RUSSELL J TAYLOR (NPI# 1821074162) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821074162 |
| Entity Type | Individual |
| Full Name | RUSSELL J TAYLOR |
| Credential | MD |
| Practice Address |
770 West High Street Suite 350 Lima OH 45801-5901 |
| Mailing Address |
Po Box 636930 Cincinnati OH 45263-0001 |
| Practice Telephone | 4192288950 |
| Practice Fax Number | 4192247904 |
| Mailing Telephone | 5139815123 |
| Mailing Fax Number | 5139815015 |
| Enumeration Date | 2005-12-19 |
| Last Update Date | 2013-08-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | 35045028 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | AETNA | 4218612 | 01 |
| OH | PARAMOUNT ADVANTAGE MEDICAID | 06151 | 01 |
| OH | CARESOURCE MEDICAID | 262788491032 | 01 |
| OH | BUCKEYE MEDICAID | 735041 | 01 |
| OH | 0437932 | 05 | |
| OH | ANTHEM PIN | 000000596289 | 01 |
| OH | CIGNA | 3358254 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891006706 | Russell Kaleo Taylor | Anesthesiology | 317 New London Cmn, Santa Ana, CA 92704-1257 | 2010-06-24 |
| 1083787931 | Russell Scott Taylor | Dentist | 534 A Wythe Creek Road, Poquoson, VA 23662 | 2006-11-16 |
| 1477982635 | Russell Haywood Taylor | Dentist | 260 Stockton St, 5th Floor, San Francisco, CA 94108-5305 | 2013-11-07 |
| 1124387683 | Russell Demetrius Taylor IIi | Dentist | 4323 Hill Street, Us Army Dental Activity, Fort Jackson, SC 29207-6022 | 2012-05-03 |
| 1376873125 | Russell B. Taylor | Chiropractor | 1760 N Main St, Suite 103, Cedar City, UT 84721-7775 | 2009-12-29 |
| 1467593871 | Russell J Taylor | Dentist | 103 Old Marlton Pike, Suite 200, Medford, NJ 08055-8772 | 2007-02-09 |
| 1669532214 | Russell Todd Taylor | Dentist | 4210 N 32nd St, Phoenix, AZ 85018-4723 | 2006-12-12 |
| 1942218219 | Russell Guy Taylor | Psychologist | 557 N Westgate Ave, Jacksonville, IL 62650-1156 | 2006-08-03 |
| Street Address |
770 WEST HIGH STREET SUITE 350 |
| City | LIMA |
| State | OH |
| Zip Code | 45801-5901 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992916316 | Lima Urology Inc | Urology | 770 West High Street, Suit 350, Lima, OH 45801-5901 | 2007-05-25 |
| 1194701557 | Narendra K Bansal | Urology | 770 West High Street, Suite 350, Lima, OH 45801-5901 | 2005-12-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053839720 | Candie Sue Dray | Counselor | 311 Market St., 311 Market St, Lima, OH 45801 | 2017-09-01 |
| 1962945105 | Alisha Harper | Social Worker | 200 E. High St. 2nd Floor, Lima, OH 45801 | 2016-11-21 |
| 1841740156 | Bullock Home Care | Home Health | 128 West High Street, Lima, OH 45801 | 2016-10-11 |
| 1952787707 | Brenda Tran Hoang | Pharmacist | 730 W Market St., Lima, OH 45801 | 2015-08-04 |
| 1134511918 | Gbenga Balogun | Registered Nurse | 1225 Summit Street, Lima, OH 45801 | 2015-03-03 |
| 1588802763 | Illness Prevention and Holistic Health Center | Specialist | 545 West Market Street, Suite 306, Lima, OH 45801 | 2009-01-27 |
| 1033302237 | Custom Staffing Lima Inc | Home Health | 712 W North St, Lima, OH 45801 | 2007-08-21 |
| 1316167463 | Ear Nose and Throat Specialists of West Central Ohio | Otolaryngology | 770 West High St, Suite 480, Lima, OH 45801 | 2007-04-30 |
| 1598886566 | Zita Marie Duffy | Social Worker | 658 W Market St Ste 101, Lima, OH 45801 | 2007-04-03 |
| 1487787875 | Steve C Knapke | Specialist/Technologist | 730 West Market St., Lima, OH 45801 | 2007-03-14 |
| Find all providers in zip 45801 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508891151 | Roque Equia Teruel | Urology | 825 West Market St, Ste 304, Lima, OH 45805-2789 | 2006-07-12 |
| 1982234126 | Joseph Brautigam | Urology | 770 W High St Ste 350, Lima, OH 45801-5901 | 2020-01-15 |
| 1023497807 | Lima Memorial Professional Corporation | Urology | 1005 Bellefontaine Ave Ste 225, Lima, OH 45804-2896 | 2015-05-26 |
| 1568754661 | Mwafa Turjman | Urology | 1005 Bellefontaine Ave Ste 225, Lima, OH 45804-2896 | 2011-05-06 |
| 1548565385 | Oussama Darwish | Urology | 770 W High St, Ste 350, Lima, OH 45801-3990 | 2011-01-25 |
| 1053562033 | Ks Urology Inc | Urology | 1220 E Elm St, Suite 101, Lima, OH 45804-2850 | 2008-10-08 |
| 1992916316 | Lima Urology Inc | Urology | 770 West High Street, Suit 350, Lima, OH 45801-5901 | 2007-05-25 |
| 1750489670 | Stephen D Lipson | Urology | 770 W High St, Suite 350, Lima, OH 45801-3990 | 2006-09-21 |
| 1861504185 | Kamrooz Sanii | Urology | 770 W High St, Suite 350, Lima, OH 45801-3990 | 2006-08-31 |
| 1518984137 | Kenneth E Stanley | Urology | 1220 E Elm St Ste 101, Lima, OH 45804-2803 | 2006-07-17 |
| Find all providers in LIMA | ||||
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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.