KENNETH J RUSSELL (NPI# 1851477509) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851477509 |
| Entity Type | Individual |
| Full Name | KENNETH J RUSSELL |
| Practice Address |
Seattle Cancer Care Alliance 825 Eastlake Avenue East Seattle WA 98109 |
| Mailing Address |
Po Box 50095 Seattle WA 98145-5095 |
| Practice Telephone | 2062881012 |
| Enumeration Date | 2006-10-27 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
MD00023196 | WA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 1009968 | 05 | |
| INTERNAL ID-MOTOR VEHICLE ID | 7017 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639661192 | Kenneth Lee Russell | Military Health Care Provider | 3d Marine Raider Battalion, Camp Lejeune, NC 28546 | 2018-05-31 |
| 1245577378 | Kenneth Ladon Russell | Counselor | 11000 Springhollow Rd, Oklahoma City, OK 73120-5021 | 2013-01-09 |
| 1205033719 | Kenneth L Russell | Dentist | 2160 South 1000 East, Salt Lake City, UT 84106 | 2007-06-28 |
| 1164510665 | Kenneth William Russell | Dentist | 17121 Se 270th Place, Covington, WA 98042 | 2006-10-10 |
| 1366543258 | Kenneth R Russell | Dentist | 1480 Rymco Dr Ste B, Winston Salem, NC 27103-2944 | 2006-09-26 |
| 1588713002 | Kenneth C Russell | Social Worker | 283 Main St, Catskill, NY 12414-1512 | 2007-01-10 |
| 1285719799 | Kenneth Royal Russell Jr. | Pharmacist | 310 W Losey St, Scott Afb, IL 62225-5250 | 2006-10-25 |
| 1205927829 | Kenneth L Russell | Internal Medicine | 514 S Bonham St, Mexia, TX 76667-3600 | 2006-09-27 |
| Street Address |
SEATTLE CANCER CARE ALLIANCE 825 EASTLAKE AVENUE EAST |
| City | SEATTLE |
| State | WA |
| Zip Code | 98109 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588629588 | Nancy N Chang | Pharmacist | Seattle Cancer Care Alliance, 825 Eastlake Ave. E, Seattle, WA 98109 | 2006-04-20 |
| 1275690471 | Sherrill J Slichter | Pathology | Seattle Cancer Care Alliance, 825 Eastlake Avenue East, Seattle, WA 98109 | 2007-01-03 |
| 1467538264 | Barbara Ann Goff | Obstetrics & Gynecology | Seattle Cancer Care Alliance, 825 Eastlake Avenue East, Seattle, WA 98109 | 2006-10-27 |
| 1639255441 | Terry B Gernsheimer | Internal Medicine | Seattle Cancer Care Alliance, 825 Eastlake Avenue East, Seattle, WA 98109 | 2006-10-27 |
| 1861578668 | Pamela Sue Becker | Internal Medicine | Seattle Cancer Care Alliance, 825 Eastlake Avenue East, Seattle, WA 98109 | 2006-10-27 |
| 1740366558 | Janis L Abkowitz | Internal Medicine | Seattle Cancer Care Alliance, 825 Eastlake Avenue East, Seattle, WA 98109 | 2006-10-27 |
| 1679659320 | Lupe Gomez Salazar | Internal Medicine | Seattle Cancer Care Alliance, 825 Eastlake Avenue East, Seattle, WA 98109 | 2006-10-27 |
| 1821174681 | Georgiana K Ellis | Internal Medicine | Seattle Cancer Care Alliance, 825 Eastlake Avenue East, Seattle, WA 98109 | 2006-10-27 |
| 1710063516 | Michael Lee Linenberger | Internal Medicine | Seattle Cancer Care Alliance, 825 Eastlake Avenue East, Seattle, WA 98109 | 2006-10-27 |
| 1720164478 | Robert Edwin Richard | Internal Medicine | Seattle Cancer Care Alliance, 825 Eastlake Avenue East, Seattle, WA 98109 | 2006-10-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710590179 | Direct Urgent Care Inc | Internal Medicine | 220 6th Avenue North, Seattle, WA 98109 | 2020-08-26 |
| 1073147104 | Hannah Christine Hoyt | Registered Nurse | 1354 Aloha St, Seattle, WA 98109 | 2020-02-27 |
| 1508402645 | Emily Elizabeth Rock | Counselor | Rain City Integrative Clinic, 2730 Westlake Ave N, Seattle, WA 98109 | 2019-11-25 |
| 1770048464 | Roger Leach | Massage Therapist | 4162, Roy Street, Seattle, WA 98109 | 2019-02-06 |
| 1306316658 | Laura Katie Richer | Counselor | 1817 Queen Anne Ave. N., 204, Seattle, WA 98109 | 2018-11-29 |
| 1912492828 | One Medical Group of Washington, P.C. | Psychologist | 625 Boren Avenue North, Seattle, WA 98109 | 2018-06-25 |
| 1942793526 | Washington Dental Corporation, PC | Dentist | 527 Boren Ave N, Seattle, WA 98109 | 2018-06-08 |
| 1417449968 | Chelsie Mccalla | Occupational Therapy Assistant | Mirabella, 116 Fairview Ave N, Seattle, Seattle, WA 98109 | 2018-05-31 |
| 1710405964 | Next Level Sports Performance Consulting | Clinic/Center | 24 Roy Street, #461, Seattle, WA 98109 | 2017-09-07 |
| 1679091953 | Amy Ly Indorf | Pharmacist | 825 Eastlake Ave E #msg5-90, Seattle, WA 98109 | 2017-09-06 |
| Find all providers in zip 98109 | ||||
| Taxonomy Code | 2085R0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Radiation Oncology |
| A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |
| 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 Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962824219 | The Polyclinic | Radiology | 1225 Madison St, Seattle, WA 98104-1336 | 2014-01-06 |
| 1720356090 | Herbert Carl Berry | Radiology | 65 E. Roanoke St., Seattle, WA 98102 | 2011-12-01 |
| 1861794992 | Thomas Ward Griffin | Radiology | 3620 E Prospect St, Seattle, WA 98112-4440 | 2010-11-22 |
| 1407170467 | Aaron Shingo Kusano | Radiology | 1959 Ne Pacific St. Box 356043, University of Washington Department of Radiation Oncolo, Seattle, WA 98195 | 2010-03-19 |
| 1194800904 | Lawrence Edmond Mulkerin | Radiology | University of Washington Medical Ct, 1959 Ne Pacific Street, Seattle, WA 98195-0001 | 2006-10-27 |
| 1952409773 | Nina A Mayr | Radiology | Department of Radiation Oncology, 1959 Ne Pacific Street, Seattle, WA 98195-6043 | 2006-09-20 |
| 1578586962 | Sandra S Vermeulen | Radiology | 550 17th Ave Ste A10, C/o Swedish Radiosurgery Center At Cherry Hill, Seattle, WA 98122-5789 | 2006-07-26 |
| 1417970252 | Vivek K Mehta | Radiology | 1221 Madison, 1st Floor, C/o Swedish Cancer Institute, Seattle, WA 98104 | 2006-07-25 |
| 1194748715 | John C Blasko | Radiology | 1101 Madison, Suite 1101, C/o Seattle Prostate Institute, Seattle, WA 98104 | 2006-07-25 |
| 1215950704 | Robert M Meier | Radiology | 1560 N 115th Street, Suite G-16, C/o Swedish Cancer Institute @ Northwest, Seattle, WA 98133 | 2006-07-25 |
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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.