DR. PAULA TOTH-RUSSELL (NPI# 1588756712) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588756712 |
| Entity Type | Individual |
| Full Name | DR. PAULA TOTH-RUSSELL |
| Credential | M.D. |
| Practice Address |
611 E Douglas Rd Suite 305 Mishawaka IN 46545-1464 |
| Mailing Address |
707 E Cedar St Ste 200 South Bend IN 46617-2057 |
| Practice Telephone | 5744726700 |
| Practice Fax Number | 5743350643 |
| Mailing Telephone | 5743358700 |
| Mailing Fax Number | 5743350760 |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2016-09-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 1042736 | IN | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 100467060A | 05 | |
| IN | BCBS | 000000721959 | 01 |
| IN | 100467060 | 05 |
| Street Address |
611 E DOUGLAS RD SUITE 305 |
| City | MISHAWAKA |
| State | IN |
| Zip Code | 46545-1464 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770587321 | Sachin R. Patel | Internal Medicine | 611 E Douglas Rd, Ste 208, Mishawaka, IN 46545-1464 | 2005-06-10 |
| 1568923845 | Joseph Knight | Student in an Organized Health Care Education/Training Program | 611 E Douglas Rd, Mishawaka, IN 46545-1464 | 2019-03-28 |
| 1740721240 | Lindsay Snyder | Pharmacist | 611 E Douglas Rd, Suite 412, Mishawaka, IN 46545-1464 | 2017-03-16 |
| 1518408137 | Lyndsay Gable | Nurse Practitioner | 611 E Douglas Rd, Suite 308, Mishawaka, IN 46545-1464 | 2017-03-15 |
| 1942684873 | Michael James Kulju | Student in an Organized Health Care Education/Training Program | 611 E Douglas Rd, Ste 407, Mishawaka, IN 46545-1464 | 2015-07-09 |
| 1427456912 | Hanna Raber | Pharmacist | 611 E Douglas Rd, Ste 407, Mishawaka, IN 46545-1464 | 2014-12-15 |
| 1033529938 | Melissa Gillette | Genetic Counselor, MS | 611 E Douglas Rd, Ste. 408, Mishawaka, IN 46545-1468 | 2014-04-30 |
| 1720400328 | Kierstan Hanson | Pharmacist | 611 E Douglas Rd, Suite 412, Mishawaka, IN 46545-1464 | 2014-01-16 |
| 1396183158 | Broderick C Howard | Family Medicine | 611 E Douglas Rd, Ste 137, Mishawaka, IN 46545-1464 | 2013-06-13 |
| 1174864524 | Jennifer Brittny Werner | Physical Therapist | 611 E Douglas Rd, 403, Mishawaka, IN 46545-1464 | 2013-03-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649824103 | Senior Helpers | In Home Supportive Care | 230 Catalpa Drive Suite B, Mishawaka, IN 46545 | 2019-08-01 |
| 1093272114 | Candice Marie Greathouse | Physical Therapy Assistant | 3630 Hickory Road, Mishawaka, IN 46545 | 2019-02-25 |
| 1639662596 | Mishawaka Rcf Lp | Assisted Living Facility | 3630 Hickory Rd, Mishawaka, IN 46545 | 2018-06-14 |
| 1760907299 | Timothy John Howard | Emergency Medicine | 610 1/2 N Main Street, Apartment 1, Mishawaka, IN 46545 | 2017-08-05 |
| 1699203612 | Paridhie Vasudevan | Dentist | 6502 Grape Rd Ste 882, Mishawaka, IN 46545 | 2017-06-03 |
| 1780134650 | Ossip Optometry, PC | Optometrist | 5111 N. Main Street, Suite 200, Mishawaka, IN 46545 | 2016-10-04 |
| 1457730038 | Melissa Anne Douthit | Nurse Practitioner | 3665 Park Pl W Ste 300, Mishawaka, IN 46545 | 2015-05-28 |
| 1558759654 | Spine and Joint Associates of Plymouth, Inc | Chiropractor | 229 Red Coach, Suite 106, Mishawaka, IN 46545 | 2014-12-26 |
| 1609264795 | Spine and Joint Associates of Mishawaka, Inc | Chiropractor | 229 Red Coach Trail, Suite 106, Mishawaka, IN 46545 | 2014-12-26 |
| 1508260795 | Maribel Smith | Counselor | 2989 Heritage Ct, Mishawaka, IN 46545 | 2014-10-16 |
| Find all providers in zip 46545 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861496432 | David F. Sonego | Specialist | 230 E Day Rd, # 160, Mishawaka, IN 46545-3463 | 2005-06-10 |
| 1205976560 | Margaret A Walter Md PC | Specialist | 15011 Day Road, Mishawaka, IN 46545 | 2007-02-07 |
| 1801988027 | Michael Englert | Specialist | 611 E Douglas Rd, Suite 305, Mishawaka, IN 46545-1464 | 2006-09-28 |
| 1376578310 | Ajit V Pai Md | Specialist | 3212 Hickory Rd, Suite B, Mishawaka, IN 46545-8862 | 2006-07-11 |
| 1518996719 | Nephrology Physicians, LLC | Specialist | 710 Park Place, Mishawaka, IN 46545-3519 | 2006-07-01 |
| 1205809225 | Carole Ann Derucki | Specialist | 611 E Douglas Rd, Suite 305, Mishawaka, IN 46545-1464 | 2006-02-09 |
| 1255316782 | Paul Joseph Guentert | Specialist | 611 E Douglas Rd, Mishawaka, IN 46545-1464 | 2005-12-07 |
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| 1659903599 | Ann M Samra-theurer | Specialist | 3988 Cobblestone Cv, New Haven, IN 46774-2078 | 2020-02-09 |
| 1780223750 | Erin Cannon | Specialist | 1543 N Post Rd, Indianapolis, IN 46219 | 2019-12-23 |
| 1508320318 | Andrea Carlson | Specialist | 3570 E Lincoln Hwy, Merrillville, IN 46410-5830 | 2019-01-25 |
| 1144708413 | Inject Health, LLC | Specialist | 1833 N Shadeland Ave, Indianapolis, IN 46219-2735 | 2018-07-30 |
| 1679078398 | Wright Choice Hairquarters | Specialist | 1815 Fox Point Trl Apt 2, Fort Wayne, IN 46816-2450 | 2018-03-26 |
| 1053819458 | Denise Michelle Strom | Specialist | 8620 Purdue Rd, Indianapolis, IN 46268-1114 | 2018-01-31 |
| 1568995785 | Southlake Internal Medicine LLC | Specialist | 928 Mary Ellen Dr, Crown Point, IN 46307-8998 | 2017-04-05 |
| 1679010342 | Kathryn Dittmer | Specialist | 3411 Airport Rd, Portage, IN 46368-5107 | 2017-01-19 |
| 1225581945 | Hossam Eldine Kamal Youssef | Specialist | 7230 Engle Rd Ste 303, Fort Wayne, IN 46804-2227 | 2016-07-28 |
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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.