RUSSELL DODSON (NPI# 1760475354) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760475354 |
| Entity Type | Individual |
| Full Name | RUSSELL DODSON |
| Credential | P.A.C. |
| Practice Address |
34975 N North Valley Pkwy Suite 100 Phoenix AZ 85086-4028 |
| Mailing Address |
2500 W Utopia Rd Ste. 100 Phoenix AZ 85027-4171 |
| Practice Telephone | 6232954820 |
| Practice Fax Number | 6232954830 |
| Mailing Telephone | 6022146148 |
| Mailing Fax Number | 6022146149 |
| Enumeration Date | 2005-08-29 |
| Last Update Date | 2013-09-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
1015 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
34975 N NORTH VALLEY PKWY SUITE 100 |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85086-4028 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720422280 | True Self Counseling, Pllc | Community/Behavioral Health | 34975 N North Valley Pkwy, #152, Phoenix, AZ 85086-4028 | 2013-04-26 |
| 1972895811 | Daniel Joseph Bernhardt | Counselor | 34975 N North Valley Pkwy, Suite 152, Phoenix, AZ 85086-4028 | 2011-05-11 |
| 1053603399 | North Phoenix Counseling | Counselor | 34975 N North Valley Pkwy, Suite 152, Phoenix, AZ 85086-4028 | 2011-05-04 |
| 1235456468 | True North Treatment Center | Psychologist | 34975 N North Valley Pkwy, Suite 152, Phoenix, AZ 85086-4028 | 2010-04-28 |
| 1881860575 | Euro-med,llc | General Practice | 34975 N North Valley Pkwy, Unit 138, Phoenix, AZ 85086-4028 | 2008-05-02 |
| 1437323490 | Shona Laree Shewmaker | Psychologist | 34975 N North Valley Pkwy, Phoenix, AZ 85086-4028 | 2008-04-21 |
| 1093846172 | Ivette Apodaca | Physician Assistant | 34975 N North Valley Pkwy, Phoenix, AZ 85086-4028 | 2007-03-08 |
| 1710027438 | Richard A Melde | Family Medicine | 34975 N North Valley Pkwy, Suite 100, Phoenix, AZ 85086-4028 | 2007-02-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760097703 | Cindy Ryanto | Pharmacist | 39508 W Daisy Mountain Dr, Phoenix, AZ 85086 | 2020-09-15 |
| 1912559857 | Cathey Michelle Allen | Massage Therapist | 39006 N 11th Ave, Phoenix, AZ 85086 | 2019-07-11 |
| 1174000871 | Anthem Eye Group Pllc | Optometrist | 4205 W Anthem Way #101, Anthem, AZ 85086 | 2018-07-25 |
| 1366982449 | Angela Ann Childs | Registered Nurse | 42104 N Venture Dr Ste D118, Anthem, AZ 85086 | 2017-03-08 |
| 1144772054 | Joe Bezerra | Specialist | 39818 N Bell Meadow Trl, Phoenix, AZ 85086 | 2016-10-26 |
| 1669821252 | Arizona Procedural Center | Clinic/Center | 3655 West Anthem Way, Suite 109 Box 272, Athem, AZ 85086 | 2016-06-06 |
| 1124499280 | Shane Carr | Physical Therapist | 39716 N 7th St, Phoenix, AZ 85086 | 2015-10-15 |
| 1790174167 | Kelly Christine Collins | Dermatology | 42211 N 41st Dr. #a109, Phoenix, AZ 85086 | 2015-01-22 |
| 1174953913 | Sung Ae Lee | Radiology | 820 W. Ravina Lane, Anthem, AZ 85086 | 2013-11-14 |
| 1881034080 | Bryan Michael Hays | Dentist | 40411 N Capra Way, Anthem, AZ 85086 | 2013-07-02 |
| Find all providers in zip 85086 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073121505 | Alexandra R Koolmees | Physician Assistant | 1141 E Village Circle Dr S, Phoenix, AZ 85022-4818 | 2020-07-21 |
| 1568080620 | Manuel Gerardo Pompa | Physician Assistant | 3848 N 3rd Ave Unit 3071, Phoenix, AZ 85013-3472 | 2020-07-06 |
| 1659848208 | Pacific Dental Services Foundation | Physician Assistant | 4559 E. Bell Road, Ste 106, Phoenix, AZ 85032 | 2018-10-31 |
| 1124502372 | Amanda Rose Jones | Physician Assistant | 36427 N 14th St, Phoenix, AZ 85086-7506 | 2018-09-23 |
| 1639681745 | Martha Lopez | Physician Assistant | 7010 E Chauncey Ln Ste 210, Phoenix, AZ 85054-3115 | 2017-10-30 |
| 1386153674 | Emily Meredith Eoff | Physician Assistant | 301 W Pasadena Ave Apt 4, Phoenix, AZ 85013-2342 | 2017-09-29 |
| 1659890754 | Greg Horn | Physician Assistant | 20333 N 19th Ave Ste 230, Phoenix, AZ 85027-9901 | 2017-09-11 |
| 1619407269 | Integrative Natural Medicine | Physician Assistant | 2025 E Campbell Ave, #259, Phoenix, AZ 85016-8501 | 2017-06-15 |
| 1174996870 | Jyoti Sharma | Physician Assistant | 13838 S 46th Pl Ste 120, Phoenix, AZ 85044-7801 | 2015-11-04 |
| 1487025086 | Shaye Harrel | Physician Assistant | 9305 W Thomas Rd Ste 478, Phoenix, AZ 85037-3375 | 2015-10-08 |
| Find all providers in PHOENIX | ||||
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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.