KEVIN LEIGH RUSSELL (NPI# 1558592675) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1558592675 |
Entity Type | Individual |
Full Name | KEVIN LEIGH RUSSELL |
Practice Address |
Msron-6 Bldg 15, Norfolk Naval Shipyard Portsmouth VA 23709 |
Practice Telephone | 7579674177 |
Mailing Telephone | 7579674177 |
Enumeration Date | 2009-08-06 |
Last Update Date | 2009-08-06 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1710I1002X |
Military Health Care Provider Specialization: Independent Duty Corpsman |
Other Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558759480 | Kevin D Russell Sr. | Driver | 1351 Gates Rd, Columbia, MS 39429-8948 | 2014-12-30 |
1598065070 | Kevin E Russell | Pharmacist | 3308 Nw Southview Dr, Albany, OR 97321 | 2010-10-29 |
1194905257 | Kevin Joseph Russell | Optometrist | 2048 E. Baseline Rd., Suite C6, Mesa, AZ 85204 | 2007-11-06 |
1366543167 | Kevin John Russell | Counselor | 5435 Bull Valley Rd Ste 106, Mchenry, IL 60050-2209 | 2006-09-26 |
1851899694 | Kevin Laron Russell | Behavior Technician | 75 Park Creek Dr, Clovis, CA 93611-4432 | 2018-01-26 |
1659512978 | Kevin Russell | Marriage & Family Therapist | 1030 2nd St, Santa Rosa, CA 95404-6607 | 2009-03-17 |
1780722868 | Kevin L. Russell | Preventive Medicine | 34800 Bob Wilson Dr, Nmcsd, San Diego, CA 92134-1098 | 2007-02-02 |
1881601318 | Kevin T Russell | Physical Therapist | 111 Goose Lane, Ste 2500, Guilford, CT 06437 | 2006-08-01 |
Street Address |
MSRON-6 BLDG 15, NORFOLK NAVAL SHIPYARD |
City | PORTSMOUTH |
State | VA |
Zip Code | 23709 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356818314 | Kevin W Campbell | Dentist | Norfolk Naval Shipyard Bld 277, Portsmouth, VA 23709 | 2018-10-29 |
1093019853 | Jeffrey Wilcox | Military Health Care Provider | Bldg 1575 Norfolk Naval Shipyard, Maritime Expeditionary Support Group Two, Portsmouth, VA 23709 | 2011-01-07 |
1861600389 | Christopher Robin Maurer | Military Health Care Provider | Ncws 4, Ibu 41, Nnsy Bldg 11, Portsmouth, VA 23709 | 2007-05-18 |
1609080589 | Luis Alexander Glinton | Military Health Care Provider | Norfolk Naval Shipyard, Bldg 15, Portsmouth, VA 23709 | 2007-05-09 |
1760694368 | Hosea Smith Jr. | Military Health Care Provider | Naval Coastal Warfare Squadron Four, Nnsy Bldg 11 Rm 103, Portsmouth, VA 23709 | 2007-05-04 |
1043281249 | Nekeia Remoan Roberson | Dental Hygienist | Bldg. 277 Code 100d, Naval Medical Center Portsmouth - N, Portsmouth, VA 23709 | 2006-01-27 |
1295270189 | Grace Salerno | Dental Hygienist | Code J-1001 Building 277, Norfolk Naval Shipyard Branch Dental Clinic, Portsmouth, VA 23709-1001 | 2016-12-30 |
1144479213 | Jay Hays Mcdowell Sr. | Military Health Care Provider | Bhc Nnsy, Bldg 277, Portsmouth, VA 23709-1001 | 2008-09-15 |
1245201060 | Carol Jean Kessler | Pharmacist | Scott Center Annex, Norfolk Naval Shipyard, Building 1572, Portsmouth, VA 23709-1515 | 2006-01-30 |
1356533731 | Teresa A Kirkland | Military Health Care Provider | Code 100 M, Building 277, Portsmouth, VA 23709-5000 | 2007-08-09 |
Find all providers in zip 23709 |
Taxonomy Code | 1710I1002X |
Grouping | Other Service Providers |
Classification | Military Health Care Provider |
Specialization | Independent Duty Corpsman |
A Navy Independent Duty Corpsman (IDC) is an active duty Sailor who has successfully completed one of the Navy's specific IDC training programs. IDCs are formally trained and educated to perform primary medical care and minor surgical services in a variety of health care and non-health care settings worldwide under indirect physician supervision. IDCs provide care to Department of Defense operational forces and other supporting forces such as contractors and foreign nationals. |
Notes: Source: Bureau of Medicine and Surgery, Department of the Navy [7/1/2005: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073941811 | Aaron Pines | Military Health Care Provider | 264 Tigerlilly Dr, Portsmouth, VA 23701-2727 | 2013-10-14 |
1558658757 | Gary James Sweet | Military Health Care Provider | 1 Ayres Circle, Bldg. H-1, Pnsy, Naval Branch Health Clinic, Portsmouth, NH 03804 | 2011-07-08 |
1093019853 | Jeffrey Wilcox | Military Health Care Provider | Bldg 1575 Norfolk Naval Shipyard, Maritime Expeditionary Support Group Two, Portsmouth, VA 23709 | 2011-01-07 |
1144479213 | Jay Hays Mcdowell Sr. | Military Health Care Provider | Bhc Nnsy, Bldg 277, Portsmouth, VA 23709-1001 | 2008-09-15 |
1356533731 | Teresa A Kirkland | Military Health Care Provider | Code 100 M, Building 277, Portsmouth, VA 23709-5000 | 2007-08-09 |
1326242215 | Thomas Michael Kaptur | Military Health Care Provider | Naval Costal Warfare Squadron Four, Norfolk Naval Shipyard Bldg 11, Portsmouth, VA 23701 | 2007-06-13 |
1861600389 | Christopher Robin Maurer | Military Health Care Provider | Ncws 4, Ibu 41, Nnsy Bldg 11, Portsmouth, VA 23709 | 2007-05-18 |
1588879779 | Ralph Allen Rowe Jr. | Military Health Care Provider | Mobile Security Squadron Six, Nnsy Bld 15, Portsmouth, VA 23709-5000 | 2007-05-11 |
1609080589 | Luis Alexander Glinton | Military Health Care Provider | Norfolk Naval Shipyard, Bldg 15, Portsmouth, VA 23709 | 2007-05-09 |
1760694368 | Hosea Smith Jr. | Military Health Care Provider | Naval Coastal Warfare Squadron Four, Nnsy Bldg 11 Rm 103, Portsmouth, VA 23709 | 2007-05-04 |
Find all providers in PORTSMOUTH |
City | PORTSMOUTH |
Zip Code | 23709 |
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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.