DOUGLAS A RUSSELL (NPI# 1932124112) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932124112 |
| Entity Type | Individual |
| Full Name | DOUGLAS A RUSSELL |
| Credential | M.D. |
| Practice Address |
7100 W Center Rd Omaha NE 68106-2700 |
| Practice Telephone | 4025069113 |
| Practice Fax Number | 4028587110 |
| Mailing Telephone | 4025069113 |
| Mailing Fax Number | 4028587110 |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2015-09-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 19782 | NE | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487617619 | Douglas B Russell | Physician Assistant | 439 Us Hwy 158 West, Yanceyville, NC 27379 | 2006-04-10 |
| 1477113744 | Douglas Charles Russell | Counselor | 1035 Market St Ste 400, San Francisco, CA 94103-1665 | 2019-06-18 |
| 1255842308 | Douglas Kendal Russell | Physician Assistant | 2000 Mon Health Medical Park Dr Ste 2300, Morgantown, WV 26505-1134 | 2017-10-17 |
| 1912343096 | Douglas Russell | Urology | 3327 Research Plz Ste 403, San Antonio, TX 78235 | 2013-05-16 |
| 1639463367 | Douglas Andrew Russell | Psychiatry & Neurology | 4800 Sand Point Way Ne, Seattle, WA 98105 | 2011-05-28 |
| 1720091119 | Douglas C Russell | Internal Medicine | 2500 Overlook Ter, Veterans Hospital, Madison, WI 53705-2254 | 2006-08-15 |
| Street Address |
7100 W CENTER RD |
| City | OMAHA |
| State | NE |
| Zip Code | 68106-2700 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639175003 | Donald C Mantz | Family Medicine | 7100 W Center Rd, Omaha, NE 68106-2714 | 2005-06-22 |
| 1316550072 | Maureen Wanjira Gatere | Nurse Practitioner | 7100 W Center Rd, Omaha, NE 68106-2714 | 2020-08-24 |
| 1124648217 | Holly Vail | Dietitian, Registered | 7100 W Center Rd, Omaha, NE 68106-2714 | 2020-04-20 |
| 1063051746 | Nairi Kasparian | Pharmacist | 7100 W Center Rd, Omaha, NE 68106-2714 | 2019-12-30 |
| 1811531130 | Marc Thomas Choquette | Pharmacist | 7100 W Center Rd, Omaha, NE 68106-2714 | 2019-10-30 |
| 1386294742 | Amanda Logan | Counselor | 7100 W Center Rd, Omaha, NE 68106-2714 | 2019-09-18 |
| 1679129159 | Dylan A. Bassett | Physical Therapist | 7100 W Center Rd, Omaha, NE 68106-2714 | 2019-08-12 |
| 1659834265 | Think Aco, LLC | Clinic/Center | 7100 W Center Rd, Omaha, NE 68106-2714 | 2019-04-10 |
| 1528534997 | Megan Kelsey Zegers | Pharmacist | 7100 W Center Rd, Omaha, NE 68106-2714 | 2018-10-23 |
| 1386148401 | Think Aksarben Specialty Pharmacy | Pharmacy | 7100 W Center Rd, Omaha, NE 68106-2714 | 2018-03-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912477571 | Cara Ann Ehegartner | Counselor | 6818 Grover St Suite 200, Omaha, NE 68106 | 2018-11-27 |
| 1861961401 | Kara D. Legrow | Counselor | Legrow Therapy Services, 6910 S Pacific St., Ste #320, Omaha, NE 68106 | 2018-11-13 |
| 1154896249 | Bina Bastola | Registered Nurse | 4444marinda Street, Omaha, NE 68106 | 2018-10-04 |
| 1508354242 | Joshua Michael Brown | Psychologist | 6818 Grover St Ste 301a, Omaha, NE 68106 | 2018-04-27 |
| 1518482629 | Robert Elmore | Pathology | 7710 Mercy Road, Suite 202 - Cu Dept of Pathology, Omaha, NE 68106 | 2017-08-09 |
| 1902331911 | Takeaki Ando | Student in an Organized Health Care Education/Training Program | 6910 Spring Street Apartment 316, Omaha, NE 68106 | 2017-04-27 |
| 1881130482 | Maverick Family Chiropractic, LLC | Chiropractor | 5002 Center St., Suite 4, Omaha, NE 68106 | 2017-01-06 |
| 1528411444 | Kelley Carlson | Dentist | 2141 S 63rd St, Omaha, NE 68106 | 2016-07-15 |
| 1598161911 | Nao Kozawa | Specialist/Technologist | 1102 S 60th St, Omaha, NE 68106 | 2014-11-12 |
| 1568866341 | Joel Peck | Pharmacist | 888 South Saddlecreek Rd, Omaha, NE 68106 | 2014-10-22 |
| Find all providers in zip 68106 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://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 |
|---|---|---|---|---|
| 1578171468 | Meghana Vijay Khedekar | Internal Medicine | 7710 Mercy Road Cu Department of Internal Medicine, Suite 202, Omaha, NE 68124-2353 | 2020-07-17 |
| 1104441443 | Justin Lawrence Burr | Internal Medicine | 982055 Nebraska Medical Center Omaha Ne 68198-2055, Omaha, NE 68198-5524 | 2020-06-12 |
| 1952963241 | Bryton Evan Perman | Internal Medicine | Suite 202, Cu Department of Internal Medicine, 7710 Mercy Road, Omaha, NE 68124-2353 | 2019-07-08 |
| 1487211793 | Gulsen Ozen | Internal Medicine | 983332 Nebraska Medical Ctr Dept Of, Omaha, NE 68198-3332 | 2019-05-22 |
| 1619457868 | Jalal Mohamed Dufani | Internal Medicine | Creighton University Internal Medicine, 7710 Mercy Road, Suite 202, Omaha, NE 68124-6812 | 2018-08-17 |
| 1437638640 | Krishnachaitanya Reddy Pallamala | Internal Medicine | 7710 Mercy Road, Suite 202 - Cu Inernal Medicine, Omaha, NE 68124-2353 | 2018-08-08 |
| 1750877510 | Collaborative Care Associates PC | Internal Medicine | 3410 N 140th St, Omaha, NE 68164-5400 | 2018-07-05 |
| 1477048593 | Sai Giridhar Gundepalli | Internal Medicine | 7710 Mercy Road, Cu Department of Internal Medicine, Suite 202, Omaha, NE 68124-2353 | 2018-07-01 |
| 1831684463 | Tyler Gallo | Internal Medicine | 982005 Nebraska Medical Center, Omaha, NE 68198-2055 | 2018-06-26 |
| 1992221808 | Ahmad Al-tamimi | Internal Medicine | 7710 Mercy Rd Ste 202-cu, Omaha, NE 68124-2372 | 2017-08-22 |
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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.