DR. JOHN MICHAEL RUSSELL (NPI# 1629061189) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629061189 |
| Entity Type | Individual |
| Full Name | DR. JOHN MICHAEL RUSSELL |
| Credential | M.D. |
| Practice Address |
315 Palm Coast Pkwy Ne Suite 3 Palm Coast FL 32137-3888 |
| Practice Telephone | 3864474440 |
| Practice Fax Number | 3864474446 |
| Mailing Telephone | 3864474440 |
| Mailing Fax Number | 3864474446 |
| Enumeration Date | 2005-08-30 |
| Last Update Date | 2007-08-22 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | ME57356 | FL | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821231663 | John Russell IIi | Dentist | 206 N Brookmoore Dr, Columbus, MS 39705-2020 | 2009-04-09 |
| 1417106196 | John Edwin Russell | Physical Medicine & Rehabilitation | 6455 Toucan Trl, Spring Hill, FL 34607-2642 | 2008-09-17 |
| 1831221159 | John Clark Russell | Dentist | 2010 Court St, Beatrice, NE 68310-3209 | 2007-03-12 |
| 1811023963 | John Thomas Russell | Dentist | 1116 West St, Suite B, Annapolis, MD 21401-3608 | 2007-02-25 |
| 1003957515 | John Wesley Russell | Dentist | 3253 Mccracken St, Muskegon, MI 49441 | 2007-02-08 |
| 1902958077 | John Douglas Russell | Dentist | 4178 Ashby Court, Shasta Lake City, CA 96019 | 2007-01-17 |
| 1619066156 | John Grover Russell | Specialist | 8188 W Bartlett Rd, Casa Grande, AZ 85222-7336 | 2006-10-12 |
| 1003918137 | John C Russell | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2731 Oak Bluff, San Antonio, TX 78230 | 2006-09-01 |
| 1720013204 | John Russell | Urology | 22 Hartford St # Sr, Houlton, ME 04730-1844 | 2006-07-12 |
| 1619925294 | John Andrew Haws Russell | Obstetrics & Gynecology | 106 Liner Dr, Greenwood, SC 29646 | 2006-05-05 |
| Street Address |
315 PALM COAST PKWY NE SUITE 3 |
| City | PALM COAST |
| State | FL |
| Zip Code | 32137-3888 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932396603 | Russell Orthopaedic Center Pa | Orthopaedic Surgery | 315 Palm Coast Pkwy Ne, Ste 3, Palm Coast, FL 32137-3888 | 2007-09-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922617505 | Palm Coast Alf Management LLC | Assisted Living Facility | 3830 Old Kings Road, Palm Coast, FL 32137 | 2020-07-29 |
| 1093324964 | Akilah Collins | Behavior Technician | 515 Palm Coast Pwky Sw, Suite 6, Palm Coast, FL 32137 | 2020-07-27 |
| 1750929477 | Jeanette Ann Stevens | Technician | 1 Lema Place, Palm Coast, FL 32137 | 2019-12-12 |
| 1649816919 | Patrick Meyer | Occupational Therapy Assistant | 9 Pine Cone Drive, Palm Coast, Palm Coast, FL 32137 | 2019-11-21 |
| 1689230385 | Coastal Care Medical Transport | Non-emergency Medical Transport (VAN) | #2b, 1 Hargrove Grde, Palm Coast, FL 32137 | 2019-05-17 |
| 1407357437 | Palm Coast Counseling, LLC | Counselor | 1 Hargrove Grade, Ste B-1, Palm Coast, FL 32137 | 2018-02-25 |
| 1679081459 | Lance J Langston | Behavior Technician | 2 Crosstie Ct, Palm Coast, FL 32137 | 2018-01-16 |
| 1407360712 | Hanna Mercedes Brown | Behavior Technician | 515 Palm Coast Pkwy, Suite 6/7, Palm Coast, FL 32137 | 2017-11-22 |
| 1760994511 | Sophia's Choice Hands That Help, LLC | Custodial Care Facility | 119 Bud Hollow Dr, Palm Coast, FL 32137 | 2017-11-02 |
| 1922543255 | Megan Katherine Dickerson | Physical Therapist | 250 Palm Coast Pkwy Ne Unit 209a, Palm Coast, FL 32137 | 2016-12-22 |
| Find all providers in zip 32137 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447786850 | Charles Weiss | Orthopaedic Surgery | 11 Ocean Dune Cir, Palm Coast, FL 32137-2266 | 2017-05-04 |
| 1164977534 | Orthopaedic Clinic of Daytona Beach Pa | Orthopaedic Surgery | 17 Old Kings Rd N Ste K, Palm Coast, FL 32137-8283 | 2016-08-16 |
| 1356402390 | David Gay | Orthopaedic Surgery | 145 City Pl, Palm Coast, FL 32164-2479 | 2006-12-13 |
| 1780790691 | Ronald Bathaw | Orthopaedic Surgery | 80 Pinnacles Dr, Building B, Suite 700, Palm Coast, FL 32164-2323 | 2006-08-22 |
| 1831416411 | Antony Denard Jr. | Orthopaedic Surgery | 61 Memorial Medical Pkwy Ste 2801, Palm Coast, FL 32164-5999 | 2010-04-22 |
| 1841422581 | Palm Harbor Orthopedics Pa | Orthopaedic Surgery | 80 Pinnacles Dr, Suite 700, Palm Coast, FL 32164-2323 | 2009-08-13 |
| 1740414317 | Corey Samuel Rosenbaum | Orthopaedic Surgery | 145 City Pl Ste 201, Palm Coast, FL 32164-2480 | 2009-05-11 |
| 1932396603 | Russell Orthopaedic Center Pa | Orthopaedic Surgery | 315 Palm Coast Pkwy Ne, Ste 3, Palm Coast, FL 32137-3888 | 2007-09-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477169571 | Health First Medical Group LLC | Orthopaedic Surgery | 6525 3rd Street, #302, Rockledge, FL 32955 | 2020-09-23 |
| 1306451778 | Daniel Alfonso Moreno | Orthopaedic Surgery | 7622 Sw 129th Pl, Miami, FL 33183-4251 | 2020-09-13 |
| 1659980654 | Gulfcoast Spine Institute, Pa | Orthopaedic Surgery | 439 S Florida Ave Ste 300, Lakeland, FL 33801-5212 | 2020-07-24 |
| 1659998904 | Orthopaedic Associates, Pa | Orthopaedic Surgery | 5300 S Ferdon Blvd, Crestview, FL 32536-5235 | 2020-07-02 |
| 1912529868 | Edward Frank Spievack | Orthopaedic Surgery | 30 W High Point Rd, Stuart, FL 34996-7020 | 2020-05-14 |
| 1497377907 | Musculoskeletal Institute Chartered | Orthopaedic Surgery | 11286 Boyett Rd, Suite 101, Riverview, FL 33569 | 2020-05-07 |
| 1942829429 | Orthopaedic Specilaists of The Palm Beaches | Orthopaedic Surgery | 130 Jfk Dr Ste 136, Atlantis, FL 33462-6631 | 2020-04-14 |
| 1174156848 | Musculoskeletal Institute Chartered | Orthopaedic Surgery | 10141 Big Bend Rd Ste 201, Riverview, FL 33578-7421 | 2020-02-20 |
| 1104459874 | Musculoskeletal Institute Chartered | Orthopaedic Surgery | 1901 Haverford Ave Ste 107, Sun City Center, FL 33573-5200 | 2020-02-20 |
| 1518590314 | Musculoskeletal Institute Chartered | Orthopaedic Surgery | 8839 Bryan Dairy Rd Ste 240, Largo, FL 33777-1208 | 2020-02-20 |
| Find all providers with the same taxonomy | ||||
| City | PALM COAST |
| Zip Code | 32137 |
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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.