DR. ALEX DAVID RUSSAKOFF (NPI# 1396086914) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1396086914 |
Entity Type | Individual |
Full Name | DR. ALEX DAVID RUSSAKOFF |
Credential | M.D. |
Practice Address |
4220 Gaines Mill Cir Mountain Brk AL 35213-1822 |
Practice Telephone | 2058701739 |
Mailing Telephone | 2058701739 |
Enumeration Date | 2013-03-06 |
Last Update Date | 2013-03-06 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
5218 | AL | Allopathic & Osteopathic Physicians |
Street Address |
4220 GAINES MILL CIR |
City | MOUNTAIN BRK |
State | AL |
Zip Code | 35213-1822 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649771957 | Charles Derrick Franklin | Optometrist | 3928 Montclair Rd Ste 100, Mountain Brk, AL 35213 | 2018-02-22 |
1508386541 | Walker Recovery Center | Clinic/Center | 2195 North Airport Road, Jasper, AL 35213 | 2017-06-21 |
1730579707 | Jerome Gaeton Ippolito | Internal Medicine | 4412 Fredricksburg Drive, Birmingham, AL 35213 | 2015-01-29 |
1255686523 | John Cocoris | Pediatrics | 4334 Kennesaw Drive, Birmingham, AL 35213 | 2012-07-23 |
1720350424 | William Nathan Viar Jr. | Surgery | 3824 Forest Glen Dr., Birmingham, AL 35213 | 2012-01-27 |
1225306129 | Thomas Wakefield Mears | Surgery | 2324 Brookshire Place, Birmingham, AL 35213 | 2011-12-06 |
1295980589 | Joseph Michael Wright | Nurse Anesthetist, Certified Registered | 117 Lorena Ln, Birmingham, AL 35213 | 2008-12-01 |
1174772529 | Ernest Cubbage Wood | Pediatrics | 4200 Wilderness Rd, Birmingham, AL 35213 | 2008-09-10 |
1851549976 | Kennedy Rhyne Walker | Optometrist | 4226 Mountaindale Road, Birmingham, AL 35213 | 2008-09-03 |
1982882270 | Caroline A Reich Md PC | Radiology | 3634 Montevallo Road, Birmingham, AL 35213 | 2008-02-08 |
Find all providers in zip 35213 |
Taxonomy Code | 207RP1001X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Pulmonary Disease |
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033680723 | David Patton | Internal Medicine | 3340 E Briarcliff Rd, Mountain Brk, AL 35223-1307 | 2018-12-06 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245780972 | Victoria Rusanov | Internal Medicine | 1720 2nd Ave S # Tht-422, Birmingham, AL 35294-0004 | 2016-10-05 |
1447518105 | Adrian Alton Cargill Jr. | Internal Medicine | 3368 Highway 280 Ste 209, Alexander City, AL 35010-3375 | 2012-05-01 |
1750552543 | Baldwin County Pulmonary and Sleep Physicians, PC | Internal Medicine | 1298 N Mckenzie St, Foley, AL 36535-3503 | 2008-03-19 |
1073783015 | Maria Guevara | Internal Medicine | 2016 Grove Park Way, Birmingham, AL 35242-2481 | 2008-03-05 |
1154524247 | Brian Dent Flanagan | Internal Medicine | 100 Pilot Medical Dr Ste 100, Birmingham, AL 35235 | 2007-06-07 |
1083779839 | Jean Anna Newsome | Internal Medicine | 2018 Medical Center Dr, Professional Office Bldg Suite 115, Birmingham, AL 35209 | 2006-12-22 |
1689738940 | Pulmonary Medicine Associates PC | Internal Medicine | 1022 1st Street No, Suite 401, Alabaster, AL 35007-8718 | 2006-12-21 |
1417025933 | James Edward Boyle | Internal Medicine | 1101 Somerville Rd Se, Decatur, AL 35601-3242 | 2006-12-01 |
1932218286 | Emily Kahler Rehberg | Internal Medicine | 315 W Fort Williams St Ste 200, Sylacauga, AL 35150-2433 | 2006-08-30 |
1619988326 | Pulmonary and Sleep Assoc of Alabama | Internal Medicine | 2022 Brookwood Medical Ct Dr, Acc 310, Birmingham, AL 35209-6808 | 2006-08-10 |
Find all providers with the same taxonomy |
City | MOUNTAIN BRK |
Zip Code | 35213 |
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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.