DR. GEORGE H RUSSELL (NPI# 1366423154) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366423154 |
| Entity Type | Individual |
| Full Name | DR. GEORGE H RUSSELL |
| Credential | MD |
| Practice Address |
887 Congress St Suite 320 Portland ME 04102-3100 |
| Mailing Address |
300 Southborough Dr Suite 201 South Portland ME 04106-6914 |
| Practice Telephone | 2076625522 |
| Practice Fax Number | 2076625227 |
| Mailing Telephone | 2076612000 |
| Enumeration Date | 2005-11-08 |
| Last Update Date | 2016-08-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208000000X | Pediatrics | 213288 | MA | Allopathic & Osteopathic Physicians |
| Y | 2080P0206X |
Pediatrics Specialization: Pediatric Gastroenterology |
MD20882 | ME | Allopathic & Osteopathic Physicians |
| N | 2080P0206X |
Pediatrics Specialization: Pediatric Gastroenterology |
213288 | MA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 0192830 | 05 | |
| MA | TUFTS HEALTH PLAN | 460383 | 01 |
| MA | BCBS MA | J24704 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922493055 | George Russell | Physical Therapist | 12961 Lafayette St Unit H, Thornton, CO 80241-3969 | 2015-04-06 |
| 1992828917 | George Curtis Russell | Dentist | 15015 Holiday Dr, Vermilion, OH 44089-1084 | 2007-04-06 |
| 1508307448 | George William Russell | Family Medicine | 1600 W University Blvd, Durant, OK 74701-3094 | 2017-03-11 |
| 1316182546 | George Russell | Social Worker | 77 Court St, Bangor, ME 04401-4723 | 2008-12-02 |
| 1205038932 | George Russell | Chiropractor | 101 5th Ave, Suite 10c, New York, NY 10003-1023 | 2007-06-04 |
| 1932178241 | George R Russell | Dermatology | 1000 Alpine Ave, #50, Boulder, CO 80304-3409 | 2006-03-17 |
| 1629072509 | George V Russell Jr. | Orthopaedic Surgery | 2500 N State St, Jackson, MS 39216-4500 | 2005-06-09 |
| Street Address |
887 CONGRESS ST SUITE 320 |
| City | PORTLAND |
| State | ME |
| Zip Code | 04102-3100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548264054 | Michael Robert Curci | Surgery | 887 Congress St, Ste 410a, Portland, ME 04102-3103 | 2005-06-13 |
| 1245886209 | Melisa Suzanne Sprague | Physician Assistant | 887 Congress St, Portland, ME 04102-3100 | 2019-08-15 |
| 1821503939 | Allison Layton | Social Worker | 887 Congress St, Portland, ME 04102-3100 | 2017-12-12 |
| 1104349133 | Laura Ann Lebourdais | Physician Assistant | 887 Congress St, Portland, ME 04102-3100 | 2017-07-21 |
| 1518342526 | Mainehealth | General Acute Care Hospital | 887 Congress St, Portland, ME 04102-3100 | 2015-07-21 |
| 1790160703 | Maine Medical Partners | Surgery | 887 Congress St, Portland, ME 04102-3100 | 2015-07-21 |
| 1093100646 | Douglas D. Campbell | Anesthesiology | 887 Congress St, Portland, ME 04102-3100 | 2015-03-31 |
| 1508260530 | Emily Sweeney | Nurse Practitioner | 887 Congress St, Suite 300, Portland, ME 04102-3100 | 2014-10-20 |
| 1639580947 | Valerie Carpenter | Physician Assistant | 887 Congress St, Portland, ME 04102-3100 | 2014-05-08 |
| 1932521085 | Jaime Eller | Social Worker | 887 Congress St, Suite 300, Portland, ME 04102-3100 | 2014-01-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720602964 | Ci Yen Joanna Man | Student in an Organized Health Care Education/Training Program | 190 Park Ave., Portland, ME 04102 | 2020-06-03 |
| 1841811338 | Abby Zarotny Sahagian | Nurse Anesthetist, Certified Registered | Mmc Anesthesia and Perioperative Medicine, 22 Bramhall St, Portland, ME 04102 | 2020-05-06 |
| 1124656863 | Zachary Bernard Tillett | Student in an Organized Health Care Education/Training Program | Maine Medical Center 22 Bramhall St., Portland, ME 04102 | 2020-03-30 |
| 1215564323 | Joshua Allen Swenson | Student in an Organized Health Care Education/Training Program | 33 Bramhall St, Portland, ME 04102 | 2020-03-26 |
| 1740776434 | Rishi Phakey | Dentist | Community Dental, 190 Park Ave, Portland, ME 04102 | 2018-07-05 |
| 1982192571 | Jessica Thomas | Doula | 619 Brighton Ave #101, Rosemont Wellness Center, Portland, ME 04102 | 2018-04-29 |
| 1699270744 | Shane D Kirkegaard | Student in an Organized Health Care Education/Training Program | Maine Medical Center 22 Bramhall Street, Portland, ME 04102 | 2018-03-29 |
| 1144752494 | Al-shawk Home Healthcare, LLC | Technician | 640 Brighton Ave Ste 8, Portland, ME 04102 | 2017-03-28 |
| 1376074674 | Samuel B Potter | Emergency Medicine | Maine Medical Center, 22 Bramhall Street, Portland, ME 04102 | 2017-03-27 |
| 1043767536 | Kevin De Ruiter | Social Worker | 129 Pine St Apt 6, Portland, ME 04102 | 2016-09-01 |
| Find all providers in zip 04102 | ||||
| Taxonomy Code | 2080P0206X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Gastroenterology |
| A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952439267 | Anna K Hunter | Pediatrics | 700 Sw Campus Dr, Pediatric Gastroenterology and Nutrition, Portland, OR 97239-3107 | 2007-02-28 |
| 1164823019 | Kimberly D Trieschmann | Pediatrics | 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3098 | 2014-09-10 |
| 1770990236 | Sylvia Doan | Pediatrics | 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 | 2014-07-16 |
| 1508284068 | Dong Xi | Pediatrics | 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 | 2014-04-02 |
| 1306166038 | Gillian Lam | Pediatrics | 700 Sw Campus Dr, 7th Floor, Portland, OR 97239-3107 | 2010-06-04 |
| 1568623072 | Raghu U Varier | Pediatrics | 300 N Graham St, Suite 420, Portland, OR 97227-1683 | 2008-06-18 |
| 1588831713 | Amy Chu Tsai | Pediatrics | 9427 Sw Barnes Rd Ste 395, Portland, OR 97225-6652 | 2008-05-16 |
| 1154591519 | Steven Blake Colson | Pediatrics | 300 N Graham St, Suite 420, Portland, OR 97227-1683 | 2008-03-01 |
| 1063629251 | Kathryn D Moyer | Pediatrics | 300 N Graham St, Suite 420, Portland, OR 97227-1683 | 2007-05-17 |
| 1689747362 | Kenneth Cox | Pediatrics | 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 | 2006-11-17 |
| Find all providers in PORTLAND | ||||
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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.