DR. CHARLES RAYFIELD RUSSELL III


Address: 2001 Kingsley Ave, Orange Park, FL 32073-5148
Phone: 9046392000

DR. CHARLES RAYFIELD RUSSELL III (NPI# 1922539857) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1922539857
Entity Type Individual
Full Name DR. CHARLES RAYFIELD RUSSELL III
Credential M.D.
Practice Address 2001 Kingsley Ave
Orange Park
FL 32073-5148
Mailing Address 6371 Collins Rd Apt 803
Jacksonville
FL 32244-7524
Practice Telephone 9046392000
Practice Fax Number 9046392015
Mailing Telephone 6784812813
Enumeration Date 2017-03-22
Last Update Date 2019-03-26
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208D00000X General Practice 081380 GA Allopathic & Osteopathic Physicians
N 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Provider Secondary Practice Location

Address Telephone Number Fax Number
2201 S. Sterling Street, Carolinas Healthcare System Blue Ridge, Morganton, NC 28655 6784812813

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1548264328 Charles Mark Russell Dentist 163 Beech St, Harrogate, TN 37752-8208 2005-06-09
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1043569940 Charles R Russell Chiropractor 3555 Clares St, Suite Ww, Capitola, CA 95010-2555 2012-09-06
1568724003 Charles Joseph Russell Counselor 315 N Lakemont Ave, Winter Park, FL 32792-3205 2012-06-11
1841404159 Charles Edward Russell Counselor 1644 S College Ave, Fort Collins, CO 80525-1007 2007-05-09
1366575185 Charles Russell Case Manager/Care Coordinator 2707 Browns Ln, Jonesboro, AR 72401-7213 2007-03-13
1386669356 Charles A Russell Specialist 2820 Griffin Ave Ste 210, Enumclaw, WA 98022-2373 2006-07-12

Office Location

Street Address 2001 KINGSLEY AVE
City ORANGE PARK
State FL
Zip Code 32073-5148

Providers in the same location

NPI Name Taxonomy Address Enumeration
1417959172 John Dunlap Nurse Anesthetist, Certified Registered 2001 Kingsley Ave, Orange Park, FL 32073-5148 2005-08-12
1528681657 Michael Steadman Gerber Registered Nurse 2001 Kingsley Ave, Orange Park, FL 32073-5148 2020-05-22
1831710961 Marcus Ramzi Ibrahim Student in an Organized Health Care Education/Training Program 2001 Kingsley Ave, Orange Park, FL 32073 2020-04-29
1497374839 Ahmed Ebrahim Student in an Organized Health Care Education/Training Program 2001 Kingsley Ave, Orange Park, FL 32073-5148 2020-04-15
1386263267 Martin Alla Student in an Organized Health Care Education/Training Program 2001 Kingsley Ave, Orange Park, FL 32073-5156 2020-04-10
1275152399 Elizabeth Joyce Bogaty Student in an Organized Health Care Education/Training Program 2001 Kingsley Ave, Orange Park, FL 32073-5148 2020-04-09
1104445113 Amanda Brenner Student in an Organized Health Care Education/Training Program 2001 Kingsley Ave, Orange Park, FL 32073-5148 2020-04-09
1457980641 Bordin Intachai Student in an Organized Health Care Education/Training Program 2001 Kingsley Ave, Orange Park, FL 32073-5148 2020-04-08
1942839444 Michelle Lola Student in an Organized Health Care Education/Training Program 2001 Kingsley Ave, Orange Park, FL 32073-5156 2020-04-06
1245869890 Ashraf Abdulhalim Student in an Organized Health Care Education/Training Program 2001 Kingsley Ave, Orange Park, FL 32073-5148 2020-04-06
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1891309423 Kingsley Endoscopy Center LLC Clinic/Center 970 Kingsley Avenue, Orange Park, FL 32073 2020-09-01
1962028688 Esra Sari Student in an Organized Health Care Education/Training Program 2001 Kingsley Avenue., Orange Park Medical Center, Orange Park, FL 32073 2020-06-18
1104441146 Zeshan Tariq Malik Student in an Organized Health Care Education/Training Program 2001 Kingsley Avenue, Office of Graduate Medical Educa, Orange Park, FL 32073 2020-06-16
1902421894 Ameer Hamza Student in an Organized Health Care Education/Training Program 2001, Kingsley Avenue Office of Graduate Medical Educat, Orange Park, FL 32073 2020-06-16
1497378103 Fawad Ahmed Rashid Student in an Organized Health Care Education/Training Program 2001 Kingsley Avenue Office of Graduate Medical Educati, Orange Park, FL 32073 2020-05-28
1477174985 Hannan Asghar Student in an Organized Health Care Education/Training Program Office of Graduate Medical Education 2001 Kingsley, Orange Park, FL 32073 2020-05-06
1902427156 Emmanuel Iyanuloluwa Morakinyo Student in an Organized Health Care Education/Training Program 413 Deer View Avenue, 2001 Kingsley Ave, Orange Park, FL 32073 2020-04-29
1437799327 Dalande Leger Behavior Technician 1563 Kingsley Ave Suite 103, Orange Park, FL 32073 2020-01-08
1215598313 Mohammad Harisullah Khan Student in an Organized Health Care Education/Training Program 2001 Kingsley Ave, Gme Office, Orange Park, FL 32073 2019-06-28
1558927970 Preetha Kamath Student in an Organized Health Care Education/Training Program Orange Park Medical Center, 2001 Kingsley Ave, Orange Park, FL 32073 2019-05-10
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Taxonomy Information

Taxonomy Code 208D00000X
Grouping Allopathic & Osteopathic Physicians
Classification General Practice

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1043579816 Teddy Garcia Md Pa General Practice 784 Blanding Blvd, Ste 108, Orange Park, FL 32065-8717 2012-05-14
1801073713 Cristina Luciano M D P A General Practice 1555 Kingsley Ave, Suite #404, Orange Park, FL 32073-9207 2008-01-23

Providers in the same taxonomy and state

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1760080212 Summit Health Multi Specialty of Florida LLC General Practice 1881 W Kennedy Blvd Ste D, Tampa, FL 33606-1611 2020-10-15
1376140772 Amy Wrenn General Practice 155 Cranes Roost Blvd Ste 2020-a, Altamonte Springs, FL 32701-3468 2020-10-08
1992302574 Avita Medical Clinic, LLC General Practice 14831 N Florida Ave, Tampa, FL 33613-1825 2020-10-06
1568069672 Ernesto Oscar Gonzalez Pupo General Practice 14420 Sw 22nd St, Miami, FL 33175-6338 2020-10-02
1508463779 Ashley Zanders Walton General Practice 75 Foxfire Ct, Quincy, FL 32351-7293 2020-10-01
1730796830 Brid M Wade General Practice 3199 Cornell Dr, Gulf Breeze, FL 32563-2785 2020-09-23
1902412786 New Era Medical Pllc General Practice 628 Cleveland St Ste A, Clearwater, FL 33755-6603 2020-09-17
1417562414 Jl Laria Aprn Pa General Practice 5751a Sw 40th St, Miami, FL 33155-5301 2020-09-15
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Competitor

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City ORANGE PARK
Zip Code 32073

Improve Information

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Dataset Information

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.

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