DR. ANDREW COLIN RUSSELL (NPI# 1902120819) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902120819 |
| Entity Type | Individual |
| Full Name | DR. ANDREW COLIN RUSSELL |
| Credential | MD |
| Practice Address |
28 Country Club Vw Edwardsville IL 62025-3626 |
| Mailing Address |
6800 Illinois 162 Maryville IL 62062 |
| Practice Telephone | 5734249110 |
| Mailing Telephone | 6182885711 |
| Enumeration Date | 2010-03-22 |
| Last Update Date | 2014-08-22 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 2012023819 | MO | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669869558 | Andrew Russell | Student in an Organized Health Care Education/Training Program | Msc 09 5040 1 Univ, Albuquerque, NM 87131-0001 | 2015-04-20 |
| 1881210946 | Andrew Martin Russell | Family Medicine | 200 Municipal Dr, Thorndale, PA 19372-1058 | 2020-06-24 |
| 1326509365 | Andrew Russell | Student in an Organized Health Care Education/Training Program | 4800 E Johnson Ave, Jonesboro, AR 72401-8413 | 2019-03-30 |
| 1700380227 | Andrew Elliott Russell | Student in an Organized Health Care Education/Training Program | 1430 Tulane Ave, New Orleans, LA 70112-2632 | 2018-03-20 |
| 1235656893 | Andrew Kern Russell | Pharmacist | 2825 E Barnett Rd, Medford, OR 97504-8332 | 2017-08-24 |
| 1578971768 | Andrew Thomas Russell | Pharmacist | 2101 Bowen St, Oshkosh, WI 54901-2013 | 2014-07-31 |
| 1366705410 | Andrew Russell | Specialist | 3226 Wilkins Rd, Ithaca, NY 14850-9568 | 2012-06-22 |
| 1689933152 | Andrew W Russell | Hearing Instrument Specialist | 224 Main St, Salem, NH 03079-3188 | 2012-05-03 |
| 1104147800 | Andrew John Russell | Emergency Medicine | 1000 Oakland Dr, Kalamazoo, MI 49008-1282 | 2010-06-16 |
| 1659695807 | Andrew David Russell | Physical Therapist | 2481 Lincoln Hwy E, Suite 4, Lancaster, PA 17602-1482 | 2010-03-17 |
| Street Address |
28 COUNTRY CLUB VW |
| City | EDWARDSVILLE |
| State | IL |
| Zip Code | 62025-3626 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619519535 | Anderson Surgery Center LLC | Clinic/Center | 3403 Anderson Healthcare Drive, Edwardsville, IL 62025 | 2019-10-11 |
| 1194376640 | Katharine Mcginnis D.m.d. P.C. | Dentist | 235 A. South Main St, Edwardsville, IL 62025 | 2019-09-26 |
| 1568925014 | Southern Illinois Pediatric Dentistry of Edwardsville | Dentist | 1419 Lewis Road, Suite 2, Edwardsville, IL 62025 | 2019-04-11 |
| 1902277031 | Amy Lynn Britt | Nurse Practitioner | 1188 South State Route 157, Edwardsville, IL 62025 | 2015-10-15 |
| 1730563230 | Jenna Dallman | Chiropractor | 3 Sunset Hills Professional Center, Suite 2, Edwardsville, IL 62025 | 2015-07-14 |
| 1861745218 | Srimannarayana Marella | Family Medicine | 6616 Center Grove Rd., Edwardsville, IL 62025 | 2012-10-23 |
| 1669722872 | Ican Clinic LLC | Chiropractor | 441 S State Route 157 Ste 2, Edwardsville, IL 62025 | 2012-09-14 |
| 1922371673 | Teresa Marie Garbett | Pharmacist | 2 Sunset Hills Executive Park Dr., Addiction Treatment Strategies, Edwardsville, IL 62025 | 2012-02-10 |
| 1831324342 | Krista Nicole Nelson | Podiatrist | 235 S Main St Ste B, Edwardsville, IL 62025 | 2009-05-28 |
| 1447415757 | Harvey H Breckner D.m.d.,m.s | Exclusive Provider Organization | 600 Country Club View Suite 4, Edwardsville, IL 62025 | 2008-07-25 |
| Find all providers in zip 62025 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225327547 | Medexpress Urgent Care, PC-pennsylvania | Emergency Medicine | 276 W Side Mall, Edwardsville, PA 18704-3117 | 2011-04-07 |
| 1851367023 | Edward Moy | Emergency Medicine | 13 Meadow Rue Dr, Edwardsville, IL 62025-3143 | 2006-02-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811503394 | Susan Lochhead | Emergency Medicine | 1930 N Fremont St, Chicago, IL 60614-5017 | 2020-09-19 |
| 1851900344 | Cepamerica Illinois PC | Emergency Medicine | 2112 S Michigan Ave, Chicago, IL 60616-1704 | 2020-07-30 |
| 1225650773 | Evan Alexander Jenkins | Emergency Medicine | 701 N 1st St Ste 220, Springfield, IL 62702-3757 | 2020-05-07 |
| 1962030775 | Ramya Kondaveeti | Emergency Medicine | 4440 W 95th St Ste 106s, Oak Lawn, IL 60453-2600 | 2020-03-28 |
| 1972157097 | Francesca Taylor | Emergency Medicine | 20930 W Verona Ave, Lake Villa, IL 60046-7606 | 2019-07-26 |
| 1538622287 | Brandon Fen Chang | Emergency Medicine | 820 S Wood St Ste 100, Chicago, IL 60612-4325 | 2019-04-10 |
| 1053872630 | Oretunlewa Soyinka | Emergency Medicine | 5841 S Maryland Ave # 5068, Chicago, IL 60637-1443 | 2019-03-27 |
| 1457818098 | Innovative Iv Care, Pllc | Emergency Medicine | 3221 N Sheffield Ave Ste 100, Chicago, IL 60657-8510 | 2019-03-01 |
| 1013414077 | Lauran Wirfs | Emergency Medicine | 1650 W Harrison St, 466 Atrium, Rush University Medical Center, Gme, Chicago, IL 60612 | 2018-04-06 |
| 1518461987 | David Bennett Feiger | Emergency Medicine | 211 E Huron St, Suite 200, Chicago, IL 60611-3055 | 2018-03-21 |
| Find all providers with the same taxonomy | ||||
| City | EDWARDSVILLE |
| Zip Code | 62025 |
Please comment or provide details below to improve the information on DR. ANDREW COLIN RUSSELL.
| 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.