RUSSELL THURMAN (NPI# 1396300505) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396300505 |
| Entity Type | Individual |
| Full Name | RUSSELL THURMAN |
| Credential | PTA |
| Practice Address |
305 Thornbrooke Dr Rogersville MO 65742-8737 |
| Practice Telephone | 4178947052 |
| Mailing Telephone | 4178947052 |
| Enumeration Date | 2019-05-02 |
| Last Update Date | 2019-05-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2081P2900X |
Physical Medicine & Rehabilitation Specialization: Pain Medicine |
2008034225 | MO | Allopathic & Osteopathic Physicians |
| Street Address |
305 THORNBROOKE DR |
| City | ROGERSVILLE |
| State | MO |
| Zip Code | 65742-8737 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851953103 | Sara L Newhard | Counselor | 3955 S. Farm Road 223, Rogersville, MO 65742 | 2019-07-07 |
| 1235653551 | Madison Marie Parson | Physical Therapy Assistant | 586 Cottonwood Rd., Rogersville, MO 65742 | 2017-07-28 |
| 1548612062 | Jonathan Price | Student in an Organized Health Care Education/Training Program | 5649 South Highway 125, Rogersville, MO 65742 | 2016-07-08 |
| 1366790941 | Pediatric Neuropsychological Services, LLC | Clinical Neuropsychologist | 175 S. Marshall, Suite G, Rogersville, MO 65742 | 2012-08-29 |
| 1245426436 | Lori Ann Cole | Occupational Therapist | 113 E. Center St., Ozark Therapy Institute, Rogersville, MO 65742 | 2007-09-20 |
| 1942335203 | Sgoh Acquisition Inc | Clinic/Center | 101 South Main, Rogersville, MO 65742 | 2007-02-23 |
| 1922190842 | Bret E Herrman | Chiropractor | 319 S Main, Ste F, Rogersville, MO 65742-0228 | 2006-09-28 |
| 1952804668 | Equi-librium Therapy Center | Clinic/Center | 1148 S Courtney Ln, Rogersville, MO 65742-4501 | 2018-03-09 |
| 1134167331 | Theodore Brooke Nelson | Physical Therapist | 5764 S Farm Road 203, Rogersville, MO 65742-6436 | 2006-06-02 |
| 1598998775 | Nelson Physical Therapy and Rehab, P.C. | Physical Therapist | 5764 S Farm Road 203, Rogersville, MO 65742-6436 | 2009-09-03 |
| Find all providers in zip 65742 | ||||
| Taxonomy Code | 2081P2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Specialization | Pain Medicine |
| A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed] Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. A subspecialty certificate was approved by the ABMS in 1999. ACGME Accredited Residency Program Requirements: Proposal under development. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043879471 | P.r.i.m.e. Health Centers - Chesterfield, LLC | Physical Medicine & Rehabilitation | 253 Chesterfield Industrial Blvd, Chesterfield, MO 63005-1201 | 2019-06-10 |
| 1841753209 | Ap Medical | Physical Medicine & Rehabilitation | 1131 W Main St Ste A, Blue Springs, MO 64015-3698 | 2019-04-11 |
| 1043774821 | Riley Stowe | Physical Medicine & Rehabilitation | 1301 Tullison Rd, Kansas City, MO 64116-2640 | 2019-01-26 |
| 1043762974 | St Louis Spine and Joint Pain Specialists LLC | Physical Medicine & Rehabilitation | 520 Center Street, Fenton, MO 63026-4246 | 2016-10-26 |
| 1477843985 | Diana Mekler | Physical Medicine & Rehabilitation | 1365 Nykiel Ct, Ballwin, MO 63011-4246 | 2011-04-18 |
| 1962707075 | Charles Mauldin, Md PC | Physical Medicine & Rehabilitation | 3003 E Chestnut Expy Ste 109, Springfield, MO 65802-2527 | 2011-01-20 |
| 1730364647 | Gary D Eaton | Physical Medicine & Rehabilitation | 3705 Bethel St, Columbia, MO 65203-5603 | 2008-01-09 |
| 1619081890 | Nehal P Modh | Physical Medicine & Rehabilitation | 1145b E Gannon Dr, Festus, MO 63028-2611 | 2006-08-18 |
| 1316908155 | Nabil Ahmad | Physical Medicine & Rehabilitation | 12855 N 40 Dr Ste 275, Saint Louis, MO 63141-8667 | 2006-03-31 |
| 1427035955 | Gurpreet Padda | Physical Medicine & Rehabilitation | 5203 Chippewa St, Suite 301, Saint Louis, MO 63109-2356 | 2005-12-27 |
| Find all providers with the same taxonomy | ||||
| City | ROGERSVILLE |
| Zip Code | 65742 |
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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.