RUSSELL ALAN SMITH (NPI# 1346594439) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1346594439 |
Entity Type | Individual |
Full Name | RUSSELL ALAN SMITH |
Credential | CNIM, REPT |
Practice Address |
1819 Jay Ell Dr # 1 Richardson TX 75081-1837 |
Mailing Address |
1819 Jay Ell Dr Richardson TX 75081-1837 |
Practice Telephone | 8883442947 |
Practice Fax Number | 8886942947 |
Mailing Telephone | 8883442947 |
Mailing Fax Number | 8886942947 |
Enumeration Date | 2012-10-29 |
Last Update Date | 2019-09-04 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 246ZE0600X |
Specialist/Technologist, Other Specialization: Electroneurodiagnostic |
1151 | TX | Technologists, Technicians & Other Technical Service Providers |
Y | 246ZE0600X |
Specialist/Technologist, Other Specialization: Electroneurodiagnostic |
2557 | TX | Technologists, Technicians & Other Technical Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639611767 | Russell Smith | Nurse Practitioner | 1230 Bay Dale Dr, Arnold, MD 21012-2325 | 2016-11-07 |
1184174229 | Russell Smith | Pharmacist | 2114 Chatalet Ln Apt L, Pueblo, CO 81005-4602 | 2016-10-13 |
1912236241 | Russell Charles Smith | Dentist | 9131 Parkway East, Birmingham, AL 35206-1552 | 2009-12-16 |
1083840011 | Russell E Smith | Pharmacist | 533 N Main St, Troutman, NC 28166-8526 | 2009-06-04 |
1962666529 | Russell Smith | Dentist | 6415 Business Park Loop Rd Ste J, Park City, UT 84098-6218 | 2008-07-14 |
1255547386 | Russell John Smith | Dentist | 7209 265th St Nw, Suite 201, Stanwood, WA 98292-6292 | 2007-05-15 |
1467595025 | Russell Lynn Smith | Specialist | 8330 E Quincy Ave Apt D212, Denver, CO 80237-2456 | 2007-02-14 |
1841377553 | Russell Gene Smith | Physical Therapy Assistant | 100 Healthy Way # 1110, Anderson, SC 29621-2067 | 2006-11-01 |
1477637817 | Russell R. Smith | Internal Medicine | 1005 Union School Rd, Gallatin, TN 37066-2084 | 2006-10-24 |
1811916778 | Russell Joseph Smith | Psychologist | 3478 Catclaw Dr, 112, Abilene, TX 79606-8224 | 2006-07-19 |
Street Address |
1819 JAY ELL DR # 1 |
City | RICHARDSON |
State | TX |
Zip Code | 75081-1837 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992305619 | Kasaundra Deleon | Pharmacy | 802 E Us Hwy, Richardson, TX 75081 | 2020-10-30 |
1265076806 | Stateserv Medical of Texas | Durable Medical Equipment & Medical Supplies | 1207 N. Glenview Drive, Richardson, TX 75081 | 2019-11-06 |
1831732890 | Cielo Camille Lopez | Registered Nurse | 908 Audelia Rd St. 200-pmb 170, Richardon, TX 75081 | 2019-10-23 |
1154963007 | Alex Robert Langford | Technician, Other | 1901 N. Glenville Dr., Suite 501, Richardson, TX 75081 | 2019-10-11 |
1427530849 | Ladasha Danelle Gregory | Occupational Therapy Assistant | 744 Brick Row Dr Apt 2226, Richardson, TX 75081 | 2018-09-01 |
1013403427 | Camp Medical Management, LLC | Social Worker | 208 W. Spring Valley Rd, Richardson, TX 75081 | 2018-07-09 |
1710486238 | Sara Nourani-dargiri | Optometrist | 1332 S. Plano Rd Ste 112, Richardson, TX 75081 | 2018-02-10 |
1174044895 | Rebecka Kay Haats | Dentist | 644 Brick Row Dr. Apt 3211, Richardson, TX 75081 | 2017-07-03 |
1225418635 | Elizabeth Bands | Pharmacist | 930 East Campbell, Suite 200, Richardson, TX 75081 | 2015-06-02 |
1518344597 | Relationship Resolve | Public Health or Welfare | 800 Security Row, Suite 2, Richardson, TX 75081 | 2015-04-29 |
Find all providers in zip 75081 |
Taxonomy Code | 246ZE0600X |
Grouping | Technologists, Technicians & Other Technical Service Providers |
Classification | Specialist/Technologist, Other |
Specialization | Electroneurodiagnostic |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093013310 | Axis Neuromonitoring | Specialist/Technologist, Other | 1819 Jay Ell Dr Ste 100, Richardson, TX 75081-1837 | 2011-03-10 |
1518282557 | Mindi L Sifuentes | Specialist/Technologist, Other | 3400 Waterview Pkwy Ste 305, Richardson, TX 75080-1472 | 2010-04-01 |
1740393974 | Lyle James Blaylock | Specialist/Technologist, Other | 1819 Jay Ell Dr, Richardson, TX 75081-1837 | 2006-08-15 |
1225639487 | Axis Neuromonitoring Sa, LLC | Specialist/Technologist, Other | 1819 Jay Ell Dr Ste 100, Richardson, TX 75081-2064 | 2020-11-04 |
1124639638 | George W. Whitehead Iv | Specialist/Technologist, Other | 1819 Jay Ell Dr, Richardson, TX 75081-2063 | 2020-08-10 |
1164055695 | Treme Healthcare, LLC | Specialist/Technologist, Other | 2011 N Collins Blvd Ste 711, Richardson, TX 75080-2689 | 2020-02-12 |
1780217216 | Bywater Healthcare, Pllc | Specialist/Technologist, Other | 2011 N Collins Blvd, Richardson, TX 75080-2636 | 2020-02-12 |
1598316234 | Peyton Michele Lasker | Specialist/Technologist, Other | 3400 Waterview Pkwy Ste 305, Richardson, TX 75080-1566 | 2019-09-24 |
1851942593 | Madison Leigh Marks | Specialist/Technologist, Other | 3400 Waterview Pkwy Ste 305, Richardson, TX 75080-1566 | 2019-09-24 |
1750848875 | Julia Madison Krantz | Specialist/Technologist, Other | 1819 Jay Ell Dr, Richardson, TX 75081-1837 | 2019-02-25 |
Find all providers in RICHARDSON |
City | RICHARDSON |
Zip Code | 75081 |
Please comment or provide details below to improve the information on RUSSELL ALAN SMITH.
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.