DR. KATHRYN WHITE RUSSELL (NPI# 1750518049) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750518049 |
| Entity Type | Individual |
| Full Name | DR. KATHRYN WHITE RUSSELL |
| Credential | MD |
| Practice Address |
3401 Civic Center Blvd Division of Pediatric Surgery Philadelphia PA 19104-4319 |
| Practice Telephone | 2155901190 |
| Mailing Telephone | 2155901190 |
| Enumeration Date | 2009-06-15 |
| Last Update Date | 2015-06-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0120X |
Surgery Specialization: Pediatric Surgery |
MT207856 | PA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609480227 | Kathryn Ann Russell | Dietitian, Registered | 1067 Riverfront Pkwy., Suite 201, Chattanooga, TN 37402 | 2020-09-01 |
| 1780205518 | Kathryn Russell | Psychologist | 4714 Mount Alifan Dr, San Diego, CA 92111-2508 | 2020-05-04 |
| 1104297555 | Kathryn Marie Russell | Dietitian, Registered | 2543 Woodmont Dr E, Canton, MI 48188 | 2015-10-12 |
| 1902149800 | Kathryn Nikole Russell | Nurse Practitioner | 3900 New Covington Pike Ste 112, Memphis, TN 38128-2526 | 2013-03-29 |
| 1184950313 | Kathryn Joy Russell | Dermatology | 2235 Venetian Court Suite 1, Naples, FL 34109 | 2009-10-22 |
| 1720188790 | Kathryn Jane Russell | Marriage & Family Therapist | 5029 Lamart Dr, #6, Riverside, CA 92507-0605 | 2006-09-22 |
| 1255974887 | Kathryn Russell | Specialist/Technologist | 415 Columbia Rd, Colorado Springs, CO 80904-1307 | 2019-10-27 |
| 1881160315 | Kathryn Anne Russell | Specialist/Technologist | 6200 College Ave, Snyder, TX 79549-6189 | 2018-10-23 |
| 1568940377 | Kathryn Russell | Nurse Practitioner | 50 N Medical Dr, Salt Lake City, UT 84132 | 2018-08-02 |
| 1447551114 | Kathryn Renee-smith Russell | Nurse Practitioner | 825 Eastlake Ave E, Seattle, WA 98109-4405 | 2010-11-10 |
| Street Address |
3401 CIVIC CENTER BLVD DIVISION OF PEDIATRIC SURGERY |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19104-4319 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467458463 | Jeffrey R Boris | Pediatrics | 3401 Civic Center Blvd, Children's Hospital of Philadelphia - Cardiology, Philadelphia, PA 19104-4319 | 2005-06-23 |
| 1932700259 | Rukhsar Karim Machiwalla | Physician Assistant | 3401 Civic Center Blvd, Philadelphia, PA 19104-4319 | 2020-11-03 |
| 1346840519 | Vanessa Leigh Jones | Nurse Practitioner | 3401 Civic Center Blvd, Philadelphia, PA 19104-4319 | 2020-10-27 |
| 1275131849 | Kelsey Ann Maher | Physician Assistant | 3401 Civic Center Blvd, Philadelphia, PA 19104-4319 | 2020-10-15 |
| 1437756020 | Jennifer-rose Eccles | Nurse Practitioner | 3401 Civic Center Blvd, Philadelphia, PA 19104-4319 | 2020-10-06 |
| 1891309787 | Morgan Mcmanus | Genetic Counselor, MS | 3401 Civic Center Blvd, Philadelphia, PA 19104-4319 | 2020-09-08 |
| 1891309456 | Abigail G Stefanides | Physician Assistant | 3401 Civic Center Blvd, Philadelphia, PA 19104-4319 | 2020-09-01 |
| 1124631247 | Abrar Khaled Alabdulhadi | Pediatrics | 3401 Civic Center Blvd, Philadelphia, PA 19104-4319 | 2020-08-28 |
| 1003427014 | Terrence Caldwell Jr. | Pharmacist | 3401 Civic Center Blvd, Philadelphia, PA 19104-4319 | 2020-08-13 |
| 1760093298 | Paige Emily Naschke | Nurse Practitioner | 3401 Civic Center Blvd, Philadelphia, PA 19104-4319 | 2020-08-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639770829 | Michelle Morris | Student in an Organized Health Care Education/Training Program | Dept. of Family Medicine & Community Health, 3737 Market, Philadelphia, PA 19104 | 2020-11-04 |
| 1346853041 | Spectrum Health Services, Inc. | Clinic/Center | 1415 South University Ave, Philadelphia, PA 19104 | 2020-08-24 |
| 1770104259 | Fatimah Sorefan-mangou | Student in an Organized Health Care Education/Training Program | 4 Maloney 3400 Spruce Street, Philadelphia, PA 19104 | 2020-05-06 |
| 1114548690 | Rebecca Blaguski | Registered Nurse | The Hospital of The University of Pennsylvania, 3400 Spruce Street, Philadelphia, PA 19104 | 2020-05-06 |
| 1952944175 | Rebecca Miriam Barmherzig | Psychiatry & Neurology | 3501 Civic Centre Blvd, 10th Flr Ctrb, Neurology, Philadelphia, PA 19104 | 2019-10-21 |
| 1891257101 | James Paul Byrne | Surgery | Penn Presbyterian Medical Center, Division of Trauma, S, 51 N. 39th Street, Suite 120, 1st Floor Medical Office, Philadelphia, PA 19104 | 2019-04-04 |
| 1093276453 | Lauren Shreve | Student in an Organized Health Care Education/Training Program | Department of Surgery, Surgery Education - Penn Health, 3400 Spruce Street, 4 Maloney, Philadelphia, PA 19104 | 2019-03-28 |
| 1285194282 | Lauren M Christie | Student in an Organized Health Care Education/Training Program | Penn Presbyterian Medical Center, 51 N. 39th Street, Philadelphia, PA 19104 | 2019-03-25 |
| 1114487683 | Sabrina Layne | Student in an Organized Health Care Education/Training Program | 3400 Spruce Street, 100 Centrex, Philadelphia, PA 19104 | 2019-03-21 |
| 1811457310 | Kia Lor | Student in an Organized Health Care Education/Training Program | Hospital of University of Pennsylvania, 3400 Spruce St., Philadelphia, PA 19104 | 2019-03-21 |
| Find all providers in zip 19104 | ||||
| Taxonomy Code | 2086S0120X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Pediatric Surgery |
| A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972147239 | Children's Surgery Center of Philadelphia LLC | Surgery | 2301 E Allegheny Ave Ste 301m, Philadelphia, PA 19134-4427 | 2019-10-30 |
| 1457309080 | Marshall Z Schwartz | Surgery | Erie Ave At Front Street, Philadelphia, PA 19134-1095 | 2006-05-05 |
| 1376161562 | Janine Andrea Vonlanthen | Surgery | 3401 Civic Center Blvd, Devision of General Surgery, Philadelphia, PA 19104 | 2020-07-14 |
| 1417512377 | Hannah Rachel Neeser | Surgery | 3401 Civic Center Blvd, Philadelphia, PA 19104-4319 | 2019-05-07 |
| 1427554526 | Pascal Heye | Surgery | 3401 Civic Center Blvd, Dept of Surgery, Philadelphia, PA 19104-4319 | 2018-04-05 |
| 1548781313 | Emily Anne Partridge | Surgery | 3401 Civic Center Blvd, Philadelphia, PA 19104-4319 | 2017-07-03 |
| 1225580038 | Uchenna Katharina Kennedy | Surgery | 3401 Civic Center Blvd, Division of Pediatric Surgery, Philadelphia, PA 19104 | 2016-10-27 |
| 1265841506 | Andreas Daniel Weber | Surgery | 3401 Civic Center Blvd, 9nw, Room 55, Philadelphia, PA 19104-4319 | 2014-08-12 |
| 1225476096 | Martin Sidler | Surgery | 3401 Civic Center Blvd, Department of Sugery, Philadelphia, PA 19104-4319 | 2013-06-13 |
| 1528335775 | Pradeep Kumar Kaushik | Surgery | 34th & Civic Center Blvd, 12th Floor, Main Building, Philadelphia, PA 19104 | 2011-11-16 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19104 |
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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.