SUZANNE RENEE RUSSELL (NPI# 1376794446) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376794446 |
| Entity Type | Individual |
| Full Name | SUZANNE RENEE RUSSELL |
| Credential | PA-C |
| Practice Address |
13075 W Mcdowell Ste D106 Nextcare Urgent Care Avondale AZ 85323 |
| Practice Telephone | 6235369576 |
| Mailing Telephone | 6235369576 |
| Enumeration Date | 2008-10-07 |
| Last Update Date | 2008-10-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
4220 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912147109 | Suzanne Busby Russell | Counselor | 5 Northpointe Cv, Jackson, MS 39211-2912 | 2009-02-27 |
| 1952788416 | Suzanne Russell | Physical Therapy Assistant | 16170 Kingsport Rd, Orland Park, IL 60467-5602 | 2015-05-04 |
| 1528343522 | Suzanne K Russell | Speech-Language Pathologist | 1490 State Route 488, Clifton Springs, NY 14432-9308 | 2011-10-21 |
| 1861633679 | Suzanne M Russell | Counselor | 401 Main St, Islip, NY 11751-3560 | 2009-03-09 |
| Street Address |
13075 W MCDOWELL STE D106 NEXTCARE URGENT CARE |
| City | AVONDALE |
| State | AZ |
| Zip Code | 85323 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932663994 | Bridgewater Avondale Operations, LLC | Assisted Living Facility | 295 E Van Buren Street, Avondale, AZ 85323 | 2019-01-24 |
| 1104309152 | Carlos Sifuentes | Physical Therapist | 10750 W Mcdowell Rd., Ste. B-210, Avondale, AZ 85323 | 2018-09-14 |
| 1225534688 | Dayna Sue Kaepp | Registered Nurse | 3300 N. Santa Fe Trail, Avondale, AZ 85323 | 2018-04-04 |
| 1407376700 | Amanda Lynn Radcliffe | Nurse Practitioner | 824 N. 99th Ave Ste 108, Avondale, AZ 85323 | 2017-06-27 |
| 1093253361 | Aquatic-n-writing Rehad | Home Health | 12355 West Cocopah Street, Avondale, AZ 85323 | 2017-02-07 |
| 1750838348 | Annette A Alvarez | Specialist/Technologist | 295 W Western Avenue, Avondale, AZ 85323 | 2016-09-01 |
| 1649726886 | Michelle R Dotson | Contractor | 12115 W Van Buren St Apt 1924, Avondale, AZ 85323 | 2016-08-28 |
| 1619370756 | Amanda Mann | Physical Therapy Assistant | 12804 West Hildalgo, Avondale, AZ 85323 | 2014-10-03 |
| 1326459306 | Ma Caubalejo | Physical Therapist | 350 East La Canada Blvd, Avondale, AZ 85323 | 2014-05-13 |
| 1093139545 | Mark Salvador | Physical Therapy Assistant | 11722 W. Mountain View Dr., Avondale, AZ 85323 | 2014-02-04 |
| Find all providers in zip 85323 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649431099 | Paul Bratcher | Physician Assistant | 13065 W Mcdowell Rd Ste A105, Avondale, AZ 85392 | 2008-06-18 |
| 1992979355 | James Lee Lamunyon | Physician Assistant | 2352 N 123rd Dr, Avondale, AZ 85392-6501 | 2008-04-16 |
| 1396747044 | Bethanie B. Sorensen | Physician Assistant | 10815 W Mcdowell Rd Ste 202, Avondale, AZ 85392-5010 | 2005-08-12 |
| 1942762000 | Bryan R Chavez Garcia | Physician Assistant | 10450 W Mcdowell Rd Ste 101, Avondale, AZ 85392-4901 | 2019-04-05 |
| 1285156117 | Lindsay Ann Rose Mcclure | Physician Assistant | 13075 W Mcdowell Rd, Avondale, AZ 85392 | 2017-07-12 |
| 1366991853 | Angela Doan | Physician Assistant | 13065 W Mcdowell Rd Ste A105, Avondale, AZ 85392 | 2016-09-26 |
| 1730636689 | Katelyn Rose Sherbondy | Physician Assistant | 13075 W Mcdowell Rd Ste D106, Avondale, AZ 85392-6437 | 2016-09-08 |
| 1851760276 | Tayler Auriel Sartorius | Physician Assistant | 3400 N Dysart Rd, Suite G127, Avondale, AZ 85392-1003 | 2015-09-15 |
| 1114335353 | Dustin Marley | Physician Assistant | 13055 W Mcdowell Rd, Building E, Ste 109, Avondale, AZ 85392-6449 | 2014-07-31 |
| 1396055216 | Suzanne Schlacks | Physician Assistant | 13075 W Mcdowell Rd, Avondale, AZ 85392-6436 | 2010-10-13 |
| Find all providers in AVONDALE | ||||
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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.