DR. JEFF S RUSSELL (NPI# 1790928729) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790928729 |
| Entity Type | Individual |
| Full Name | DR. JEFF S RUSSELL |
| Credential | M.D., PH.D. |
| Practice Address |
12902 Magnolia Drive Moffitt Cancer Center Tampa FL 33612 |
| Practice Telephone | 4153781937 |
| Mailing Telephone | 4153781937 |
| Enumeration Date | 2009-04-07 |
| Last Update Date | 2013-09-12 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | A107151 | CA | Allopathic & Osteopathic Physicians |
| Y | 207RX0202X |
Internal Medicine Specialization: Medical Oncology |
ME117454 | FL | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336765643 | Jeff Russell | Student in an Organized Health Care Education/Training Program | 3000 Arlington Ave, Toledo, OH 43614-2595 | 2020-06-23 |
| 1518310184 | Jeff Russell | Pharmacist | 1324 N State St, Provo, UT 84604-2419 | 2016-07-19 |
| Street Address |
12902 MAGNOLIA DRIVE MOFFITT CANCER CENTER |
| City | TAMPA |
| State | FL |
| Zip Code | 33612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851373088 | Louann Campbell | Nurse Practitioner | 12902 Magnolia Drive, Tampa, FL 33612 | 2005-11-15 |
| 1588110639 | Abdul Rashid Shah | Internal Medicine | 12902 Magnolia Drive, H.lee Moffitt Cancer Center and Research Institute, Tampa, FL 33612 | 2016-08-29 |
| 1700134632 | Nicole Carswell | Dietitian, Registered | 12902 Magnolia Drive, Mod-c Nuther, Tampa, FL 33612 | 2012-08-27 |
| 1962772269 | Gloria Michelle Guess | Nurse Practitioner | 12902 Magnolia Drive, Tampa, FL 33612-9416 | 2012-01-04 |
| 1427285451 | Jason Brayer | Internal Medicine | 12902 Magnolia Drive, Mrc-3e 3045, Tampa, FL 32612 | 2009-06-17 |
| 1386806529 | Salvatore Michael Bottiglieri | Pharmacist | 12902 Magnolia Drive, Moffitt Cancer Center, Dept of Pharmacy, Tampa, FL 33612 | 2008-06-30 |
| 1629264437 | Rikesh Makanji | Radiology | 12902 Magnolia Drive, Tampa, FL 33612 | 2007-09-15 |
| 1285825661 | John Mullinax | Surgery | 12902 Magnolia Drive, Tampa, FL 33612 | 2007-08-09 |
| 1144429317 | Tyler M Neitlich | Radiology | 12902 Magnolia Drive, Tampa, FL 33212 | 2007-07-17 |
| 1982808689 | Timothy Edward Kubal | Internal Medicine | 12902 Magnolia Drive, Moffitt Cancer Center, Tampa, FL 33618-9416 | 2007-06-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689286767 | Daniel Jimenez | Physical Therapist | 13000 Bruce B Downs Blvd, Tampa, Fl, Tampa, FL 33612 | 2020-08-19 |
| 1700426830 | Taz Stacy | Behavior Technician | 2701 University Square Drive, Tampa, FL 33612 | 2020-01-07 |
| 1841853215 | Eric Austen Keeler | Student in an Organized Health Care Education/Training Program | 12901 Bruce B Downs Blvd, Mdc5, Tampa, FL 33612 | 2019-04-20 |
| 1346700242 | Caitlyn Victoria Cartwright | Student in an Organized Health Care Education/Training Program | 12901 Bruce B. Downs Blvd., Mdc5, Tampa, FL 33612 | 2019-03-25 |
| 1720552953 | Marijo Bilitski | Student in an Organized Health Care Education/Training Program | 12901 Bruce B Downs Blvd # Blvd5, Tampa, FL 33612 | 2019-01-22 |
| 1790259190 | Belkis Aleman | Nurse Practitioner | 205 E Busch Blvd, Tampa, FL 33612 | 2019-01-18 |
| 1811469133 | Stephanie Stegner | Physician Assistant | 12901 Bruce B Downs Blvd Mdc 5, Tampa, FL 33612 | 2018-12-27 |
| 1053889857 | Alysia Heather Siegel | Psychologist | 1300 Bruce B. Downs Boulevard, 116b, Tampa, FL 33612 | 2018-11-09 |
| 1295202489 | Daisy Baby Pulinilkumkalayil | Nurse Practitioner | 1426 W. Bush Blvd. Suite #105, Suite #105, Tampa, FL 33612 | 2018-10-26 |
| 1649745258 | Rachel Rene Shelton | Specialist/Technologist | Orthopedics and Sports Medicine, 13330 Usf Laurel Drive, Tampa, FL 33612 | 2018-10-10 |
| Find all providers in zip 33612 | ||||
| Taxonomy Code | 207RX0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Medical Oncology |
| An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source. 11/5/2007: corrected definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568079648 | The Oncology Institute Fl, LLC | Internal Medicine | 2105 W Watrous Ave, Tampa, FL 33606-3046 | 2020-09-23 |
| 1821626383 | Tampa General Medical Group Inc | Internal Medicine | 17416 Brookside Trace Ct, Tampa, FL 33647-3589 | 2020-03-31 |
| 1710122734 | Florida Cancer Specialists P L | Internal Medicine | 4902 N Armenia Ave, Tampa, FL 33603-1402 | 2008-12-04 |
| 1093915704 | Joseph Markowitz | Internal Medicine | 12902 Magnolia Drive, Srb 4, Moffitt Cancer Center, Tampa, FL 33612 | 2007-07-20 |
| 1861507212 | Trinidad Caintic | Internal Medicine | 10920 Sheldon Rd, Tampa, FL 33626-4701 | 2006-08-19 |
| 1033189246 | Matthew Adam Fink | Internal Medicine | 3402 W Dr Martin Luther King Jr Blvd, Tampa, FL 33607-6214 | 2006-01-23 |
| 1205479862 | Tampa General Medical Group Inc | Internal Medicine | 10740 Palm River Rd Ste 360, Tampa, FL 33619-4578 | 2019-10-25 |
| 1437443181 | Rutika Mehta | Internal Medicine | 12902 Usf Magnolia Dr, Tampa, FL 33612-9416 | 2011-05-30 |
| 1760614739 | Zeynep Eroglu | Internal Medicine | 12902 Usf Magnolia Dr, Tampa, FL 33612-9416 | 2009-08-10 |
| 1629213426 | Florida Cancer Specialists P L | Internal Medicine | 13801 Bruce B Downs Blvd, Unit 106, Tampa, FL 33613-3946 | 2008-12-08 |
| Find all providers in TAMPA | ||||
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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.