DR. JOSEPH L. A. RUSSELL (NPI# 1578855433) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1578855433 |
Entity Type | Individual |
Full Name | DR. JOSEPH L. A. RUSSELL |
Credential | M.D. |
Practice Address |
7555 Northside Dr North Charleston SC 29420-4211 |
Practice Telephone | 8435763302 |
Practice Fax Number | 8437978372 |
Mailing Telephone | 8435763302 |
Mailing Fax Number | 8437978372 |
Enumeration Date | 2011-05-11 |
Last Update Date | 2018-03-17 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207YX0905X |
Otolaryngology Specialization: Otolaryngology/Facial Plastic Surgery |
51474 | SC | Allopathic & Osteopathic Physicians |
N | 207YX0905X |
Otolaryngology Specialization: Otolaryngology/Facial Plastic Surgery |
Q6275 | TX | Allopathic & Osteopathic Physicians |
Address | Telephone Number | Fax Number |
---|---|---|
1470 Tobias Gadson Blvd Ste 204, Charleston, SC 294074925 | 8435763302 | 8437978372 |
900 Bowman Rd Ste 201, Mount Pleasant, SC 294643221 | 8435763302 | 8437978372 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952911810 | Joseph Russell | Specialist/Technologist | 1701 W Lozano St, Harlingen, TX 78550-2168 | 2020-08-05 |
1174867709 | Joseph Aaron Russell | Physical Therapy Assistant | 1704 2nd Street Pl Ne, Hickory, NC 28601-1961 | 2012-11-20 |
1407824980 | Joseph Russell | Pediatrics | 14710 S Naperville Rd, Ste 110, Plainfield, IL 60544-3313 | 2006-03-09 |
1053811273 | Joseph Thomas Russell | Student in an Organized Health Care Education/Training Program | 744 W 9th St, Tulsa, OK 74127-9020 | 2018-02-14 |
1730424805 | Joseph Michael John Russell | Physician Assistant | 2830 Crescent Ave, Eugene, OR 97408-7397 | 2012-11-30 |
1710210612 | Joseph A Russell | Counselor | 1333 Iris Ave, Boulder, CO 80304-2226 | 2009-09-09 |
1093980146 | Joseph Paul Russell | Pharmacist | 204 E Brunson St, Enterprise, AL 36330-1922 | 2008-04-29 |
1174701882 | Joseph Paul Russell | Chiropractor | 404 W Grant Line Rd, Tracy, CA 95376-2550 | 2008-02-05 |
1275725707 | Joseph Scott Russell | Social Worker | 4455 Ne Highway 20, Corvallis, OR 97330-9695 | 2007-08-17 |
1245355536 | Joseph E Russell | Dentist | 6200 Som Center Rd, Suite R14, Solon, OH 44139 | 2007-03-19 |
Street Address |
7555 NORTHSIDE DR |
City | NORTH CHARLESTON |
State | SC |
Zip Code | 29420-4211 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023097532 | Patricia S Gerber | Allergy & Immunology | 7555 Northside Dr, North Charleston, SC 29420-4211 | 2006-01-12 |
1063958775 | Elizabeth V Freer | Physician Assistant | 7555 Northside Dr, North Charleston, SC 29420-4211 | 2017-01-19 |
1649220773 | National Allergy Asthma & Urticaria Centers of Charleston Pa | Allergy & Immunology | 7555 Northside Dr, North Charleston, SC 29420-4211 | 2006-05-11 |
1841260874 | John Ramey | Allergy & Immunology | 7555 Northside Dr, North Charleston, SC 29420-4211 | 2006-01-24 |
1750360178 | Ned T Rupp | Allergy & Immunology | 7555 Northside Dr, North Charleston, SC 29420-4211 | 2006-01-13 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467994343 | Sherrel Aiken Brown | Psychologist | 8202 Pleasant Ridge Dr, North Charleston, SC 29420 | 2016-11-09 |
1609209014 | Melanie K Wise | Licensed Practical Nurse | 7763 Northside Drive, North Charleston, SC 29420 | 2013-08-21 |
1477883767 | Gina H Jones | Counselor | 5421 Riverbluff Pkwy, North Charleston, SC 29420 | 2010-01-08 |
1881825933 | Thomas Nelson Pare IIi IIi | Dentist | 8626 Dorchester Road, Ste 102, Coosaw Dental, North Charleston, SC 29420 | 2009-08-06 |
1992953012 | Research & Education In Sleep Technologies, LLC | Clinic/Center | 8352 Whitehave Drive, North Charleston, SC 29420 | 2008-09-03 |
1194838532 | Raymond S Vicente | Dentist | 7481 Northside Dr, Suite A, North Charleston, SC 29420 | 2006-08-17 |
1083628697 | Eunice D Freeman | Counselor | 403 Willow Court, N.charleston, SC 29420 | 2006-07-28 |
1750300406 | Alan Boyer Mcdaniel | Specialist | 7510 Northforest Drive, North Charleston, SC 29420 | 2006-07-19 |
1548240559 | John Joseph Forney | Family Medicine | 8761 Dorchester Rd Suite 230, Charleston, SC 29420 | 2006-01-18 |
1609320217 | Charleston Dermatology, PC | Dermatology | 5401 Netherby Lane, Ste 1202, North Charleston, SC 29420 | 2016-08-11 |
Find all providers in zip 29420 |
Taxonomy Code | 207YX0905X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Otolaryngology |
Specialization | Otolaryngology/Facial Plastic Surgery |
An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions. |
Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124384631 | Helen Amelia Moses | Otolaryngology | 2783 Brownfield Way, Sumter, SC 29150-2254 | 2012-04-09 |
1891953956 | Thomas S Sellner | Otolaryngology | 115 Halton Village Cir, Greenville, SC 29607-6825 | 2008-05-27 |
1932399136 | Kimberly Renee Ostrowski | Otolaryngology | 885 Tiger Blvd Ste A, Clemson, SC 29631-1480 | 2007-07-25 |
1477521227 | David Brian Lovice | Otolaryngology | 100 N Sumter St, Suite 400, Sumter, SC 29150-4916 | 2006-03-09 |
1447619218 | Pura Plastic Surgery | Otolaryngology | 5351 Sunset Blvd, Lexington, SC 29072-9159 | 2016-02-22 |
1053675819 | Sheila Putman | Otolaryngology | 1021 Cipriana Dr Ste 220, Myrtle Beach, SC 29572-4621 | 2012-06-26 |
1164792016 | Mcleod Physician Associates II | Otolaryngology | 3980 Highway 9 E, Suite 340, Little River, SC 29566-8163 | 2012-01-10 |
1003050154 | Hans T Carlson | Otolaryngology | 115 Halton Village Cir, Greenville, SC 29607-6825 | 2009-04-20 |
1427107150 | Stephen J Kroll | Otolaryngology | 338 Harbison Blvd, Columbia, SC 29212-2248 | 2007-01-10 |
1518024363 | Gregory H Esselman Md LLC | Otolaryngology | 121 Aurora Place, Suite B, Aiken, SC 29801-3000 | 2007-01-02 |
Find all providers with the same taxonomy |
City | NORTH CHARLESTON |
Zip Code | 29420 |
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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.