RUSSELL B SKINNER MD PA (NPI# 1669849485) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669849485 |
| Entity Type | Organization |
| Organization Name | RUSSELL B SKINNER MD PA |
| Other Organization Name | FAMILY HEALTH AND WELLNESS OF PLANO |
| Practice Address |
5072 W Plano Pkwy Suite 200 Plano TX 75093-4476 |
| Practice Telephone | 4696611100 |
| Practice Fax Number | 4696611104 |
| Mailing Telephone | 4696611100 |
| Mailing Fax Number | 4696611104 |
| Enumeration Date | 2015-08-27 |
| Last Update Date | 2015-08-27 |
| Authorized Official Name | RUSSELL BRENT SKINNER (PRESIDENT) |
| Authorized Official Telephone | 4696611100 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | K5697 | TX | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Family Health and Wellness of Plano | Doing Business As Name - Organization |
| Street Address |
5072 W PLANO PKWY SUITE 200 |
| City | PLANO |
| State | TX |
| Zip Code | 75093-4476 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427057678 | Parkway Vista Dental Pllc | Dentist | 5072 W Plano Pkwy, Suite 250, Plano, TX 75093-4476 | 2005-07-19 |
| 1780122556 | Endodontic Associates of Plano, Pllc | Dentist | 5072 W Plano Pkwy, 270, Plano, TX 75093-4476 | 2017-02-01 |
| 1225371461 | Kimberly Gail Holt | Dentist | 5072 W Plano Pkwy, # 180, Plano, TX 75093-4476 | 2013-04-05 |
| 1649516600 | Tony Randelle Moore | Physical Therapy Assistant | 5072 W Plano Pkwy, Suite 100, Plano, TX 75093-4476 | 2012-12-19 |
| 1720348527 | Riddhi Patel | Physical Therapist | 5072 W Plano Pkwy, Suite 100, Plano, TX 75093-4476 | 2012-05-25 |
| 1215200027 | Adam Johnson | Physical Therapy Assistant | 5072 W Plano Pkwy, Suite 100, Plano, TX 75093-4476 | 2012-02-10 |
| 1659648947 | Terri M Jones | Respiratory Therapist, Certified | 5072 W Plano Pkwy, Suite 100, Plano, TX 75093-4476 | 2011-11-30 |
| 1689952954 | Angela Fredrickson | Social Worker | 5072 W Plano Pkwy, Suite 100, Plano, TX 75093-4476 | 2011-08-03 |
| 1780970640 | Pamela Rae Fischer | Respiratory Therapist, Certified | 5072 W Plano Pkwy, Suite 100, Plano, TX 75093-4476 | 2011-06-20 |
| 1891084521 | Assured Comprehensive Rehab, Lp | Clinic/Center | 5072 W Plano Pkwy, Suite 100, Plano, TX 75093-4483 | 2011-04-04 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235789041 | Mapleshade Surgery Center, LLC | Clinic/Center | 960 Ohio Dr, Plano, TX 75093 | 2019-09-13 |
| 1003461468 | Psyclear, LLC | Psychologist | 5055 West Park Boulevard, Suite 400, Plano, TX 75093 | 2019-08-02 |
| 1962981795 | Ep Anesthesia Pllc | Anesthesiology | 4100 Mapleshade Ln, Plano, TX 75093 | 2018-08-13 |
| 1669973939 | Eva Walekhwa | Registered Nurse | 6000 Ohio Drive, Apt 1027, Plano, TX 75093 | 2018-02-22 |
| 1437657624 | Advanced Spine Center | Orthopaedic Surgery | 1705 Ohio Drive, Suite 300, Plano, TX 75093 | 2018-01-23 |
| 1184139974 | Erica Cherese Carey | Nurse Practitioner | 1100 Allied Drive, Plano, TX 75093 | 2017-12-04 |
| 1457865578 | Norma Vigilant | Specialist/Technologist, Other | 4909 West Park Blvd, Plaza Park Salons, Plano, TX 75093 | 2017-11-28 |
| 1891214011 | Americare Rx Pharmacy Inc | Pharmacy | 4010 W. 15th St., Ste 60, Plano, TX 75093 | 2017-09-19 |
| 1760912554 | Baylor Surgicare At Baylor Plano, LLC | Clinic/Center | 4825 Alliance, Sute 300, Plano, TX 75093 | 2017-06-14 |
| 1881133262 | Dr.seshagiri Rao | Preferred Provider Organization | 3016 Communications Pkwy, Ste 100, Plano, TX 75093 | 2017-02-17 |
| Find all providers in zip 75093 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
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|---|---|---|---|---|
| 1427671981 | Staying Healthy Wellness LLC | Family Medicine | 4700 Dexter Dr Ste 300b, Plano, TX 75093-5294 | 2020-05-19 |
| 1124672811 | Stephen Twyman Md Pllc | Family Medicine | 5700 Tennyson Pkwy Ste 300, Plano, TX 75024-3595 | 2019-07-30 |
| 1073008827 | James D Cable Medical Pllc | Family Medicine | 6020 W Parker Rd Ste 425, Plano, TX 75093-8174 | 2018-06-25 |
| 1609389881 | Nortex Integrated Medicine Pllc | Family Medicine | 1200 Coit Rd Ste 109, Plano, TX 75075-7756 | 2017-11-10 |
| 1124558861 | Mw Wellness Vi, LLC | Family Medicine | 1921 Preston Rd Ste 2008, Plano, TX 75093-5200 | 2017-06-15 |
| 1013455443 | Nortex Integrated Medicine Pllc - Dallas Series | Family Medicine | 7000 Preston Rd Ste 1500, Plano, TX 75024-2512 | 2017-02-06 |
| 1649720509 | Stream Health Care Pa | Family Medicine | 280 Legacy Dr Ste 106, Plano, TX 75023-2315 | 2016-10-04 |
| 1588026330 | Vora Physicians, Pllc | Family Medicine | 1360 Star Ct, T1, Plano, TX 75074-7353 | 2016-03-22 |
| 1538543178 | Shssjv1 LLC | Family Medicine | 6400 Pinecrest Dr, Ste 300, Plano, TX 75024-2960 | 2015-07-14 |
| 1942606736 | Ntx Catalyst Health Network Inc | Family Medicine | 5212 Tennyson Pkwy, Suite 100, Plano, TX 75024-4211 | 2014-11-06 |
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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.