NC 27531 | 2017-04-18 |
| 1700256427 | Karen Schaefer | Psychologist | 1050 Jabara Ave., Goldsboro, NC 27531 | 2015-10-07 |
| 1679059737 | Charles Billig | Physician Assistant | 2803 Medical Campus Dr, Goldsboro, NC 27531 | 2018-07-12 |
| 1710413216 | Michael Everett Ridlehoover | Dentist | 2803 Medical Campus Drive, Seymour Johnson Afb, NC 27531 | 2017-05-04 |
| 1831173558 | Thomas Koritz Clinic | Clinic/Center | 1050 Jabara Avenue, Seymour Johnson Afb, NC 27531-2310 | 2005-12-06 |
| 1053316562 | Stephen Brian Irvin | Family Medicine | 1050 Jabarrah Ave, Seymour Johnson A F B, NC 27531-2310 | 2005-06-21 |
| 1952704975 | Andrea Sumner | Physician Assistant | 1050 Jabarrah Ave, Seymour Johnson A F B, NC 27531-2310 | 2014-10-04 |
| 1114363884 | Nathan Lee Carlson | Military Health Care Provider | 1050 Jabarrah Ave, Goldsboro, NC 27531-2310 | 2013-05-21 |
| Find all providers in zip 27531 | ||||
| Taxonomy Code | 2080P0208X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Infectious Diseases |
| A pediatrician trained to care for children in the diagnosis, treatment and prevention of infectious diseases. This specialist can apply specific knowledge to affect a better outcome for pediatric infections with complicated courses, underlying diseases that predispose to unusual or severe infections, unclear diagnoses, uncommon diseases and complex or investigational treatments. |
| 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/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164867842 | Peyton Jessie Thompson | Pediatrics | Pediatirc Education Office Clb # 7593, Department of Pediatrics, Chapel Hill, NC 27599-0001 | 2013-05-08 |
| 1700887791 | William A Dalzell | Pediatrics | 2 Doctors Park, Ecu Physicians Pediatric Specialty Care Clinic, Greenville, NC 27834-2801 | 2005-08-02 |
| 1285045963 | Keerti Dantuluri | Pediatrics | 1001 Blythe Blvd, Medical Center Plaza Suite 200, Charlotte, NC 28203-5866 | 2014-05-15 |
| 1659790954 | Bradford Becken IIi | Pediatrics | 2301 Erwin Rd, Durham, NC 27710-4699 | 2014-04-15 |
| 1285891929 | David Andrew Wilfret | Pediatrics | Duke University Medical Ctr, Pediatric Bone Marrow Transplant, Durham, NC 27710-0001 | 2008-05-20 |
| 1528233665 | Michael Cohen-wolkowiez | Pediatrics | 2100 Erwin Rd, Durham, NC 27705-3941 | 2008-04-29 |
| 1356531487 | Sallie R Permar | Pediatrics | 2100 Erwin Rd, Durham, NC 27705-3941 | 2007-07-25 |
| 1942410394 | Lee Morris | Pediatrics | 1001 Blythe Blvd, Medical Center Plaza Suite 200, Charlotte, NC 28203-5866 | 2007-05-23 |
| 1710102918 | Kacy Alyne Ramirez | Pediatrics | Medical Center Blvd, Department of Pediatrics, Winston Salem, NC 27157-0001 | 2007-04-16 |
| 1962565747 | Ross Mckinney | Pediatrics | 2100 Erwin Rd, Durham, NC 27710-0001 | 2006-12-19 |
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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.