RUSSELL ANDERSON (NPI# 1801963376) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801963376 |
| Entity Type | Individual |
| Full Name | RUSSELL ANDERSON |
| Practice Address |
514 North Brightleaf Blvd Suite 1100 Smithfield NC 27577 |
| Mailing Address |
Johnston Cancer Center 514 N Brightleaf Blvd Ste 1100 Smithfield NC 27577 |
| Practice Telephone | 9199892192 |
| Mailing Telephone | 9199892192 |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2007-10-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
98-00446 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 891139T | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740895473 | Russell Dan Anderson | Registered Nurse | 4428 Sw 105th Dr, Gainesville, FL 32608-7139 | 2020-09-10 |
| 1124328794 | Russell E Anderson | Pharmacist | 1258 S Route 12, Fox Lake, IL 60020-1950 | 2010-10-28 |
| 1760538037 | Russell Lee Anderson | Family Medicine | 78270 Highway 1081, Covington, LA 70435-4646 | 2007-01-26 |
| 1982228235 | Russell Anderson | Psychologist | 2810 E Causeway Approach, Mandeville, LA 70448-3502 | 2020-06-02 |
| 1972965937 | Russell Anderson | Social Worker | 150 Shoup Ave, Idaho Falls, ID 83402-3657 | 2016-03-28 |
| 1548407513 | Russell Steven Anderson | Family Medicine | 1550 N Main St, Suite E, Layton, UT 84041-1757 | 2009-01-13 |
| 1619175288 | Russell N Anderson | Chiropractor | 20825 South St, Suite A, Tehachapi, CA 93561-6438 | 2007-07-05 |
| 1689885436 | Russell L. Anderson | Orthopaedic Surgery | 1150 45th St, West Palm Beach, FL 33407-2361 | 2007-05-24 |
| 1609097260 | Russell D Anderson | Chiropractor | 128 North Oakwood Road, Enid, OK 73703-4946 | 2007-05-01 |
| 1013043009 | Russell Scott Anderson | Specialist | 1704 23rd Ave, Meridian, MS 39301-3103 | 2007-02-26 |
| Street Address |
514 NORTH BRIGHTLEAF BLVD SUITE 1100 |
| City | SMITHFIELD |
| State | NC |
| Zip Code | 27577 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851919047 | Sherwin Cuaresma Bernardino | Physical Therapist | Meadowview Assisted Living Center, 250 Nc-210, Smithfield, NC 27577 | 2020-07-14 |
| 1386297299 | Johnston Opco, LLC | Non-emergency Medical Transport (VAN) | 200 Kellie Dr, Smithfield, NC 27577 | 2019-07-19 |
| 1790255362 | Adrian Brook Taylor | Physical Therapist | 540 North Street, Smithfield, NC 27577 | 2018-11-27 |
| 1497260608 | Providence Healthcare of The Carolinas | Assisted Living Facility | 4302 Hwy Nc 210, Smithfield, NC 27577 | 2017-12-11 |
| 1720593908 | Latorya Delois Moore | Nurse Practitioner | 514 N Brightleaf Blvd Ste 1100, Smithfield, NC 27577 | 2017-12-09 |
| 1124546171 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 104 N Brightleaf Blvd, Smithfield, NC 27577 | 2017-08-30 |
| 1316482201 | Providence Pain, Spine & Recovery, Pllc | Anesthesiology | 7 Berkshire Rd, Smithfield, NC 27577 | 2016-12-30 |
| 1407203318 | Linda Pearl Trujillo | Early Intervention Provider Agency | 623 Tralee Dr, Smithfield, NC 27577 | 2016-05-20 |
| 1336500206 | Saundra Casey | Counselor | 15 Noble Street, Smithfield, NC 27577 | 2016-03-18 |
| 1639537707 | Ralph Edwin Wilson Jr. | Physician Assistant | 100 Kellie Drive, Smithfield, NC 27577 | 2016-02-04 |
| Find all providers in zip 27577 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649786567 | Johnston Specialty Physician Services, Inc. | Internal Medicine | 514 N Brightleaf Blvd Ste 1100, Smithfield, NC 27577-4487 | 2017-12-15 |
| 1497839542 | Gail Leget | Internal Medicine | 514 N Brightleaf Blvd, Suite 1100, Smithfield, NC 27577-4407 | 2006-10-25 |
| 1598798605 | Private Diagnostic Clinic, Pllc | Internal Medicine | 514 N Brightleaf Blvd, Suite 1100, Smithfield, NC 27577-4407 | 2006-07-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851909816 | The Presbyterian Hospital | Internal Medicine | 125 Queens Rd Ste 660, Charlotte, NC 28204-3215 | 2020-07-16 |
| 1346858487 | The Presbyterian Hospital | Internal Medicine | 125 Queens Rd Ste 560, Charlotte, NC 28204-3215 | 2020-07-15 |
| 1295343341 | The Presbyterian Hospital | Internal Medicine | 125 Queens Rd Ste 640, Charlotte, NC 28204-3215 | 2020-07-15 |
| 1881212215 | The Presbyterian Hospital | Internal Medicine | 125 Queens Rd Ste 520, Charlotte, NC 28204-3215 | 2020-07-13 |
| 1720606486 | The Presbyterian Hospital | Internal Medicine | 125 Queens Rd Ste 400, Charlotte, NC 28204-3215 | 2020-07-09 |
| 1720606445 | The Presbyterian Hospital | Internal Medicine | 125 Queens Rd Ste 430, Charlotte, NC 28204-3215 | 2020-07-09 |
| 1235757352 | The Presbyterian Hospital | Internal Medicine | 125 Queens Rd Ste 420, Charlotte, NC 28204-3215 | 2020-07-07 |
| 1811517311 | Rowan Regional Medical Center, Inc. | Internal Medicine | 631 Mocksville Ave, Ste 1020, Salisbury, NC 28144-2731 | 2020-04-24 |
| 1154955995 | Mohamed Sobhy Elhusseini Yassin | Internal Medicine | 2400 Pratt St Ste 5000, Durham, NC 27705-3976 | 2020-03-02 |
| 1164944377 | David Michael Ashley | Internal Medicine | Department of Neurosurgery Duke University Ctr, Durham, NC 27710-0001 | 2017-07-10 |
| Find all providers with the same taxonomy | ||||
| City | SMITHFIELD |
| Zip Code | 27577 |
Please comment or provide details below to improve the information on RUSSELL ANDERSON.
| 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.