RYAN WILLIAM RUSSELL (NPI# 1366975906) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366975906 |
| Entity Type | Individual |
| Full Name | RYAN WILLIAM RUSSELL |
| Credential | D.O. |
| Practice Address |
3930 Northwoods Dr Arden Hills MN 55112-6963 |
| Mailing Address |
8170 33rd Ave S Bloomington MN 55425-4516 |
| Practice Telephone | 6515238500 |
| Mailing Telephone | 6515238500 |
| Enumeration Date | 2017-04-11 |
| Last Update Date | 2020-08-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 67442 | MN | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619238755 | Ryan William Russell | Pharmacist | 5574 Everglades St Ste A, Ventura, CA 93003-6542 | 2012-06-05 |
| 1154963114 | Ryan J Russell | Registered Nurse | 1509 Wilson Ter, Glendale, CA 91206-4007 | 2019-10-11 |
| 1841751187 | Ryan Russell | Student in an Organized Health Care Education/Training Program | 16 Bank St, Batavia, NY 14020-2250 | 2019-03-28 |
| 1740773019 | Ryan S Russell | Social Worker | 601 S Edwin C Moses Blvd, Dayton, OH 45417-3424 | 2018-06-12 |
| 1669823647 | Ryan Russell | Pharmacist | 415 6th St, Lewiston, ID 83501-2431 | 2016-06-30 |
| 1265890669 | Ryan J Russell | Chiropractor | 406 E South Blvd, Crawfordsville, IN 47933-3762 | 2016-02-01 |
| 1063889848 | Ryan Nelson Russell | Chiropractor | 1580 Montgomery Hwy, Suite 14, Hoover, AL 35216-4586 | 2015-08-27 |
| 1689931602 | Ryan Cory Russell | Anesthesiology | 2401 S 31st St, Ms-20-d304, Temple, TX 76508-0001 | 2012-04-15 |
| 1245465467 | Ryan Michael Russell | Pharmacist | 12266 De Paul Dr, Suite 105, Bridgeton, MO 63044-2514 | 2009-05-18 |
| 1710175559 | Ryan A Russell | Prosthetist | 8540 Reseda Blvd, Northridge, CA 91324-4628 | 2007-10-05 |
| Street Address |
3930 NORTHWOODS DR |
| City | ARDEN HILLS |
| State | MN |
| Zip Code | 55112-6963 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912978362 | Norma J Cheesebrow | Nurse Practitioner | 3930 Northwoods Dr, Mail Stop 32800a, Arden Hills, MN 55112-6974 | 2006-02-01 |
| 1023620994 | Taylor Chiropractic Pllc | Chiropractor | 3930 Northwoods Dr, Arden Hills, MN 55112-6963 | 2020-08-20 |
| 1730679325 | Nadine Yacoub | Dentist | 3930 Northwoods Dr, Arden Hills, MN 55112 | 2018-05-18 |
| 1790294874 | Jennifer Susan Fury | Nurse Practitioner | 3930 Northwoods Dr, Arden Hills, MN 55112-6963 | 2017-09-21 |
| 1639698194 | Kathryn Lynn Dauble | Nurse Practitioner | 3930 Northwoods Dr, Arden Hills, MN 55112-6963 | 2017-09-15 |
| 1205389624 | Calla Marie Hopeman | Registered Nurse | 3930 Northwoods Dr, Mail Stop 32800a, Arden Hills, MN 55112-6963 | 2016-08-02 |
| 1245681014 | Tswjfwm Vang | Family Medicine | 3930 Northwoods Dr, Arden Hills, MN 55112-6963 | 2016-06-23 |
| 1326425737 | Ashley Bishop | Family Medicine | 3930 Northwoods Dr, Arden Hills, MN 55112-6963 | 2015-05-05 |
| 1558763136 | Kathleen Ann Parker | Nurse Practitioner | 3930 Northwoods Dr, Arden Hills, MN 55112-6963 | 2014-09-25 |
| 1023452182 | Luke Tae Jong Moore | Ophthalmology | 3930 Northwoods Dr, Arden Hills, MN 55112 | 2013-04-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932729704 | Owegio Wreh | Technician | 1405 Silver Lake Road Suite 15, New Brighton, MN 55112 | 2020-04-22 |
| 1205497435 | Silver Lake Smiles Family Dentistry | Clinic/Center | 2370 Palmer Drive, New Brighton, MN 55112 | 2019-06-27 |
| 1932766169 | Matthew Thomas Hanowski | Dentist | 2442 Mounds View Boulevard, Mounds View, MN 55112 | 2019-05-22 |
| 1437619988 | Marjean Diane Leary | Registered Nurse | 338 New Brighton Road, Apt, Suite, Bldg. (optional), New Brighton, MN 55112 | 2019-03-21 |
| 1558802728 | Krishna Katira | Student in an Organized Health Care Education/Training Program | 2442 County Hwy 10, Mounds View, MN 55112 | 2017-03-20 |
| 1245781608 | Evan Fredrick Lieberman | Counselor | 1900 Silver Lake Rd, Suite 110, New Brighton, MN 55112 | 2016-10-20 |
| 1093262065 | Ryan Zinken | Nurse Practitioner | 1900 Silver Lake Road, Suite 110, New Brighton, MN 55112 | 2016-09-07 |
| 1447703228 | Alison Glodek | Social Worker | 2543 17th St Nw, New Brighton, MN 55112 | 2016-07-28 |
| 1659728194 | Ge Vang Sr. | Driver | 2160 County Road E West #205, 2160 County Road E West #205, New Brighton, MN 55112 | 2016-05-14 |
| 1114373578 | Jessica Gapinski | Specialist/Technologist | 3900 Bethel Drive, Arden Hills, MN 55112 | 2016-05-04 |
| Find all providers in zip 55112 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891775847 | Annie L Ideker | Family Medicine | 3930 Northwoods Dr - Mail Stop 32800a, Healthpartners Arden Hills Clinic, Arden Hills, MN 55112-6974 | 2006-01-18 |
| 1245681014 | Tswjfwm Vang | Family Medicine | 3930 Northwoods Dr, Arden Hills, MN 55112-6963 | 2016-06-23 |
| 1326425737 | Ashley Bishop | Family Medicine | 3930 Northwoods Dr, Arden Hills, MN 55112-6963 | 2015-05-05 |
| 1366855421 | Ingrid Anderson Beck | Family Medicine | 3930 Northwoods Drive, Mail Stop 32800a, Arden Hills, MN 55112-6974 | 2014-06-06 |
| 1932495454 | Sandhita Saha | Family Medicine | 3930 Northwoods Dr, Arden Hills, MN 55112-6963 | 2011-06-22 |
| 1235429515 | Nicholas Fredrick Anderson | Family Medicine | 3930 Northwoods Dr, Mail Stop 32800a, Arden Hills, MN 55112-6974 | 2011-04-07 |
| 1376787861 | Xiao Feng | Family Medicine | 3930 Northwoods Dr, Ms 32800a Healthpartners Arden Hills Clinic, Arden Hills, MN 55112-6974 | 2009-04-28 |
| 1285895623 | Keith W Spears | Family Medicine | 3930 Northwoods Dr - Mail Stop 32800a, Healthpartners Arden Hills Clinic, Arden Hills, MN 55112-6974 | 2008-06-18 |
| 1831160290 | James L Epperson | Family Medicine | 3930 Northwoods Dr - Mail Stop 32800a, Healthpartners Arden Hills Clinic, Arden Hills, MN 55112-6974 | 2006-02-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295349280 | Anna Dalrymple | Family Medicine | 3832 Mcknight Rd N, White Bear Lake, MN 55110-4874 | 2020-09-07 |
| 1760005771 | Revive Pain Centers Pa | Family Medicine | 14525 Highway 7 Ste 375, Minnetonka, MN 55345-3741 | 2020-05-26 |
| 1245862697 | North Iowa Mercy Clinics | Family Medicine | 2440 Bridge Ave, Albert Lea, MN 56007-2005 | 2020-02-04 |
| 1477196715 | The Doctors Medical Clinic, P.a. | Family Medicine | 1504 Whitebear Ave, St Paul, MN 55106 | 2019-10-18 |
| 1699336511 | Ruth Archibald | Family Medicine | 6962 Cottonwood Ct Nw, Rochester, MN 55901-8835 | 2019-06-21 |
| 1295399251 | Roberta Lynn Kopel | Family Medicine | 1605 W Lincoln Ave, Olivia, MN 56277-1260 | 2019-04-25 |
| 1558834390 | Donna Mae Mullenix | Family Medicine | 2849 Cty Rd 103, Barnum, MN 55707 | 2019-01-04 |
| 1083189203 | Altru Health System | Family Medicine | 23076 347th Street Se, Erskine, MN 56535-9466 | 2018-10-04 |
| 1477039204 | Dollar Clinic Pllc | Family Medicine | 1002 1st Ave N, Moorhead, MN 56560-2003 | 2018-07-16 |
| 1780186486 | Simplicity Health Pa | Family Medicine | 1511 Northway Dr Ste 103, Saint Cloud, MN 56303 | 2018-03-08 |
| Find all providers with the same taxonomy | ||||
| City | ARDEN HILLS |
| Zip Code | 55112 |
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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.