RUSSELL L JUDD (NPI# 1871574806) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871574806 |
| Entity Type | Individual |
| Full Name | RUSSELL L JUDD |
| Credential | M.D. |
| Practice Address |
5317 E 16th St Ste 5 Indianapolis IN 46218-4897 |
| Practice Telephone | 3173228384 |
| Practice Fax Number | 3173579070 |
| Mailing Telephone | 3173228384 |
| Mailing Fax Number | 3173579070 |
| Enumeration Date | 2005-11-08 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 01018058 | IN | Other Service Providers |
| Street Address |
5317 E 16TH ST STE 5 |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46218-4897 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316580657 | Cassandra Tran | Nurse Practitioner | 5317 E 16th St, Indianapolis, IN 46218-4897 | 2019-10-18 |
| 1386102747 | Kristy Salinas | Social Worker | 5317 E 16th St, Indianapolis, IN 46218-4897 | 2019-03-05 |
| 1750885505 | Brannon Walsmith Hart | Psychologist | 5317 E 16th St, Indianapolis, IN 46218-4897 | 2018-03-19 |
| 1720454481 | Jessica Dillon | Nurse Practitioner | 5317 E 16th St, Indianapolis, IN 46218-4897 | 2015-08-18 |
| 1609264456 | Juanita Clowers | Nurse Practitioner | 5317 E 16th St, Indianapolis, IN 46218-4897 | 2015-01-02 |
| 1306254214 | Carrie Hatfield | Clinical Nurse Specialist | 5317 E 16th St, Indianapolis, IN 46218-4897 | 2014-07-24 |
| 1295022036 | Scheri-lyn Makombe | Family Medicine | 5317 E 16th St, Indianapolis, IN 46218-4897 | 2011-06-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487208930 | Darryl K Webster | Counselor | 4901 E. 31st Street, Indianapolis, IN 46218 | 2019-08-01 |
| 1780238238 | Rhonda Y. Battles | Counselor | 1775 N Sherman Dr Suite A, Indianapolis, IN 46218 | 2019-08-01 |
| 1861918849 | Corey Simmons | Ambulance | 3659 N Temple Ave, Indianapolis, IN 46218 | 2017-08-21 |
| 1245769645 | Community Health Network, Inc | Clinic/Center | 1640 N. Ritter Avenue, Indianapolis, IN 46218 | 2017-06-08 |
| 1912221615 | Melvin Lowell Stringer Jr. | Driver | 3266 N. Arsenal Ave, Indianapolis, IN 46218 | 2010-03-24 |
| 1952523854 | Allyson Leigh Mcintire | Counselor | 5502 E 16 Th Street, Indpls, IN 46218 | 2007-05-02 |
| 1104912963 | Andrea Sue Campbell | Social Worker | 5502 E 16th Street, Indpls, IN 46218 | 2006-10-05 |
| 1720186356 | Abbie Ann Grudzien | Counselor | 4701 N Keystone, Ste 150, Indpls, IN 46218 | 2006-09-20 |
| 1508978784 | Linda A Fundenberger | Ophthalmology | 2815 E 38th Street, Indianapolis, IN 46218 | 2006-08-31 |
| 1063467850 | Aaron P Kalinowski | Emergency Medicine | 2920 N Arlington Ave Ste B, Indianapolis, IN 46218 | 2006-05-23 |
| Find all providers in zip 46218 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780223750 | Erin Cannon | Specialist | 1543 N Post Rd, Indianapolis, IN 46219 | 2019-12-23 |
| 1144708413 | Inject Health, LLC | Specialist | 1833 N Shadeland Ave, Indianapolis, IN 46219-2735 | 2018-07-30 |
| 1053819458 | Denise Michelle Strom | Specialist | 8620 Purdue Rd, Indianapolis, IN 46268-1114 | 2018-01-31 |
| 1487028429 | Binh Nguyen | Specialist | 11022 Tenacious Dr, Indianapolis, IN 46236-9566 | 2015-11-13 |
| 1578930111 | Christina Price | Specialist | 1035 Helen Dr, Indianapolis, IN 46240-3008 | 2015-08-31 |
| 1023494994 | Joachim Wernicke | Specialist | 447 W 91st St, Indianapolis, IN 46260 | 2015-08-03 |
| 1275917031 | Elise Brown | Specialist | 5117 Chatham Pl, Indianapolis, IN 46226-2272 | 2015-07-11 |
| 1134525777 | Ellen M Einterz | Specialist | 6160 N Ewing St, Indianapolis, IN 46220-5147 | 2014-11-10 |
| 1801149687 | Wiriyaporn Ridtitid | Specialist | 550 University Blvd # Uh1634, Indianapolis, IN 46202-5149 | 2012-10-18 |
| 1053687210 | Daniel Connor Drew | Specialist | 7168 Graham Rd, Suite 150, Indianapolis, IN 46250-2686 | 2012-03-31 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46218 |
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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.