DR. MICHAEL A RUSSELL (NPI# 1962502880) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962502880 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL A RUSSELL |
| Credential | DC |
| Practice Address |
18624 Detroit Ave Lakewood OH 44107-3202 |
| Practice Telephone | 2162211788 |
| Practice Fax Number | 2162212820 |
| Mailing Telephone | 2162211788 |
| Mailing Fax Number | 2162212820 |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2012-03-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 3307 | OH | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2321553 | 05 | |
| OH | ANTHEM | 000000232365 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003374265 | Michael Russell | Surgery | 747 Broadway Heath Building 10th Floor, Seattle, WA 98122 | 2019-03-06 |
| 1518279215 | Michael Russell | Psychologist | 4951 Chambers Street - 6th Floor, Ny, NY 10007-1209 | 2010-07-10 |
| 1245414093 | Michael Russell | Non-emergency Medical Transport (VAN) | 4588 N 23rd St, Milwaukee, WI 53209-6201 | 2007-12-27 |
| 1124242821 | Michael Dennis Russell | Chiropractor | 1164 Monroe St, Suite #1, Salinas, CA 93906-3565 | 2007-04-12 |
| 1831282441 | Michael Guy Russell | Social Worker | 8 West Monroe, #907, Chicago, IL 60603 | 2006-10-02 |
| 1134139157 | Michael A Russell | Dentist | 2240 N Highway 89, Suite A, Harrisville, UT 84404-2651 | 2006-08-09 |
| 1285640128 | Michael Russell | Counselor | 207 Rock Prairie Rd, Suite B, College Station, TX 77845-8777 | 2006-07-31 |
| 1255304887 | Michael Lee Russell Sr. | Clinical Neuropsychologist | Hq, Tradoc, Suite 412 Atbo-m, Bldg 82, 60 Ingalls Road, Fort Monroe, VA 23651-1032 | 2006-02-13 |
| 1174164222 | Michael Cody Russell | Counselor | 1235 E St, Fresno, CA 93706-2024 | 2019-09-30 |
| 1710484472 | Michael David Russell | Student in an Organized Health Care Education/Training Program | University of Iowa Hospitals and Clinics, 200 Hawkins Drive, Iowa City, IA 52242 | 2018-04-10 |
| Street Address |
18624 DETROIT AVE |
| City | LAKEWOOD |
| State | OH |
| Zip Code | 44107-3202 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437796141 | Tessa Larue Dc LLC | Chiropractor | 18624 Detroit Ave, Lakewood, OH 44107-3248 | 2019-12-02 |
| 1902360357 | Tessa Madlyn Larue | Chiropractor | 18624 Detroit Ave, Lakewood, OH 44107-3248 | 2019-01-29 |
| 1467622480 | Russell Chiropractic Ltd | Chiropractor | 18624 Detroit Ave, Lakewood, OH 44107-3202 | 2008-03-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326522210 | Lawrence M Roth | Social Worker | 14701 Detroit Ave Ste 363, Lakewood, OH 44107 | 2018-09-18 |
| 1376065730 | Fareeha Khan | Internal Medicine | 12540 Edgewater Drive, Apt 411, Lakewood, OH 44107 | 2017-07-07 |
| 1912433756 | Julie Ann Foucher-urcuyo | Family Medicine | 14601 Detroit Ave, Fl 2, Lakewood, OH 44107 | 2017-05-11 |
| 1225563661 | Elizabeth Ann Rainbolt | Family Medicine | 14601 Detroit Ave Fl 2, Lakewood, OH 44107 | 2017-04-24 |
| 1255882551 | Kristen Murray | Dietitian, Registered | 14900 Detroit Ave Ste 207, Lakewood, OH 44107 | 2016-10-21 |
| 1265828131 | David Thomas Jonke | Dentist | 15640 Madison Ave., Lakewood, OH 44107 | 2015-04-08 |
| 1760885941 | Debra Watkins | Home Health Aide | 1510 Newman Ave Apt 406, Lakewood, OH 44107 | 2014-10-02 |
| 1396155198 | Monica M Owen | Occupational Therapist | 9200 Biddulph Rd., Brooklyn, OH 44107 | 2014-05-01 |
| 1730512229 | Marsha Elaine Favors | Licensed Practical Nurse | 1448 Lakeland Ave, Lakewood, OH 44107 | 2013-08-20 |
| 1508130006 | Ruth Rachel Raciniewski | Counselor | 15200 Madison Avenue, Lakewood, OH 44107 | 2012-03-01 |
| Find all providers in zip 44107 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548860836 | Kirton Chiropractic LLC | Chiropractor | 6841 W Asbury Pl, Lakewood, CO 80227-2690 | 2020-10-27 |
| 1205453396 | Brittni Ann Reid | Chiropractor | 1360 S. Wadsworth Blvd, Suite #104, Lakewood, CO 80232 | 2020-07-06 |
| 1881214617 | Back 2 Life Chiropractic | Chiropractor | 8409 Spruce St Sw, Lakewood, WA 98498-2343 | 2020-04-22 |
| 1922646967 | Palmercare Chiropractic Lakewood, Inc. | Chiropractor | 12051 W Alameda Pkwy # D4, Lakewood, CO 80228-2701 | 2019-12-19 |
| 1568009470 | Allison June Workman Thompson | Chiropractor | 1394 Cranford Ave, Lakewood, OH 44107-2310 | 2019-12-10 |
| 1124586284 | Alan Palzer | Chiropractor | 4518 Josie Ave, Lakewood, CA 90713-2716 | 2019-03-07 |
| 1518423177 | Aligned Health Chiropractic LLC | Chiropractor | 305 S Kipling St # C2, Lakewood, CO 80226-2700 | 2019-02-19 |
| 1073078580 | Lauren M Sullivan | Chiropractor | 305 S Kipling St Ste C2, Lakewood, CO 80226-2700 | 2019-02-08 |
| 1316439847 | P.r.i.s.m. Institute Inc. | Chiropractor | 5233 Premiere Ave, Lakewood, CA 90712 | 2018-05-31 |
| 1730677485 | Inspired Chiropractic & Wellness Inc | Chiropractor | 15644 Madison Ave Ste 213, Lakewood, OH 44107-5622 | 2018-04-27 |
| Find all providers in LAKEWOOD | ||||
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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.