DR. DAVE A. RUSSELL (NPI# 1891797932) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891797932 |
| Entity Type | Individual |
| Full Name | DR. DAVE A. RUSSELL |
| Credential | M.D. |
| Practice Address |
2024 15th St Fl 2 Meridian MS 39301-4130 |
| Practice Telephone | 6015532000 |
| Practice Fax Number | 6016930280 |
| Mailing Telephone | 6015532000 |
| Mailing Fax Number | 6016930280 |
| Enumeration Date | 2005-06-01 |
| Last Update Date | 2013-04-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
07707 | MS | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 00123661 | 05 |
| Street Address |
2024 15TH ST FL 2 |
| City | MERIDIAN |
| State | MS |
| Zip Code | 39301-4130 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407858541 | Randall Scott Joransen | Internal Medicine | 2024 15th St Fl 2, Meridian, MS 39301-4130 | 2005-06-01 |
| 1265806038 | Sonia Rodriguez | Nurse Practitioner | 2024 15th St Fl 2, Meridian, MS 39301-4130 | 2015-11-17 |
| 1891176947 | Joel Ashley Moore II | Family Medicine | 2024 15th St Fl 2, Meridian, MS 39301 | 2015-06-15 |
| 1326460627 | Paula Chisholm Morgan | Nurse Practitioner | 2024 15th St Fl 2, Meridian, MS 39301-4130 | 2014-01-06 |
| 1366877268 | Cindy R. Patrick | Nurse Practitioner | 2024 15th St Fl 2, Meridian, MS 39301-4130 | 2013-09-10 |
| 1780939660 | Imran Umer | Internal Medicine | 2024 15th St Fl 2, Meridian, MS 39301-4130 | 2012-07-17 |
| 1669778635 | Linda S Kirkman | Nurse Practitioner | 2024 15th St Fl 2, Meridian, MS 39301-4130 | 2011-02-08 |
| 1508170853 | Rahmath U Begum | Family Medicine | 2024 15th St Fl 2, Meridian, MS 39301-4130 | 2010-07-28 |
| 1669618302 | Amina Nyoka Goodwin-fernandez | Internal Medicine | 2024 15th St Fl 2, Meridian, MS 39301-4130 | 2008-12-31 |
| 1942450796 | Lori M Barnett | Nurse Practitioner | 2024 15th St Fl 2, Meridian, MS 39301-4130 | 2008-09-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407460439 | Kayla Lee Monsour | Pharmacist | 1415 24th Avenue, Meridian, MS 39301 | 2020-09-08 |
| 1306478359 | K&r Optical Solutions Corporation | Eyewear Supplier (Equipment, not the service) | 3126 8th St., Suite A, Meridian, MS 39301 | 2020-02-07 |
| 1912537317 | Courtney M Hollie | Counselor | 1054 Ms-19, Meridian, MS 39301 | 2020-01-24 |
| 1932636495 | Rcg Mississippi, Inc. | Clinic/Center | 1300 38th Ave E, Meridian, MS 39301 | 2017-05-16 |
| 1811428915 | Tierria Mcglothin | Nurse Practitioner | 1054 Highway 19 S, Meridian, MS 39301 | 2017-03-21 |
| 1154869303 | Lindsay Nemanich | Physical Therapist | 3716 Ms-39, Meridian, MS 39301 | 2017-02-08 |
| 1700323599 | Wal-mart Stores East Lp | Pharmacy | 3310-a Highway 39 North, Meridian, MS 39301 | 2017-01-31 |
| 1972977460 | Southeast Pharmacy LLC | Pharmacy | 2402 Long Creek Road, Meridian, MS 39301 | 2015-11-20 |
| 1235508342 | East Mississippi Oral & Facial Surgery, LLC | Clinic/Center | 1212 24th Avenue, Meridian, MS 39301 | 2015-09-18 |
| 1831580778 | Clarkdale Pharmacy and Gifts LLC | Pharmacy | 6935c Hwy 145, Meridian, MS 39301 | 2015-02-13 |
| Find all providers in zip 39301 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649264003 | Donald K Stott | Internal Medicine | 3025 W Cherry Ln, Meridian, ID 83642-1125 | 2005-08-31 |
| 1942204284 | John B Hicks | Internal Medicine | 1213 56th St, Meridian, MS 39305-1447 | 2005-06-01 |
| 1407858541 | Randall Scott Joransen | Internal Medicine | 2024 15th St Fl 2, Meridian, MS 39301-4130 | 2005-06-01 |
| 1932540960 | Usman I Salahuddin | Internal Medicine | 1800 12th St, Meridian, MS 39301-4190 | 2013-07-05 |
| 1295085892 | Zaid Fakhri Altheeb | Internal Medicine | 4909 Great River Drive, Meridian, MS 39305 | 2012-09-12 |
| 1396927448 | Attila Roka | Internal Medicine | 1600 22nd Ave, Meridian, MS 39301-3223 | 2007-11-30 |
| 1477747632 | Idaho Heart Care | Internal Medicine | 3025 W Cherry Ln, Suite 205, Meridian, ID 83642-8531 | 2007-08-30 |
| 1225232895 | Larry Shea Shea Hailey | Internal Medicine | 1600 22nd Ave, Medical Towers IIi, Meridian, MS 39301-3223 | 2007-06-14 |
| 1538282678 | Brian P Nolan | Internal Medicine | 3525 E Louise Dr, Suite 400, Meridian, ID 83642 | 2007-04-06 |
| 1578620746 | Meridian Hma LLC | Internal Medicine | 1102 Constitution Ave, Meridian, MS 39301-4001 | 2007-01-03 |
| Find all providers in MERIDIAN | ||||
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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.