DENISA KAVIKOVA RUSSELL (NPI# 1750628798) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1750628798 |
Entity Type | Individual |
Full Name | DENISA KAVIKOVA RUSSELL |
Credential | P.A. |
Practice Address |
3880 Parkwood Blvd Ste 102 Frisco TX 75034-1928 |
Practice Telephone | 9727042400 |
Practice Fax Number | 9727042255 |
Mailing Telephone | 9727042400 |
Mailing Fax Number | 9727042255 |
Enumeration Date | 2013-01-10 |
Last Update Date | 2017-03-10 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA08261 | TX | Physician Assistants & Advanced Practice Nursing Providers |
N | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
PA08261 | TX | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
3880 PARKWOOD BLVD STE 102 |
City | FRISCO |
State | TX |
Zip Code | 75034-1928 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881696227 | Cheryl P Lopez Do Pa | Family Medicine | 3880 Parkwood Blvd, Suite 303, Frisco, TX 75034-1928 | 2005-08-15 |
1023506086 | Chandler Elizabeth Petty | Speech-Language Pathologist | 3880 Parkwood Blvd, Frisco, TX 75034-1928 | 2018-04-25 |
1154827301 | Lindsey Williams | Occupational Therapist | 3880 Parkwood Blvd, Frisco, TX 75034-1928 | 2018-04-04 |
1154831147 | Rachel Grinnell | Speech-Language Pathologist | 3880 Parkwood Blvd, Frisco, TX 75034-1928 | 2017-10-04 |
1942752803 | Carla Foster | Speech-Language Pathologist | 3880 Parkwood Blvd, Bldg 5, Suite 502, Frisco, TX 75034-1928 | 2016-10-26 |
1609325307 | Jennifer Rose Gulick Md Pllc | Obstetrics & Gynecology | 3880 Parkwood Blvd, Suite 403, Frisco, TX 75034-1930 | 2016-09-23 |
1235510454 | Frisco Hand Center, Pllc | Orthopaedic Surgery | 3880 Parkwood Blvd, Suite 501, Frisco, TX 75034-1928 | 2015-06-12 |
1598008070 | Kristi Hallowell Moody | Dentist | 3880 Parkwood Blvd, Suite 103, Frisco, TX 75034-1928 | 2013-04-03 |
1942549928 | Joni Caroline Watson | Speech-Language Pathologist | 3880 Parkwood Blvd, Frisco, TX 75034-1928 | 2013-02-11 |
1093072647 | Christine V. Ku, Md, Pllc | Obstetrics & Gynecology | 3880 Parkwood Blvd, Suite 403, Frisco, TX 75034-1928 | 2012-04-20 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689275463 | Chiroconcepts of Frisco North Pllc | Chiropractor | 13108 Dallas Pkwy, Suite 410, Frisco, TX 75034 | 2020-11-06 |
1790394625 | Lindsey Wertheim | Nurse Practitioner | 4325 Preston Rd, #300, Frisco, TX 75034 | 2020-07-27 |
1154948198 | Walker Plastic Surgery Pllc | Surgery | 12590 Dallas Pkwy, Ste 200, Frisco, TX 75034 | 2020-06-25 |
1700425055 | Goldfish Group Inc. | Clinic/Center | 6735 Salt Cedar Way, Building 1, 1039-300, Frisco, TX 75034 | 2020-01-04 |
1255979506 | Livelife LLC | Clinic/Center | 8668 John Hickman Parkway, Frisco, TX 75034 | 2019-12-17 |
1215581780 | Magnolia Pediatrics | Pediatrics | 2875 Main St. Suite 104, Frisco, TX 75034 | 2019-08-01 |
1811555386 | Alexis Deann Rickey | Speech-Language Pathologist | 4300 Cotton Gin Road, Frisco, TX 75034 | 2019-05-30 |
1316500952 | Jtma Inc | Pharmacy | 5899 Preston Road, Bldg 6 Ste 602, Frisco, TX 75034 | 2019-04-18 |
1194388173 | Amplify Chiropractic, Pllc | Chiropractor | 8250 Gaylord Pkwy, Ste. 3, Room 21, Frisco, TX 75034 | 2019-04-16 |
1740742030 | Princy Kurian | Occupational Therapist | Baylor Scott & White Institute for Rehabilitation Dn, Frisco, TX 75034 | 2019-04-04 |
Find all providers in zip 75034 |
Taxonomy Code | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730638552 | Lindsay Svehla | Physician Assistant | 11560 Teel Pkwy # 100, Frisco, TX 75033-4430 | 2016-09-22 |
1750643821 | Natalia Watts | Physician Assistant | 4461 Coit Rd Ste 100, Frisco, TX 75035-0522 | 2012-06-13 |
1477782761 | Lauren Davis Stewart | Physician Assistant | 8600 Gaylord Pkwy Ste 1, Frisco, TX 75034-8575 | 2009-07-07 |
1144425612 | Gabriel Raymond Nanagas | Physician Assistant | 3211 Preston Rd Ste 5, Frisco, TX 75034-9020 | 2007-06-15 |
1770664690 | Marion E Bauer | Physician Assistant | 226 Lusher Court, Ste 104, Frisco, CO 80443-7600 | 2006-10-18 |
1538782677 | Kelley Shaffer | Physician Assistant | 3220 Parkwood Blvd, Frisco, TX 75034-1917 | 2020-05-23 |
1225699986 | Natalie Hammond | Physician Assistant | 1350 Main St, Frisco, TX 75033-4348 | 2019-06-24 |
1669941498 | Ashley Rios | Physician Assistant | 4461 Coit Rd Ste 307, Frisco, TX 75035-0525 | 2018-11-22 |
1073035812 | Adrianne Bailey | Physician Assistant | 7000 Parkwood Blvd Ste F100, Frisco, TX 75034-7407 | 2017-07-13 |
1679927511 | Brittany Dixon | Physician Assistant | 5575 Warren Pkwy, Suite #104, Frisco, TX 75034-4062 | 2016-04-18 |
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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.