DR. WESLEY ALAN RUSSELL (NPI# 1508029497) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508029497 |
| Entity Type | Individual |
| Full Name | DR. WESLEY ALAN RUSSELL |
| Credential | M.D. |
| Practice Address |
11050 Parkview Circle Dr Fort Wayne IN 46845 |
| Mailing Address |
7910 W Jefferson Blvd Suite 110 Fort Wayne IN 46804-4159 |
| Practice Telephone | 2602669100 |
| Practice Fax Number | 2602669110 |
| Mailing Telephone | 2604364116 |
| Mailing Fax Number | 2604592504 |
| Enumeration Date | 2008-07-09 |
| Last Update Date | 2018-06-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
01072532A | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 201163340 | 05 | |
| MI | 1508029497 | 05 | |
| OH | 0083773 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861614018 | Wesley A Russell II | Dentist | 403 S Center, Shelbina, MO 63468-0276 | 2007-05-03 |
| 1568580298 | Wesley Alexander Russell II | Rehabilitation Practitioner | 2010 E El Segundo Blvd, Compton, CA 90222-7109 | 2007-03-27 |
| Street Address |
11050 PARKVIEW CIRCLE DR |
| City | FORT WAYNE |
| State | IN |
| Zip Code | 46845 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740289701 | Linda K Han | Surgery | 11050 Parkview Circle Dr, Fort Wayne, IN 46845 | 2005-07-20 |
| 1457965972 | Christa Michelle Houser | Registered Nurse | 11050 Parkview Circle Dr, Fort Wayne, IN 46845-1739 | 2020-09-02 |
| 1457973331 | Molly Brennan | Dietitian, Registered | 11050 Parkview Circle Dr, Fort Wayne, IN 46845-1739 | 2020-05-13 |
| 1568084978 | Lauren Harden | Dietitian, Registered | 11050 Parkview Circle Dr, Fort Wayne, IN 46845-1739 | 2020-05-08 |
| 1053942458 | Catherine Meyer | Nurse Practitioner | 11050 Parkview Circle Dr, Fort Wayne, IN 46845-1739 | 2020-02-04 |
| 1760037394 | David Rosenbeck | Registered Nurse | 11050 Parkview Circle Dr, Fort Wayne, IN 46845-1739 | 2019-08-09 |
| 1497309371 | Emily Grindley | Registered Nurse | 11050 Parkview Circle Dr, Fort Wayne, IN 46845-1739 | 2019-07-29 |
| 1992358063 | Brittany L Hartman | Registered Nurse | 11050 Parkview Circle Dr, Fort Wayne, IN 46845-1739 | 2019-07-18 |
| 1326609173 | Kristin N Oehler | Registered Nurse | 11050 Parkview Circle Dr, Fort Wayne, IN 46845-1739 | 2019-06-24 |
| 1285195339 | Ethan K Bennett | Registered Nurse | 11050 Parkview Circle Dr, Fort Wayne, IN 46845-1739 | 2019-03-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881154110 | Nancy Jean Ehmke | Clinical Nurse Specialist | 11151 Parkview Plaza Dr, Fort Wayne, IN 46845 | 2019-03-22 |
| 1043703903 | Kara Stackhouse | Nurse Practitioner | 11050 Parkview Plaza Drive, Fort Wayne, IN 46845 | 2018-06-14 |
| 1871082412 | Tara K Jellison | Pharmacist | 11109 Parkview Plaza Drive -- Attn Pharmacy, Fort Wayne, IN 46845 | 2018-05-09 |
| 1578097572 | Forefront Dermatology, S.c. | Dermatology | 4020 New Vision Drive, Fort Wayne, IN 46845 | 2017-04-17 |
| 1811437999 | Jessica Ann Lefever | Behavioral Analyst | 3898 New Vision Dr Ste D, Fort Wayne, IN 46845 | 2017-03-08 |
| 1033668041 | Bhi Home Care, Inc. | In Home Supportive Care | 820 Mill Lake Road, Fort Wayne, IN 46845 | 2016-10-03 |
| 1467814939 | Austin Wyss | Specialist/Technologist | 11130 Parkview Circle Drive, Ft. Wayne, IN 46845 | 2016-03-24 |
| 1154713584 | Ashley Whitcraft | Specialist/Technologist | 11130 Parkview Plaza Drive #4, Fort Wayne, IN 46845 | 2015-02-23 |
| 1275975682 | Lakshmi Mohan Viji Das | Internal Medicine | 11143 Parkview Plaza Dr Ste 311, Fort Wayne, IN 46845 | 2013-07-26 |
| 1336482496 | Mithun Mohana Shenoi | Colon & Rectal Surgery | 11104 Parkview Circle Drive Suite 320, Fort Wayne, IN 46845 | 2013-03-27 |
| Find all providers in zip 46845 | ||||
| Taxonomy Code | 2085R0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Radiation Oncology |
| A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |
| 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 Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730180563 | David A. Trenkner | Radiology | 11141 Parkview Plaza Dr Ste 110, Fort Wayne, IN 46845-1714 | 2005-08-02 |
| 1366442568 | Deepchand Bajpai | Radiology | 7910 W Jefferson Blvd Ste 110, Fort Wayne, IN 46804-4159 | 2005-07-28 |
| 1194103317 | Zhigang Yuan | Radiology | 7910 W Jefferson Blvd Ste 110, Fort Wayne, IN 46804-4159 | 2015-05-07 |
| 1306256177 | Charles Vu | Radiology | 7910 W Jefferson Blvd Ste 110, Fort Wayne, IN 46804-4159 | 2014-05-02 |
| 1225343072 | Nathan Allen Cannon | Radiology | 11050 Parkview Circle Dr, Fort Wayne, IN 46845 | 2010-08-17 |
| 1578710471 | Mark Chester Ranck | Radiology | 7910 W Jefferson Blvd Ste 110, Suite 110, Fort Wayne, IN 46804-4159 | 2008-08-21 |
| 1407010572 | Nathan Daniel Comsia | Radiology | 7910 W Jefferson Blvd Ste 110, Fort Wayne, IN 46804-4159 | 2008-07-17 |
| 1245364926 | Brian K Chang | Radiology | 11050 Parkview Circle Dr, Fort Wayne, IN 46845 | 2007-03-15 |
| 1801823786 | John D Trenkner | Radiology | 7910 W Jefferson Blvd, Ste 110, Fort Wayne, IN 46804-4159 | 2006-06-27 |
| 1457337719 | Radiation Oncology Associates P C | Radiology | 7910 W Jefferson Blvd Ste 110, Fort Wayne, IN 46804-4159 | 2005-12-19 |
| Find all providers in FORT WAYNE | ||||
| City | FORT WAYNE |
| Zip Code | 46845 |
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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.