DR. WILLIAM DOUGLAS RUSSELL (NPI# 1619077740) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619077740 |
| Entity Type | Individual |
| Full Name | DR. WILLIAM DOUGLAS RUSSELL |
| Credential | D.C. |
| Practice Address |
2820 Missouri Ave Saint Louis MO 63118-1641 |
| Practice Telephone | 3147731255 |
| Practice Fax Number | 3148219889 |
| Mailing Telephone | 3147731255 |
| Mailing Fax Number | 3148219889 |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111NS0005X |
Chiropractor Specialization: Sports Physician |
005402 | MO | Chiropractic Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770050700 | William Russell | Hearing Instrument Specialist | 1105 Broad St, Ashland, OH 44805-2910 | 2018-10-29 |
| 1871079335 | William Andrew Russell | Social Worker | 3051 W Maple Loop Dr Ste 210, Lehi, UT 84043-4602 | 2018-07-17 |
| 1982842589 | William Russell | Pharmacist | 7014 Flax St, Springfield, VA 22152-3423 | 2009-02-04 |
| 1477746857 | William Joseph Russell Jr. | Physical Therapist | 12001 Pacific Ave S Ste 101, Tacoma, WA 98444-5101 | 2007-08-20 |
| 1326170127 | William A Russell | Dentist | 2002 No University, Little Rock, AR 72207 | 2007-03-09 |
| 1801943469 | William F. Russell | Psychologist | 1241 Vine St, Suite 300, Philadelphia, PA 19107-1111 | 2007-01-05 |
| 1720178445 | William M Russell | Internal Medicine | 5401 S Congress Ave Ste 201, Atlantis, FL 33462-6637 | 2006-10-13 |
| 1013000520 | William E. Russell | Social Worker | 3322 Grove Avenue, Richmond, VA 23221-2818 | 2006-10-02 |
| 1548883671 | William Wakefield Russell | Pediatrics | 3401 Civic Center Blvd, Philadelphia, PA 19104-4319 | 2020-05-23 |
| 1447710579 | William Paul Russell | Student in an Organized Health Care Education/Training Program | 743 Spring St Ne Ste 710, Gainesville, GA 30501-3715 | 2019-03-24 |
| Street Address |
2820 MISSOURI AVE |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63118-1641 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770149023 | Clouds of Care In-home Healthcare Services LLC | Hospice Care, Community Based | 3450 Magnolia Ave, Saint Louis, MO 63118 | 2019-05-13 |
| 1154839488 | Serenity Gardens Home Health Services LLC. | Home Health | 3002 S Jefferson Ave Ste 201, Saint Louis, MO 63118 | 2018-01-22 |
| 1861917759 | Freedom Day Center, LLC | Meals | 3309 Meramec Street, Saint Louis, MO 63118 | 2017-08-11 |
| 1669901450 | Stanley Eziukwu | Student in an Organized Health Care Education/Training Program | 3535 S Jefferson Ave Ste 104, Saint Louis, MO 63118 | 2017-06-06 |
| 1467987651 | Hinna Shahid | Internal Medicine | 3545 South Jefferson Ave, St. Louis, MO 63118 | 2017-04-25 |
| 1225436959 | Shelley Stretch | Counselor | 4066 Dunnica Avenue, St. Louis, MO 63118 | 2014-12-11 |
| 1821406174 | Preferred Family Healthcare, Inc | Substance Abuse Rehabilitation Facility | 4066 Dunnica, Saint Louis, MO 63118 | 2014-07-31 |
| 1275898173 | Stephanie Lynn Cullinan | Optometrist | 3122 S Grand, St. Louis, MO 63118 | 2012-07-07 |
| 1174822555 | Morgan Patrick Morris | Chiropractor | 3611 S. Grand Blvd, Suite 200, Saint Louis, MO 63118 | 2011-03-24 |
| 1043481955 | Victor Rivera Md LLC | Obstetrics & Gynecology | 3535 S Jefferson, Suite 106, St Louis, MO 63118 | 2008-03-19 |
| Find all providers in zip 63118 | ||||
| Taxonomy Code | 111NS0005X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| Specialization | Sports Physician |
| A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) or the Certified Chiropractic Sports Physician (CCSP), sport specialty certifications from the American Chiropractic Board of Sports Physicians, have advanced training in the assessment, management and rehabilitation of sports related injuries. Extremity care, rehabilitation and soft tissue procedures are common skills utilized by these doctors. The specialty training covers a broad spectrum from the pediatric athlete to professional and Olympic athletes, and everything in between, using a variety of techniques and modalities. |
| Notes: Source: American Chiropractic Board of Sports Physicians, 2009 [7/1/2009: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669770251 | Cindy Almon | Chiropractor | 9058 Watson Rd Ste C, Saint Louis, MO 63126-2242 | 2011-03-04 |
| 1518273911 | Performance Health Care LLC | Chiropractor | 3641 Reavis Barracks Rd, Saint Louis, MO 63125-2438 | 2010-08-23 |
| 1720114424 | Ralph Michael Filson | Chiropractor | 10510 Old Olive Street Rd, Saint Louis, MO 63141-5926 | 2007-02-26 |
| 1134213044 | John Edward Kiernan Jr. | Chiropractor | 2401 S 11th St, Saint Louis, MO 63104-4305 | 2006-10-03 |
| 1689641235 | Loretta A Hough | Chiropractor | 7415 S Lindbergh Blvd, Saint Louis, MO 63125-4837 | 2006-03-02 |
| 1790128007 | Kiernan Chiropractic, Inc. | Chiropractor | 2401 S 11th St, Saint Louis, MO 63104-4345 | 2013-04-17 |
| 1427392356 | Spine and Joint Care of Fenton, LLC | Chiropractor | 8005 Mackenzie Rd, Saint Louis, MO 63123-3518 | 2012-11-15 |
| 1548421282 | Chiropractic Centre-olive/270,llc | Chiropractor | 11935 Olive Blvd, Saint Louis, MO 63141-6729 | 2008-06-24 |
| 1548484819 | Feet for Life Centers Inc PC | Chiropractor | 8637 Delmar Blvd, Saint Louis, MO 63124-1906 | 2007-04-11 |
| 1144333634 | Rhonda Lynn Jones | Chiropractor | 11935 Olive Blvd, Saint Louis, MO 63141-6729 | 2006-08-17 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63118 |
Please comment or provide details below to improve the information on DR. WILLIAM DOUGLAS RUSSELL.
| 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.