JOHN RUSSELL (NPI# 1720013204) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1720013204 |
Entity Type | Individual |
Full Name | JOHN RUSSELL |
Credential | MD |
Practice Address |
22 Hartford St # Sr Houlton ME 04730-1844 |
Mailing Address |
1519 3rd St Se Ste 210 Puyallup WA 98372-3742 |
Practice Telephone | 2075324068 |
Enumeration Date | 2006-07-12 |
Last Update Date | 2017-05-16 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208800000X | Urology | MD20256 | ME | Allopathic & Osteopathic Physicians |
N | 208800000X | Urology | MD00027077 | WA | 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 |
1619925294 | John Andrew Haws Russell | Obstetrics & Gynecology | 106 Liner Dr, Greenwood, SC 29646 | 2006-05-05 |
1124098728 | John J Russell | Internal Medicine | 1610 N Kings Highway St, Suite 304, Cape Girardeau, MO 63701-2196 | 2006-01-25 |
Street Address |
22 HARTFORD ST # SR |
City | HOULTON |
State | ME |
Zip Code | 04730-1844 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568924322 | Sarah Lee Lynds | Occupational Therapy Assistant | 20 Harford St, Houlton, ME 04730 | 2019-04-02 |
1518267715 | Jill Forest | Case Manager/Care Coordinator | 147 Hodgdon Mills Road, Hodgdon, ME 04730 | 2010-10-22 |
1689989097 | Miriam Carter | Speech-Language Pathologist | 65 South St., Rsu #29, Houlton, ME 04730 | 2010-08-10 |
1821296708 | Carl Malcolm Tingley | Physical Therapy Assistant | 342 Mcsheffery Road, Houlton, ME 04730 | 2007-07-03 |
1386847804 | Jennifer Ann Gooley | Physical Therapy Assistant | 94 Militay St., Madigan Estates, Holton, ME 04730 | 2007-06-11 |
1386783173 | Bruce Merrill Harvey | Chiropractor | 22 B Road, Houlton, ME 04730 | 2007-02-06 |
1225124050 | Houlton Band of Maliseet Indians | Clinic/Center | 12 Clover Circle, Houlton, ME 04730 | 2006-10-05 |
1205929171 | Donald P Woods | Dentist | 88 Mcsheffery Rd, Houlton, ME 04730 | 2006-10-02 |
1578665485 | Donald G Brushett | Family Medicine | 59 Bangor Street, Katahdin Valley Health Center, Houlton, ME 04730 | 2006-09-01 |
1518463470 | A New Start LLC | Social Worker | 22 North Street, Houiton, ME 04730 | 2018-03-31 |
Find all providers in zip 04730 |
Taxonomy Code | 208800000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Urology |
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043297013 | New England Urology, P.a. | Urology | 20 Hartford St, Suite 3, Houlton, ME 04730-1891 | 2005-12-29 |
1396722369 | Prakash Thawait | Urology | 22 Hartford St, Suite 3, Houlton, ME 04730-1844 | 2005-12-29 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942614979 | Marc Calabrese | Urology | 21 Donald B Dean Dr Ste 1, South Portland, ME 04106-3234 | 2014-06-18 |
1144507948 | Andrew Percy Iverson,md II | Urology | 11 Staples Point Rd, Freeport, ME 04032-6003 | 2011-11-08 |
1063640555 | Curtis P. Ross | Urology | 55 Broadway Ste 2, Bangor, ME 04401-5201 | 2009-06-23 |
1790928570 | Evan J Dunn | Urology | 287 Main St Ste 404, Lewiston, ME 04240-7056 | 2009-04-09 |
1659534782 | Jonas Gricius | Urology | 55 Broadway Fl 2, Bangor, ME 04401-5201 | 2008-07-09 |
1639260847 | Derrick S Tooth | Urology | 1053 Western Ave, Manchester, ME 04351-3403 | 2006-09-27 |
1093806200 | Joseph Flannery Lopes | Urology | 9 Pleasant Street, Suite 2, Oakland, ME 04963 | 2006-09-27 |
1649226655 | Moritz H Hansen | Urology | 100 Brickhill Avenue, South Portland, ME 04106 | 2006-05-25 |
1285692392 | James W Ross | Urology | 85 Baribeau Drive, Brunswick, ME 04011 | 2006-05-01 |
1124080445 | Elizabeth A Albertson | Urology | 3 Glen Cove Dr # 3, Rockport, ME 04856-4232 | 2006-04-03 |
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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.