MR. MARK WILLIAM RUSSELL (NPI# 1437314366) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437314366 |
| Entity Type | Individual |
| Full Name | MR. MARK WILLIAM RUSSELL |
| Credential | P.T.A. |
| Practice Address |
108 Schooner Landing Dr Edenton NC 27932-8833 |
| Practice Telephone | 2526324137 |
| Mailing Telephone | 2526324137 |
| Enumeration Date | 2008-07-21 |
| Last Update Date | 2008-07-21 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 172V00000X | Community Health Worker | 3666 | NC | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831710771 | Mark William Russell | Dentist | 461 Western Blvd Ste 104, Jacksonville, NC 28546-7637 | 2020-05-01 |
| 1144752221 | Mark Russell | Social Worker | 475 Sykesville Troutville Rd, Punxsutawney, PA 15767-4367 | 2017-03-29 |
| 1154767267 | Mark Stephen Russell Jr. | Counselor | 3901 Airport Fwy Ste 107, Bedford, TX 76021-6117 | 2013-05-15 |
| 1306867049 | Mark Duane Russell | Specialist/Technologist | 3950 Hollywood Rd Ste 140, Saint Joseph, MI 49085-9151 | 2006-07-21 |
| 1639137540 | Mark Russell | Internal Medicine | 13024 Hesperia Rd Ste 103, Victorville, CA 92395-8303 | 2006-05-02 |
| 1689671315 | Mark Dale Russell | Chiropractor | 5309 44th St, Lubbock, TX 79414-1321 | 2005-07-07 |
| 1154827756 | Mark Russell | Student in an Organized Health Care Education/Training Program | 2160 S 1st Ave, Maywood, IL 60153-3328 | 2018-04-03 |
| 1033654967 | Mark Russell | Pharmacist | 2920 Knoxville Center Dr, Knoxville, TN 37924-2013 | 2017-01-02 |
| 1477097392 | Mark Russell | Social Worker | 302 S Spring St, Tupelo, MS 38804-4853 | 2016-12-12 |
| 1134463870 | Mark Joseph Russell | Occupational Therapist | 275 East Main Street, Frankfort, KY 40621-0001 | 2012-11-19 |
| Street Address |
108 SCHOONER LANDING DR |
| City | EDENTON |
| State | NC |
| Zip Code | 27932-8833 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598002172 | Ashley Nicole Brooke Miller | Counselor | 1255 Haughton Road, Edenton, NC 27932 | 2013-01-15 |
| 1629365341 | Columbia Chiropractic Center PC | Chiropractor | 187 La Keiser Dr, Columbia, NC 27932 | 2011-07-01 |
| 1760682579 | Edenton House, LLC | Assisted Living Facility | 323 Medical Arts Drive, Edenton, NC 27932 | 2007-07-19 |
| 1801913975 | Coastal Rehabilitation Inc | Physical Therapist | 701 Luke Street, Edenton, NC 27932 | 2007-03-23 |
| 1225164734 | Paul Stephen Richmond | Dentist | 410 N Broad Street, Edenton, NC 27932 | 2007-02-26 |
| 1003960816 | Albemarle Mental Health Center | Social Worker | 202 W Hicks Street, Edenton, NC 27932 | 2007-01-22 |
| 1679642532 | Womens Health of Edenton PC | Obstetrics & Gynecology | 309 N Broad Street, Edenton, NC 27932 | 2006-11-07 |
| 1184713505 | Jerry L Bradley | Dentist | 512 Coke Avenue, Edenton, NC 27932 | 2006-10-12 |
| 1457454126 | North Carolina Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1316 H N Broad St, Edenton, NC 27932 | 2006-09-07 |
| 1972613321 | Joel Crist Reynolds | Urology | 210 N Broad St, Edenton Urology Clinic, Edenton, NC 27932 | 2006-08-30 |
| Find all providers in zip 27932 | ||||
| Taxonomy Code | 172V00000X |
| Grouping | Other Service Providers |
| Classification | Community Health Worker |
| Community health workers (CHW) are lay members of communities who work either for pay or as volunteers in association with the local health care system in both urban and rural environments and usually share ethnicity, language, socioeconomic status and life experiences with the community members they serve. They have been identified by many titles such as community health advisors, lay health advocates, "promotores(as), outreach educators, community health representatives, peer health promoters, and peer health educators. CHWs offer interpretation and translation services, provide culturally appropriate health education and information, assist people in receiving the care they need, give informal counseling and guidance on health behaviors, advocate for individual and community health needs, and provide some direct services such as first aid and blood pressure screening. Some examples of these practitioners are Community Health Aides or Practitioners established under 25 USC §1616 (l) under HHS, Indian Health Service, Public Health Service. |
| Notes: Source: Health Resources and Services Administration, US Department of Health and Human Services – National Workforce Study on Community Health Workers, March, 2007. [7/1/2007: new] http://bhpr.hrsa.gov/healthworkforce/chw/ |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912513565 | William Ray Rankins | Community Health Worker | 3627 Dornoch Dr Apt D, Fayetteville, NC 28303-9300 | 2020-09-18 |
| 1659998300 | Patricia Ann Mathis | Community Health Worker | 8601 Six Forks Rd Ste 404, Raleigh, NC 27615-5276 | 2020-06-29 |
| 1922624477 | Angela Patrice Johnson | Community Health Worker | 3509 Plaza Ridge Cir Apt 14b, Winston Salem, NC 27107-2774 | 2020-06-21 |
| 1346879434 | Myra Vaughters Wilson | Community Health Worker | 1320 Landsdown Dr, Salisbury, NC 28147-7373 | 2020-04-02 |
| 1447880166 | Cynthia G Foley | Community Health Worker | 6700 Oak Ridge Dr, Raleigh, NC 27612-6825 | 2020-01-22 |
| 1558903252 | Annette Thompson Nichols | Community Health Worker | 3820 Clara Ln, Winston Salem, NC 27105-9724 | 2019-10-14 |
| 1912461815 | Catherine Stevenson Nwogalanya | Community Health Worker | 1103 Hillsboro St., Fayetteville, NC 28301 | 2019-01-24 |
| 1255818118 | Sakiyna Mozell Peets | Community Health Worker | 6706 Chieftain Dr, Charlotte, NC 28216-5804 | 2018-07-24 |
| 1154833275 | Sakeena Jordan | Community Health Worker | 326 Airport Rd, Siler City, NC 27344-7513 | 2017-10-30 |
| 1124548037 | Tyler John Jones | Community Health Worker | 7014 Brandemere Ln. Apt F, Winston Salem, NC 27106 | 2017-06-21 |
| Find all providers with the same taxonomy | ||||
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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.