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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
MD2004-0132 | NM | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NM | 77456581 | 05 |
Street Address |
2555 E GILA RIDGE RD |
City | YUMA |
State | AZ |
Zip Code | 85365-2240 |
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 |
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 |
Find all providers in zip 85365 |
Taxonomy Code | 2084P0800X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Psychiatry & Neurology |
Specialization | Psychiatry |
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] |
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 |
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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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.