DOUGLAS B RUSSELL (NPI# 1487617619) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487617619 |
| Entity Type | Individual |
| Full Name | DOUGLAS B RUSSELL |
| Credential | PA |
| Practice Address |
439 Us Hwy 158 West Yanceyville NC 27379 |
| Mailing Address |
5610 Groometown Rd High Point High Point NC 27263-9368 |
| Practice Telephone | 3366941181 |
| Mailing Telephone | 3366880928 |
| Enumeration Date | 2006-04-10 |
| Last Update Date | 2013-01-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 103359 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477113744 | Douglas Charles Russell | Counselor | 1035 Market St Ste 400, San Francisco, CA 94103-1665 | 2019-06-18 |
| 1255842308 | Douglas Kendal Russell | Physician Assistant | 2000 Mon Health Medical Park Dr Ste 2300, Morgantown, WV 26505-1134 | 2017-10-17 |
| 1912343096 | Douglas Russell | Urology | 3327 Research Plz Ste 403, San Antonio, TX 78235 | 2013-05-16 |
| 1639463367 | Douglas Andrew Russell | Psychiatry & Neurology | 4800 Sand Point Way Ne, Seattle, WA 98105 | 2011-05-28 |
| 1720091119 | Douglas C Russell | Internal Medicine | 2500 Overlook Ter, Veterans Hospital, Madison, WI 53705-2254 | 2006-08-15 |
| 1932124112 | Douglas A Russell | Internal Medicine | 7100 W Center Rd, Omaha, NE 68106-2700 | 2006-07-12 |
| Street Address |
439 US HWY 158 WEST |
| City | YANCEYVILLE |
| State | NC |
| Zip Code | 27379 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144861337 | The Caswell Family Medical Center, Inc. | Clinic/Center | 649 Firetower Rd, Yanceyville, NC 27379 | 2019-09-30 |
| 1295399079 | Life Beyond The Shadows Counseling, Pllc | Counselor | 110 1st St., Yanceyville, NC 27379 | 2019-04-26 |
| 1942781836 | Connect3 Healthcare Services LLC | Counselor | 1088 Nc Hwy 86n, Yanceyville, NC 27379 | 2018-08-28 |
| 1124514633 | Piedmont Triad Regional Council | Community/Behavioral Health | 649 Firetower Road, Yanceyville, NC 27379 | 2018-07-09 |
| 1154855302 | James Millner IIi | Pharmacist | 1493 Main Street, Yanceyville, NC 27379 | 2017-04-14 |
| 1386182202 | Anya Tilly | Occupational Therapist | 1086 Main St, Yanceyville, NC 27379 | 2017-02-11 |
| 1871044412 | Jennifer Lynn Hambright | Social Worker | 110 Cole St, Yanceyville, NC 27379 | 2016-10-19 |
| 1114325347 | Ariel Community Care, LLC | Counselor | 200 E. Church St, Yanceyville, NC 27379 | 2014-12-22 |
| 1851645550 | Tanillya Wilkerson Partridge | Nurse Practitioner | 293 Main Street, Yanceyille, NC 27379 | 2012-11-01 |
| 1831474337 | Thomas P Davis | Pharmacist | 539 E Main St, Yanceyville, NC 27379 | 2011-10-15 |
| Find all providers in zip 27379 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720400468 | Jenny Brooke Baucom | Physician Assistant | 439 Us Highway 158 W, Yanceyville, NC 27379-8304 | 2014-01-15 |
| 1174720429 | Elin Jeannine Armeau-claggett | Physician Assistant | 439 Us Highway 158 W, Yanceyville, NC 27379-8304 | 2007-06-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215538459 | Sarah Jane Lamanna | Physician Assistant | 3012 Bristol Creek Dr, Morrisville, NC 27560-7811 | 2020-11-04 |
| 1043819741 | Brad Russell Tolan | Physician Assistant | 211 Pinegate Cir Apt 12, Chapel Hill, NC 27514-2221 | 2020-10-22 |
| 1265030654 | Vanessa Vinson | Physician Assistant | 284 Lower Edgewood Rd, Candler, NC 28715-9285 | 2020-10-16 |
| 1649878810 | Courtney Michelle Watlington | Physician Assistant | 360 N Bennett St, Southern Pines, NC 28387-4813 | 2020-10-11 |
| 1669079034 | Christine Meyer | Physician Assistant | 2523 Creek Ridge Ln, Chapel Hill, NC 27514-7454 | 2020-10-07 |
| 1407453319 | Khyan Waddell | Physician Assistant | 127 Sneed Rd, Enfield, NC 27823-9589 | 2020-10-04 |
| 1053918979 | Amjad Ali | Physician Assistant | 730 Montlieu Ave, High Point, NC 27260-4000 | 2020-10-04 |
| 1104433382 | Aditi Bhattacharjee Sundaresan | Physician Assistant | 131 Mallard Ct, Chapel Hill, NC 27517-9104 | 2020-09-30 |
| 1689281933 | Kathryn Tarulli | Physician Assistant | 600 W Main St Apt 624, Durham, NC 27701-5005 | 2020-09-29 |
| 1205443991 | Kelsey Mendez | Physician Assistant | 105 Basket Oak Dr, Bunnlevel, NC 28323-9141 | 2020-09-26 |
| Find all providers with the same taxonomy | ||||
| City | YANCEYVILLE |
| Zip Code | 27379 |
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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.