RUSSELL S SUDBURY (NPI# 1548215312) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548215312 |
| Entity Type | Individual |
| Full Name | RUSSELL S SUDBURY |
| Credential | MD |
| Practice Address |
2251 N Shore Dr Rhinelander WI 54501-8360 |
| Practice Telephone | 7153614700 |
| Mailing Telephone | 7153614700 |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2012-05-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 29680 | WI | Allopathic & Osteopathic Physicians |
| Street Address |
2251 N SHORE DR |
| City | RHINELANDER |
| State | WI |
| Zip Code | 54501-8360 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649262213 | Paula M Havisto | Physician Assistant | 2251 N Shore Dr, Rhinelander, WI 54501-6710 | 2005-08-18 |
| 1396387452 | Carley Anne Reynolds | Registered Nurse | 2251 N Shore Dr, Rhinelander, WI 54501-6710 | 2019-10-10 |
| 1538719380 | Allison Marie Grafwallner | Pharmacist | 2251 N Shore Dr, Rhinelander, WI 54501-6710 | 2019-09-13 |
| 1598222184 | Olivia Marie Szmanda | Nurse Practitioner | 2251 N Shore Dr, Rhinelander, WI 54501-6710 | 2019-03-01 |
| 1952874216 | Ascension Sacred Heart - St Mary's Hospitals, Inc | Durable Medical Equipment & Medical Supplies | 2251 N Shore Dr, Rhinelander, WI 54501-8360 | 2019-01-09 |
| 1477024479 | Ascension Wisconsin Pharmacy, Inc. | Pharmacy | 2251 N Shore Dr, Rhinelander, WI 54501-6710 | 2018-12-17 |
| 1104305085 | Ascension Wisconsin Pharmacy, Inc | Pharmacy | 2251 N Shore Dr, Rhinelander, WI 54501-6710 | 2018-08-10 |
| 1780179820 | Kelly J Westberg | Nurse Practitioner | 2251 N Shore Dr, Rhinelander, WI 54501 | 2018-06-29 |
| 1417481383 | Ford Strimenos | Internal Medicine | 2251 N Shore Dr, Rhinelander, WI 54501-6710 | 2017-04-17 |
| 1639603913 | Nicole Marie Peterson | Nurse Practitioner | 2251 N Shore Dr, Rhinelander, WI 54501 | 2017-04-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124513361 | Nathan Wigington | Dentist | 803 Lincoln Street, Rhinelander, WI 54501 | 2018-06-29 |
| 1659865582 | Wendy Jahsmann | Physical Therapy Assistant | 1970 Navajo Street, Rhinelander, WI 54501 | 2018-06-14 |
| 1699262055 | Marshfield Clinic Inc | Durable Medical Equipment & Medical Supplies | 2260 North Shore Drive, Rhinelander, WI 54501 | 2018-04-20 |
| 1467967489 | Harmony Counseling Services Dba Transitions Center | Counselor | 22 N Pelham Str., Rhinelander, WI 54501 | 2017-12-13 |
| 1316392046 | Horace Donn De Yampert | Physical Therapist | 528 Shepard Street, Rhinelander, WI 54501 | 2016-05-02 |
| 1588019582 | Oksana Smith | Physical Therapy Assistant | 1318 Eagle St, Rhinelander, WI 54501 | 2016-04-27 |
| 1639535115 | Rita Jean Semmerling | Counselor | 22 N. Pelham St., Rhinelander, WI 54501 | 2016-01-13 |
| 1891151809 | Jolie Dirrigle | Social Worker | 1020 Kabel Avenue, Rhinelander, WI 54501 | 2016-01-06 |
| 1861758260 | The Country Seed Inc. | Specialist | 210 E. Anderson Street, Rhinelander, WI 54501 | 2012-04-10 |
| 1952605446 | Adam Carlson | Physical Therapist | 7543 Woodboro Heights Rd, Rhinelander, WI 54501 | 2010-12-27 |
| Find all providers in zip 54501 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487975934 | Heather L Wood | Family Medicine | 1630 North Chippewa Dr, Rhinelander, WI 54501-9503 | 2010-06-18 |
| 1841307113 | Paul C Samundsen | Family Medicine | 2268 N Shore Dr, Rhinelander, WI 54501-8888 | 2006-08-24 |
| 1831621994 | Khrystyne Lindgren | Family Medicine | 2251 N Shore Dr, Rhinelander, WI 54501-6710 | 2017-03-29 |
| 1427210699 | Olumide Anuoluwa Omiwade | Family Medicine | 2251 N Shore Dr Ste 100, Rhinelander, WI 54501-6710 | 2008-06-30 |
| 1558520866 | Amy J H Ewan | Family Medicine | 1630 N Chippewa Dr, Rhinelander, WI 54501 | 2008-06-03 |
| 1649387853 | James R Smith | Family Medicine | 1630 Chippewa Dr, Rhinelander, WI 54501-9503 | 2006-08-24 |
| 1386750834 | Jerome C Andres | Family Medicine | 1630 Chippewa Dr, Rhinelander, WI 54501-9503 | 2006-08-21 |
| 1780640094 | William G Gustafson | Family Medicine | 1630 Chippewa Dr, Rhinelander, WI 54501-9503 | 2006-04-25 |
| 1366427593 | William Eugene Wright | Family Medicine | 2251 N Shore Dr, Rhinelander, WI 54501-6710 | 2005-12-09 |
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| 1275159998 | Beam Healthcare, Sc | Family Medicine | 25 W Main St Fl 5, Madison, WI 53703-3399 | 2020-06-18 |
| 1487283503 | Enitza Damaris George | Family Medicine | 1906 Brackett Ave, Eau Claire, WI 54701-5042 | 2020-04-02 |
| 1093341380 | Tia Marie Vaccaro | Family Medicine | 1275 Judd Rd, Oregon, WI 53575-2573 | 2020-03-18 |
| 1134753411 | Proactive Md Sc,p.a. | Family Medicine | Brakebush Health Center, N4993 6th Dr., Westfield, WI 53964 | 2020-02-26 |
| 1790323608 | Solidaritus Health Wisconsin Sc | Family Medicine | 1476 Blazing Star Blvd Ste 4, Altoona, WI 54720-4002 | 2019-12-11 |
| 1255974952 | Integrative Health Center of Central Wisconsin LLC | Family Medicine | 3205 E Washington Ave Ste A, Madison, WI 53704-4332 | 2019-10-25 |
| 1962969220 | Paladina Health, LLC | Family Medicine | Paladina Health Menomonee Falls, N84 W15787 Menomonee Avenue Suite 6, Menomonee Falls, WI 53051 | 2019-02-22 |
| 1942767298 | Paladina Health, LLC | Family Medicine | Paladina Health Sussex Beer Capitol Clinic, W222 N5700 Miller Way, Sussex, WI 53069 | 2019-02-22 |
| Find all providers with the same taxonomy | ||||
| City | RHINELANDER |
| Zip Code | 54501 |
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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.