ROBERT RUSSELL (NPI# 1861813628) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861813628 |
| Entity Type | Individual |
| Full Name | ROBERT RUSSELL |
| Credential | ED.S. |
| Practice Address |
1009 Woodlawn Park Dr Flint MI 48503-2762 |
| Practice Telephone | 8102520443 |
| Mailing Telephone | 8102520443 |
| Enumeration Date | 2013-12-21 |
| Last Update Date | 2013-12-21 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TS0200X |
Psychologist Specialization: School |
CC-1C4740407757 | MI | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932694791 | Robert Edward Russell II | Counselor | 1590 Coal Run Rd., Zanesville, OH 43701 | 2018-06-25 |
| 1801286059 | Robert Cody Russell | Nurse Practitioner | 1118 Ross Clark Circle, Suite 100, Dothan, AL 36301 | 2015-01-27 |
| 1861674806 | Robert Claude Russell | Internal Medicine | 802 Killion St, Louisville, TN 37777-4407 | 2007-12-01 |
| 1356538151 | Robert Ross Russell | Dentist | 2402 Loganville Hwy, Suite 500, Grayson, GA 30017-1689 | 2007-09-26 |
| 1912046533 | Robert Mark Russell | Preventive Medicine | 11210 E Calle Linda Vis, Tucson, AZ 85748-7839 | 2007-02-06 |
| 1477600328 | Robert Thomason Russell | Surgery | 1600 7th Ave S # Acc300, Birmingham, AL 35233-1711 | 2007-01-04 |
| 1528151610 | Robert L Russell | Family Medicine | 305 Highway 51, Ridgeland, MS 39157-3428 | 2006-10-02 |
| 1104850684 | Robert Alan Russell | Chiropractor | 25 East Broad Street, Mount Vernon, NY 10552 | 2006-07-10 |
| 1700823879 | Robert C Russell | Plastic Surgery | 320 E Carpenter St, Springfield, IL 62702-5185 | 2006-05-31 |
| 1265420673 | Robert Irving Russell | Podiatrist | 1717 11th Ave South, Suite 402, Birmingham, AL 35205-4700 | 2005-10-10 |
| Street Address |
1009 WOODLAWN PARK DR |
| City | FLINT |
| State | MI |
| Zip Code | 48503-2762 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457971640 | Flint Odyssey House Inc. | Community/Behavioral Health | 1219 Martin Luther King Avenue, Flint, MI 48503 | 2020-04-17 |
| 1891265476 | Mary Margaret Woodruff | Health Educator | 411 E. Third St Suite 2, Flint, MI 48503 | 2018-11-27 |
| 1669942223 | Donna Jean Phelps | Behavior Technician | 2284 S Ballenger Highway, Flint, MI 48503 | 2018-11-27 |
| 1588150601 | Dayonna Scott | Social Worker | Hope Network, 2830 Corunna Rd, Flint, MI 48503 | 2018-07-02 |
| 1801388020 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 2284 S Ballenger Hwy Ste F, Flint, MI 48503 | 2018-06-04 |
| 1134610504 | Swathi Gorle | Student in an Organized Health Care Education/Training Program | Hurley Medical Center, 1 Hurley Plaza, Flint, MI 48503 | 2018-05-22 |
| 1881128049 | Kara Garr | Registered Nurse | 805 Tuuri Pl, Flint, MI 48503 | 2017-04-14 |
| 1518405638 | Thomasinia Terrell | Peer Specialist | 422 W Fourth Ave, Flint, MI 48503 | 2017-02-09 |
| 1790231041 | Roslyn Boyce | Technician, Other | 2213 E. Court Street, Flint, MI 48503 | 2016-08-28 |
| 1689120818 | Yasmine Elhefnawy | Student in an Organized Health Care Education/Training Program | One Hurley Plaza 3d West, Flint, MI 48503 | 2016-08-28 |
| Find all providers in zip 48503 | ||||
| Taxonomy Code | 103TS0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477161347 | Becky Ann Tiret | Psychologist | 6896 Pleasant Ridge Trl, Saginaw, MI 48603-8677 | 2020-07-16 |
| 1366092298 | Cheyne Stresky | Psychologist | 945 Watersedge Ct, Oxford, MI 48371-3682 | 2019-09-12 |
| 1801456819 | Kenneth Michael Pierson | Psychologist | 100 Bowne St Ne, Grand Rapids, MI 49505-4014 | 2019-06-20 |
| 1831675271 | Katlyn Ploss | Psychologist | 43155 Main St Ste 2300g, Novi, MI 48375-1889 | 2018-07-18 |
| 1205320728 | Ashley L Weinert | Psychologist | 27780 Novi Rd Ste 244, Novi, MI 48377-3427 | 2018-06-18 |
| 1598255481 | Kimberly Kay Wyse | Psychologist | 2520 S University Park Drive, Building D Caat Center, Mount Pleasant, MI 48859 | 2018-05-16 |
| 1306336466 | Jeremy Stembridge | Psychologist | 2520 University Park Bldg D, Mount Pleasant, MI 48858-4464 | 2018-05-15 |
| 1396235321 | Robert Dale Wyse | Psychologist | Central Michigan University Sloan Hall 139, Mt Pleasant, MI 48859-0001 | 2018-05-15 |
| 1295231926 | Nina Marie Elmendorf-steele | Psychologist | 8966 Meadow Ln, Berrien Springs, MI 49103-1479 | 2018-04-02 |
| 1114396413 | Heather Marie Martin | Psychologist | 19190 Kinloch, Redford, MI 48240-2602 | 2015-09-17 |
| Find all providers with the same taxonomy | ||||
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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.