DR. RUSSELL HORTON (NPI# 1780996967) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780996967 |
| Entity Type | Individual |
| Full Name | DR. RUSSELL HORTON |
| Credential | D.O. |
| Practice Address |
21772 S Ellsworth Loop Rd Queen Creek AZ 85142-7709 |
| Practice Telephone | 4805123700 |
| Mailing Telephone | 4805123700 |
| Enumeration Date | 2010-07-05 |
| Last Update Date | 2014-01-16 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | R1814 | AZ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | TRAINING PERMIT | R1814 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043232515 | Russell J Horton | Dentist | 11453 15 Mile Rd, Sterling Heights, MI 48312-3809 | 2006-07-24 |
| Street Address |
21772 S ELLSWORTH LOOP RD |
| City | QUEEN CREEK |
| State | AZ |
| Zip Code | 85142-7709 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568534139 | Will A Mclaws | Physician Assistant | 21772 S Ellsworth Loop Rd, Queen Creek, AZ 85142-7709 | 2006-11-15 |
| 1285197517 | Adrienne Burke Miller | Nurse Practitioner | 21772 S Ellsworth Loop Rd, Queen Creek, AZ 85142-7709 | 2019-04-12 |
| 1255845020 | Rose Cecilia Colucci | Pharmacist | 21772 S Ellsworth Loop Rd, Queen Creek, AZ 85142-7709 | 2017-11-30 |
| 1427579754 | Zaydee Montano Rivera | Pediatrics | 21772 S Ellsworth Loop Rd, Queen Creek, AZ 85142-7709 | 2017-06-27 |
| 1750750568 | Sacha Kim Loving | Nurse Practitioner | 21772 S Ellsworth Loop Rd, Queen Creek, AZ 85142-7709 | 2015-09-22 |
| 1972864775 | Brandon Scott Roberts | Internal Medicine | 21772 S Ellsworth Loop Rd, Queen Creek, AZ 85142-7709 | 2012-06-07 |
| 1932469871 | Lafe Nelson Harris | Family Medicine | 21772 S Ellsworth Loop Rd, Queen Creek, AZ 85142-7709 | 2012-05-25 |
| 1942524673 | Michael Vergason | Family Medicine | 21772 S Ellsworth Loop Rd, Queen Creek, AZ 85142-7709 | 2010-03-24 |
| 1497827018 | Daryn N Mcclure | Family Medicine | 21772 S Ellsworth Loop Rd, Queen Creek, AZ 85142-7709 | 2006-11-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093346033 | Arizona Dental Professionals, P.C. | Dentist | 20311 S Ellsworth Rd Ste 101, Queen Creek, AZ 85142 | 2020-01-29 |
| 1073158903 | Jonathan Corey Barber | Physical Therapy Assistant | 22424 South Ellsworth Loop Road, #464, Queen Creek, AZ 85142 | 2019-11-14 |
| 1689142333 | Erin Sohr | Occupational Therapy Assistant | 4594 W Federal Way, San Tan Valley, AZ 85142 | 2018-11-10 |
| 1083180723 | Katelyn Hannabach | Physician Assistant | 21323 S Ellsworth Loop Rd Ste 101, Queen Creek, AZ 85142 | 2018-10-20 |
| 1043701899 | Brittany Leigh Amor | Dentist | 18550 E Rittenhouse Rd Ste 103, Queen Creek, AZ 85142 | 2018-05-28 |
| 1861925604 | Shani Thompson | Student in an Organized Health Care Education/Training Program | 22437 S 209th Way, Queen Creek, AZ 85142 | 2017-04-08 |
| 1689115164 | 360 Physical Therapy LLC | Physical Therapist | 21576 S Ellsworth Loop Rd, 150, Queen Creek, AZ 85142 | 2017-03-16 |
| 1891233714 | Candee J. Eisenhart | Nurse Practitioner | 21321 E Ocotillo Rd Ste 102, Queen Creek, AZ 85142 | 2017-02-11 |
| 1790231546 | Carrie Church | Nurse Practitioner | 20185 E Ocotillo Rd Ste 104, Queen Creek, AZ 85142 | 2016-08-31 |
| 1669836649 | Horizon Health and Wellness, Inc. | Community/Behavioral Health | 22713 S. Ellsworth Road, Building A, Queen Creek, AZ 85142 | 2016-04-06 |
| Find all providers in zip 85142 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063727766 | Bethesda Pediatrics of Queen Creek | Pediatrics | 22709 S Ellsworth Rd, H101, Queen Creek, AZ 85142-4943 | 2010-08-18 |
| 1790969426 | Emilia Elizabeth Gomez Vieytez | Pediatrics | 22707 S. Ellsworth Rd H 101, Queen Creek, AZ 85143 | 2007-12-17 |
| 1437377439 | Jj Pediatrics, P.l.l.c. | Pediatrics | 21321 E. Ocotillo Rd, #110, Queen Creek, AZ 85242-0000 | 2007-04-23 |
| 1487675153 | Milan Miloslav Hrkal IIi | Pediatrics | 21321 E.ocotillo Rd., Ste.110, Queen Creek, AZ 85242 | 2006-07-21 |
| 1427579754 | Zaydee Montano Rivera | Pediatrics | 21772 S Ellsworth Loop Rd, Queen Creek, AZ 85142-7709 | 2017-06-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689272700 | Pediatric Multicare West, LLC | Pediatrics | 316 W. White Mountain Blvd., Suite A, Lakeside, AZ 85929 | 2020-10-12 |
| 1629614466 | Kayla Leanne Cantu | Pediatrics | 15264 W Brookside Ln Ste 155, Surprise, AZ 85374-3997 | 2019-11-26 |
| 1306487350 | Roots Pediatric Therapy, LLC | Pediatrics | 7340 E Legacy Blvd Unit C2006, Scottsdale, AZ 85255-6388 | 2019-10-01 |
| 1235793100 | Jacquelyn Christine Wagner | Pediatrics | 1625 N Campbell, Tucson, AZ 85719 | 2019-04-26 |
| 1952965212 | Jeremey William Gneck | Pediatrics | 1625 N Campbell Ave Tucson Az 85719, Tucson, AZ 85724-0001 | 2019-04-23 |
| 1164985305 | Desert Sky Pediatrics | Pediatrics | 3301 N Miller Rd Ste 170, Scottsdale, AZ 85251-6421 | 2019-04-12 |
| 1780146829 | Jb Healthcare LLC | Pediatrics | 10575 W Indian School Rd Ste 103, Avondale, AZ 85392-5651 | 2019-04-05 |
| 1902370349 | Dwayne St. Jacques Md Pllc | Pediatrics | 15215 South 48th Street, Suite 110, Phoenix, AZ 85044-9375 | 2019-01-18 |
| 1245703966 | Pleasant Pediatrics Plc | Pediatrics | 15715 S 46th St Ste 102, Phoenix, AZ 85048-0439 | 2019-01-04 |
| 1992295158 | Melanie Anne Kaplanek | Pediatrics | 1501 N Campbell Ave Rm 3301, Tucson, AZ 85724-0001 | 2018-05-14 |
| Find all providers with the same taxonomy | ||||
| City | QUEEN CREEK |
| Zip Code | 85142 |
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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.