MRS. DAWN MARIE RUSSELL (NPI# 1508906116) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508906116 |
| Entity Type | Individual |
| Full Name | MRS. DAWN MARIE RUSSELL |
| Credential | PA |
| Practice Address |
4881 Sugar Maple Dr 88th Medical Group Wright Patterson Afb OH 45433-5250 |
| Mailing Address |
7392 Foxdale Dr Waynesville OH 45068-8200 |
| Practice Telephone | 9372571941 |
| Mailing Telephone | 5138554163 |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2020-03-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 50.003959 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363A00000X | Physician Assistant | 1076380 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0110474 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4000 Miamisburg Centerville Rd, Miamisburg, OH 453427615 | 9373848791 | |
| 100 Kettering Way, Franklin, OH 450051155 | 9374584700 | |
| 3535 Southern Blvd, Kettering, OH 454291221 | 9373958166 | |
| 6147 State Route 122, Middletown, OH 450055201 | 5132613410 | 5132613419 |
| 1141 N Monroe Dr, Xenia, OH 453851619 | 9373522500 | 9373523501 |
| 3535 Pentagon Blvd, Beavercreek, OH 454311705 | 9377024500 | 9377024509 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225675184 | Dawn Russell | Massage Therapist | 4839 W Oak Dr, New Palestine, IN 46163-9648 | 2019-12-10 |
| 1831637610 | Dawn Russell | Counselor | 1215 Sw G St, Grants Pass, OR 97526-2544 | 2017-02-01 |
| 1033568373 | Dawn Russell | Licensed Vocational Nurse | 13737 Noel Rd Ste 1400, Dallas, TX 75240-2004 | 2016-06-07 |
| 1336404938 | Dawn Marie Russell | Licensed Practical Nurse | 201 W Springdale Ave, Knoxville, TN 37917-5158 | 2012-07-10 |
| 1730375031 | Dawn Renee' Russell | Nurse Practitioner | 10706 Clemson Blvd, Seneca, SC 29678-4528 | 2007-09-20 |
| 1467651505 | Dawn S Russell | Student in an Organized Health Care Education/Training Program | 330 Cedar Street, Boardman Building, Second Floor, New Haven, CT 06520 | 2007-07-17 |
| 1790892024 | Dawn R Russell | Obstetrics & Gynecology | 12303 Ne 130th Ln, Suite #420, Kirkland, WA 98034 | 2006-08-24 |
| 1356328413 | Dawn C Russell | Family Medicine | 970 N Kalaheo Ave Ste C306, Kailua, HI 96734-1873 | 2005-12-29 |
| Street Address |
4881 SUGAR MAPLE DR 88TH MEDICAL GROUP |
| City | WRIGHT PATTERSON AFB |
| State | OH |
| Zip Code | 45433-5250 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104442813 | Michael Anthony Salerno | Military Health Care Provider | 4881 Sugar Maple Dr, Wright Patterson Afb, OH 45433-5529 | 2020-06-18 |
| 1780209957 | Stacey O'donnell | Nurse Anesthetist, Certified Registered | 4881 Sugar Maple Dr, 88mdg/sgcj, Wright Patterson Afb, OH 45433 | 2020-06-12 |
| 1043834328 | William Woodfin Crosby | Nurse Practitioner | 4881 Sugar Maple Dr, Wright Patterson Afb, OH 45433-5529 | 2020-06-03 |
| 1447872833 | Dayton Vamc | Clinic/Center | 4881 Sugar Maple Dr, Wright Patterson Afb, OH 45433-5529 | 2020-05-08 |
| 1629697750 | Firas Zako | Dentist | 4881 Sugar Maple Dr, Wright Patterson Afb, OH 45433-5529 | 2020-04-09 |
| 1235768540 | Jacob David Harley | Dentist | 4881 Sugar Maple Dr, Wright Patterson Afb, OH 45433-5529 | 2020-04-07 |
| 1326696527 | Rebecca Noel Seagraves | Pharmacist | 4881 Sugar Maple Dr, Wright Patterson Afb, OH 45433-5529 | 2019-08-30 |
| 1154974095 | Lori Saturley | Dental Hygienist | 4881 Sugar Maple Dr, Wright Patterson Afb, OH 45433-5529 | 2019-07-19 |
| 1902463987 | Stephen Seth Childers | Dentist | 4881 Sugar Maple Dr, Wright Patterson Afb, OH 45433-5529 | 2019-05-24 |
| 1306409479 | Sean Roberts | Dentist | 4881 Sugar Maple Dr, Wright Patterson Afb, OH 45433-5529 | 2019-04-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891289518 | Sara Lyons | Physician Assistant | 88 Mdj/sghj, 4881 Sugar Maple Dr, Wright-patterson Afb, OH 45433 | 2018-06-16 |
| 1073001558 | Mega Margapuram | Student in an Organized Health Care Education/Training Program | 1 Sugar Maple Drive, Dayton, OH 45433 | 2018-04-30 |
| 1437667979 | Michael Peter Dring | Social Worker | Building 830, Credentials Office, 4881 Sugar Maple Rd, Wpafb, OH 45433 | 2018-01-18 |
| 1316486814 | Josiah Hardin | Internal Medicine | 88 Mdos/sgomi, 4881 Sugar Maple Dr., Wright-patterson Afb, OH 45433 | 2017-02-16 |
| 1780137380 | Allison Osterfeld | Pharmacist | 88 Mdg 4881 Suga Maple Dr, Wright Patterson Afb, OH 45433 | 2016-07-29 |
| 1891144283 | Kyle Harris | Student in an Organized Health Care Education/Training Program | 4481 Sugar Maple Dr., Wright Patterson Afb, OH 45433 | 2016-06-07 |
| 1245601756 | Nichole Griep | Audiologist | 88 Mdg/sgpq, 4881 Sugar Maple Dr, Wright-patterson Afb, OH 45433 | 2015-10-09 |
| 1487021267 | Melanie Schaffer | Dietitian, Registered | 4881 Sugamaple Drive, Wpafb, OH 45433 | 2015-08-27 |
| 1831582261 | Joseph K Wray | General Practice | 88 Mdg/sgcj, 4881 Sugar Maple Dr., Wright-patterson Afb, OH 45433 | 2015-03-10 |
| 1659798031 | Maninder Kaur | Nurse Practitioner | 88 Mdos/sgom, 4881 Sugar Maple Drive, Wright Patterson Afb, OH 45433 | 2014-03-24 |
| Find all providers in zip 45433 | ||||
| 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 |
|---|---|---|---|---|
| 1902994882 | Robert Scott Brown | Physician Assistant | 4881 Sugar Maple Dr # Rd/88mdg/sgope, Wright Patterson Afb, OH 45433-5546 | 2006-10-10 |
| 1790242527 | Jonathan William Herschel Eubanks | Physician Assistant | 4881 Sugar Maple Dr, Wright Patterson Afb, OH 45433-5529 | 2019-02-28 |
| 1083030704 | Griffin Holauchock | Physician Assistant | 4881 Sugar Maple Dr, Wright Patterson Afb, OH 45433-5529 | 2014-03-06 |
| 1619253937 | Kimberly Bertrand | Physician Assistant | 4881 Sugar Maple Dr, Wright Patterson Afb, OH 45433-5529 | 2011-11-01 |
| 1790094100 | James Gayle Stoufflet Jr. | Physician Assistant | 4881 Sugar Maple Dr, Wright Patterson Afb, OH 45433-5546 | 2010-10-02 |
| 1639483225 | Christopher George Herman | Physician Assistant | 4881 Sugar Maple Dr, Wright Patterson Afb, OH 45433-5529 | 2010-08-06 |
| 1205978558 | Julie M Glover | Physician Assistant | 4881 Sugar Maple Dr, Wright Patterson Afb, OH 45433-5529 | 2007-02-13 |
| 1386782548 | Christopher Michael Howell | Physician Assistant | 4881 Sugar Maple Dr, Emergency Dept/sgoe, Wright Patterson Afb, OH 45433-5529 | 2007-02-01 |
| 1821156613 | Paul E Savard | Physician Assistant | 4881 Sugar Maple Dr, Wright Patterson Afb, OH 45433-5529 | 2006-12-05 |
| 1043287790 | Clifford Neill Otte | Physician Assistant | 4881 Sugar Maple Dr, 88mdg/sghj, Wright Patterson Afb, OH 45433-5546 | 2006-03-01 |
| Find all providers in WRIGHT PATTERSON AFB | ||||
| City | WRIGHT PATTERSON AFB |
| Zip Code | 45433 |
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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.