SHANE B RUSSELL-JENKINS


Address: 2555 E Gila Ridge Rd, Yuma, AZ 85365-2240
Phone: 9283179972

SHANE B RUSSELL-JENKINS (NPI# 1508978750) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1508978750
Entity Type Individual
Full Name SHANE B RUSSELL-JENKINS
Other Name SHANE B RUSSELL-JENKINS
Credential MD
Practice Address 2555 E Gila Ridge Rd
Yuma
AZ 85365-2240
Practice Telephone 9283179972
Mailing Telephone 9283179972
Enumeration Date 2006-08-31
Last Update Date 2010-09-09
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2084P0800X Psychiatry & Neurology
Specialization: Psychiatry
MD2004-0132 NM Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
NM 77456581 05

Office Location

Street Address 2555 E GILA RIDGE RD
City YUMA
State AZ
Zip Code 85365-2240

Providers in the same location

NPI Name Taxonomy Address Enumeration
1831197540 Judith Lynn Karg Nurse Practitioner 2555 E Gila Ridge Rd, Yuma, AZ 85365-2240 2005-07-07
1265789218 Nicole Ann Wolff Conley Social Worker 2555 E Gila Ridge Rd, Yuma, AZ 85365-2240 2012-08-09
1881774131 Irene Zarraga Internal Medicine 2555 E Gila Ridge Rd, Yuma, AZ 85365-2240 2006-10-17
1093772790 Ramonito Huevos Panal Internal Medicine 2555 E Gila Ridge Rd, Yuma, AZ 85365-2240 2006-04-27
1487615878 Meng Kong Khauv Internal Medicine 2555 E Gila Ridge Rd, Yuma, AZ 85365-2240 2006-03-28

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1497369730 Green Mountain Wellness Acupuncturist 1059 N College Avenue, Po, Thatcher, AZ 85365 2020-09-03
1326695545 Lifecare Pharmacy Yuma LLC Pharmacy 2514 South Ave A, Suite 2, Yuma, AZ 85365 2019-08-22
1205492162 Deborah Woodard-williams Dentist Arizona State Prison Complex-yuma, 7125 Juan Sanchez Blvd, Yuma, AZ 85365 2019-05-16
1467973974 Alejandra Ruiz Pureco Specialist/Technologist 4039 Scedar Avenue, Yuma, AZ 85365 2017-07-06
1003298571 Evan Jonathan Wilson Military Health Care Provider 2989 East Arow St, Yuma, AZ 85365 2015-06-22
1578901385 Robert Field General Practice Mawts-1 Medical, Mcas, Box 99117, Yuma, AZ 85365 2013-06-13
1821381286 Jason T. Lemmon Dds, P.C. Dentist 3325 S. Ave 8.e., Suite 4, Yuma, AZ 85365 2011-05-18
1821328113 Community Bridges, Inc Community/Behavioral Health 3250 B East 40th Street, Yuma, AZ 85365 2010-01-08
1871752352 Jason Thomas Lemmon Dentist 3325 S. Ave 8e, Suite 4, Yuma, AZ 85365 2008-06-09
1619149143 Amber Grace Tagg Occupational Therapist 10067 South Ave., 10e #46, Yuma, AZ 85365 2008-03-25
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Taxonomy Information

Taxonomy Code 2084P0800X
Grouping Allopathic & Osteopathic Physicians
Classification Psychiatry & Neurology
Specialization Psychiatry

Taxonomy Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1558681320 Erol Dalpiaz Md Pllc Psychiatry & Neurology 250 W 24th St Ste E, Yuma, AZ 85364-8506 2010-06-03
1295975134 Horizon Health and Wellness, Inc. Psychiatry & Neurology 791 S 4th Ave, Suite A, Yuma, AZ 85364-3067 2009-03-05
1386279875 Marieclaire Mbah Acha Psychiatry & Neurology 11468 N Frontage Rd Ste A, Yuma, AZ 85367-8970 2020-03-05
1881078780 Miguel Angel Tosado Rivera Psychiatry & Neurology 2851 S Avenue B Bldg 20, Yuma, AZ 85364-7726 2015-07-10
1588820880 Ankur Bindal Psychiatry & Neurology 2400 S Avenue A, Yuma, AZ 85364-7127 2008-08-06
1275548745 Brooke Parish Psychiatry & Neurology 2400 S Avenue A, Yuma, AZ 85364-7127 2006-07-30
1811947898 Meera P Gandhy Psychiatry & Neurology 3220 E 40th St, The Excel Group, Yuma, AZ 85365-7748 2006-05-11
1760432009 Stephen Lopez Psychiatry & Neurology 3220 E 40th St, Yuma, AZ 85365-7748 2006-05-10

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1508466244 Adam Colbert Md, Pllc Psychiatry & Neurology 2550 E River Rd Unit 13205, Tucson, AZ 85718-9527 2020-10-30
1629689922 Cerebro Wellness LLC Psychiatry & Neurology 3031 W Northern Ave Ste 109, Phoenix, AZ 85051-6695 2020-08-11
1972121218 Laxus Integrated Health Solutions LLC Psychiatry & Neurology 11225 N 28th Dr Ste A102-4, Phoenix, AZ 85029-5606 2020-07-13
1174148076 Spark Healthcare LLC Psychiatry & Neurology 8906 North 80th Place, Scottsdale, AZ 85258-2132 2020-06-16
1184257032 Actify Neurotherapies, Pllc Psychiatry & Neurology 10720 W Indian School Rd Ste 19, Phoenix, AZ 85037-5799 2020-02-19
1851922512 Mettamerica Psychiatry & Neurology 600 E State Highway 260 Ste 2, Payson, AZ 85541-4967 2020-01-31
1003470840 Katherine Cheeves Md, Pllc Psychiatry & Neurology 141 S Mccormick St Ste 112, Prescott, AZ 86303-4730 2019-04-26
1336702448 Julie Tomkins Psychiatry & Neurology Behavioral Health Pavilion, 2800 E Ajo Way, Tucson, AZ 85713 2019-04-16
1053974071 Siddesh Gopalakrishnan Psychiatry & Neurology Department of Psychiatry, Bhp, 2800 E. Ajo Way, Tucson, AZ 85713-6204 2019-04-16
1124681358 Alexander Paul Lang Psychiatry & Neurology 2800 E Ajo Way Dept Of, Tucson, AZ 85713-6204 2019-04-14
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Competitor

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City YUMA
Zip Code 85365

Improve Information

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Dataset Information

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.

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