DR. RUSSELL L. WILSON (NPI# 1487636627) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487636627 |
| Entity Type | Individual |
| Full Name | DR. RUSSELL L. WILSON |
| Credential | M.D. |
| Practice Address |
1215 Duff Ave Ames IA 50010-3014 |
| Practice Telephone | 5152394456 |
| Practice Fax Number | 5152394761 |
| Mailing Telephone | 5152394456 |
| Mailing Fax Number | 5152394761 |
| Enumeration Date | 2005-11-15 |
| Last Update Date | 2012-09-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
23024 | IA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 0196311 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205844230 | Russell Clayton Wilson | Dentist | 2738 W Main St, Visalia, CA 93291-4332 | 2006-08-04 |
| 1780675967 | Russell Carl Wilson | Emergency Medical Technician, Paramedic | 1101 W Eagle Dr, Suite B, Decatur, TX 76234-3721 | 2005-11-04 |
| 1427057736 | Russell Andrew Wilson | Surgery | 1265 Highway 54 W Ste 500b, Fayetteville, GA 30214-4556 | 2005-07-19 |
| 1124068432 | Russell Chapman Wilson | Radiology | 3949 Browning Pl, Raleigh, NC 27609-6504 | 2006-06-07 |
| Street Address |
1215 DUFF AVE |
| City | AMES |
| State | IA |
| Zip Code | 50010-3014 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265437081 | Richard L. Glenn Jr. | Hospitalist | 1215 Duff Ave, Ames, IA 50010-5400 | 2005-06-17 |
| 1194349258 | Jessica Marie Kruckenberg | Nurse Practitioner | 1215 Duff Ave, Ames, IA 50010-5400 | 2020-06-04 |
| 1235765884 | Stephanie Moellers | Nurse Practitioner | 1215 Duff Ave, Ames, IA 50010-5469 | 2020-03-16 |
| 1902384118 | Nichole Leigh O'brien | Nurse Practitioner | 1215 Duff Ave, Ames, IA 50010-5469 | 2018-07-31 |
| 1811480056 | Christopher M Albert | Pharmacist | 1215 Duff Ave, Ames, IA 50010-5400 | 2018-06-12 |
| 1891294823 | Chelsea Sue Wickman | Nurse Practitioner | 1215 Duff Ave, Ames, IA 50010-5469 | 2018-02-05 |
| 1669929758 | Julianne Marie Rolfes | Physical Therapist | 1215 Duff Ave, Ames, IA 50010-5400 | 2016-09-06 |
| 1821471822 | Kara J. Johnson | Physician Assistant | 1215 Duff Ave, Ames, IA 50010-5400 | 2015-07-08 |
| 1568842920 | Erica Rae Bright Henricks | Nurse Practitioner | 1215 Duff Ave, Ames, IA 50010-5400 | 2015-06-01 |
| 1275943334 | Michael Stefl | Orthopaedic Surgery | 1215 Duff Ave, Ames, IA 50010-5469 | 2014-04-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851853063 | Eric Martin Mills | Social Worker | 320 South 17th Street, Ames, IA 50010 | 2019-04-05 |
| 1487147963 | Mcfarland Clinic, PC | Eyewear Supplier (Equipment, not the service) | 3500 University Blvd., Suite 1001, Ames, IA 50010 | 2018-06-11 |
| 1346733763 | Katelyn Elaine Holbrook | Occupational Therapist | 1915 Philadelphia Street, Ames, IA 50010 | 2018-06-11 |
| 1174030571 | Joshua B Hubbell | Peer Specialist | 527 E Lincoln Way #216, Ames, IA 50010 | 2018-01-08 |
| 1528426996 | Brandy Suzanne Walker | Occupational Therapist | 28201 550th Ave, Ames, IA 50010 | 2016-02-01 |
| 1386086338 | Adrienne Rae Shrader | Counselor | 600 5th Street, Suite 200, Ames, IA 50010 | 2013-07-18 |
| 1164708509 | North Central Iowa Mental Health Center Inc | Clinic/Center | 1801 20th St, Ames, IA 50010 | 2011-10-31 |
| 1669752226 | Ashley Rae Loeffelholz | Pharmacist | Nucara Pharmacy #28, 3600 University Blvd Suite 103, Ames, IA 50010 | 2011-08-26 |
| 1245544436 | Crawford Endodontics, Pllc | Dentist | 515 Grand Ave., Suite 102, Ames, IA 50010 | 2010-07-30 |
| 1023256708 | Donald Warren Powers | Family Medicine | 2538 Eisenhower, Ames, IA 50010 | 2009-02-03 |
| Find all providers in zip 50010 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902068083 | Ashlesha Sharma | Radiology | 3617 Ross Rd, Ames, IA 50014 | 2008-06-30 |
| 1225144975 | Dean C. Gute | Radiology | Mcfarland Clinkc, PC, 1215 Duff Ave, Ames, IA 50010-3014 | 2006-08-22 |
| 1497366231 | Obria Medical Clinic of Ames | Radiology | 1606 Golden Aspen Dr Ste 105, Ames, IA 50010-8011 | 2020-08-14 |
| 1063859981 | Nima Ahmad Golchin | Radiology | 1215 Duff Ave, Ames, IA 50010-5469 | 2013-06-01 |
| 1205045580 | Nita N. Parekh | Radiology | 1215 Duff Ave, Mcfarland Clinic, PC, Ames, IA 50010-3014 | 2007-05-22 |
| 1679782361 | Matthew C. Peterson | Radiology | 1215 Duff Ave, Mcfarland Clinic, PC, Ames, IA 50010-3014 | 2007-05-21 |
| 1912115288 | Randy L Anderson | Radiology | 1215 Duff Ave, Mcfarland Clinic, PC, Ames, IA 50010-3014 | 2007-05-19 |
| 1194808394 | Douglas R. Lake | Radiology | 1215 Duff Avenue, Ames, IA 50010-3014 | 2006-10-23 |
| 1114009743 | David S. Sosnouski | Radiology | 1215 Duff Avenue, Ames, IA 50010-3014 | 2006-10-20 |
| 1235228685 | Grant T Goldsberry | Radiology | 1215 Duff Avenue, Ames, IA 50010-3014 | 2006-10-12 |
| Find all providers in AMES | ||||
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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.