Joshua Russell (NPI# 1013485952, PAC ID# 2769498658) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1013485952 |
| PAC ID by PECOS | 2769498658 |
| Professional Enrollment ID | I20181231001889 |
| Full Name | Joshua Russell |
| Organization Legal Name | KALISPELL REGIONAL MEDICAL CENTER INC |
| Address |
160 Heritage Way Kalispell MT 59901-3127 |
| Gender | M |
| Graduation Year | 2018 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 5294644381 |
| Number of Group Practice Members | 244 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 270051 | KALISPELL REGIONAL MEDICAL CENTER |
| 270087 | THE HEALTHCENTER |
| Address | Phone | Organization |
|---|---|---|
| 8299 Mt Hwy 35, Bigfork, MT 59911-3583 | 4068375541 | KALISPELL REGIONAL MEDICAL CENTER INC |
| 160 Heritage Way, Kalispell, MT 59901-3127 | KALISPELL REGIONAL MEDICAL CENTER INC | |
| 350 Heritage Way, Kalispell, MT 59901-3167 | KALISPELL REGIONAL MEDICAL CENTER INC |
| Organization Legal Name | KALISPELL REGIONAL MEDICAL CENTER INC |
| Physicians | 258 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ruben Hipolito | Family Medicine | Kalispell Regional Medical Center Inc | 70 Village Loop Rd, Kalispell, MT 59901-2793 |
| Kelly Jo Romanelly | Nurse Practitioner | Kalispell Regional Medical Center Inc | 1850 9th St W, Columbia Falls, MT 59912-4410 |
| Rachel M Brewer | Nurse Practitioner | Kalispell Regional Medical Center Inc | 150 Commons Way, Kalispell, MT 59901-1910 |
| Amber Mcilwain | Family Medicine | Kalispell Regional Medical Center Inc | 1287 Burns Way, Kalispell, MT 59901-3109 |
| Constance E Mash | Psychiatry | Kalispell Regional Medical Center Inc | 200 Heritage Way, Kalispell, MT 59901-3146 |
| Coyote Fairbank | Clinical Social Worker | Kalispell Regional Medical Center Inc | 8299 Mt Hwy 35, Bigfork, MT 59911-3583 |
| Jaimee Gribben | Nurse Practitioner | Kalispell Regional Medical Center Inc | 1333 Surgical Services Way, Kalispell, MT 59901-4844 |
| Chelsey L Spence | Family Medicine | Kalispell Regional Medical Center Inc | 306 Stoner Loop, Lakeside, MT 59922-8600 |
| Elizabeth L King | Nurse Practitioner | Kalispell Regional Medical Center Inc | 705 6th Ave E, Kalispell, MT 59901-5008 |
| Joseph H Boyle | Psychiatry | Kalispell Regional Medical Center Inc | 350 Heritage Way, Suite 2100, Kalispell, MT 59901-3167 |
| Street Address |
160 HERITAGE WAY |
| City | KALISPELL |
| State | MT |
| Zip | 59901-3127 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David Healy | Otolaryngology | Glacier Ear Nose and Throat Head and Neck Surgery PC | 160 Heritage Way, Suite 203, Kalispell, MT 59901-3127 |
| Kaycee L Mcintosh | Physician Assistant | Kalispell Regional Medical Center Inc | 160 Heritage Way, Kalispell, MT 59901-3127 |
| Anna C Soennecken | Qualified Audiologist | Glacier Ear Nose and Throat Head and Neck Surgery PC | 160 Heritage Way, Suite 203, Kalispell, MT 59901-3127 |
| Kristin L Stockham-baller | Physical Therapy | Orthopedic Rehab Inc | 160 Heritage Way, Kalispell, MT 59901-3144 |
| Douglas S Marbarger | Physician Assistant | Kalispell Regional Medical Center Inc | 160 Heritage Way, Kalispell, MT 59901-3127 |
| Jill S Thorn | Physician Assistant | Kalispell Regional Medical Center Inc | 160 Heritage Way, Kalispell, MT 59901-3127 |
| Tracie E Schroeder | Physical Therapy | Orthopedic Rehab Inc | 160 Heritage Way, Kalispell, MT 59901-3144 |
| Kent R Keele | Otolaryngology | Glacier Ear Nose and Throat Head and Neck Surgery PC | 160 Heritage Way, Suite 203, Kalispell, MT 59901-3127 |
| Sarah E Anderson | Qualified Audiologist | Glacier Ear Nose and Throat Head and Neck Surgery PC | 160 Heritage Way, Suite 203, Kalispell, MT 59901-3127 |
| Ivory D Drendel | Family Medicine | Kalispell Regional Medical Center Inc | 160 Heritage Way, Kalispell, MT 59901-3127 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gregory D Pisk | Chiropractic | Pisk Chiropractic and Physiotherapy PC | 178 2nd Ave En, Kalispell, MT 59901 |
| Karen F Skonord | Nurse Practitioner | Sunburst Community Service Foundation, Inc | 2282 Hwy 93 S 1, Kalispell, MT 59901 |
| John E Francis Jr. | Chiropractic | 2593 Hwy 2 E, Suite 5, Kalispell, MT 59901 | |
| Janna M Sullivan | Nurse Practitioner | Healthcenter Northwest LLC | 75 Claremont Sreet A, Kalispell, MT 59901 |
| Karen R Enhelder | Clinical Social Worker | Sunburst Community Service Foundation, Inc | 2282 Hwy 93 S 1, Kalispell, MT 59901 |
| Christine A Daly-damiani | Clinical Social Worker | Sunburst Community Service Foundation, Inc | 2282 Hwy 93 S 1, Kalispell, MT 59901 |
| Robert H Pewitt | Nurse Practitioner | Sunburst Community Service Foundation, Inc | 2282 Hwy 93 S 1, Kalispell, MT 59901 |
| Mary L Olstad Hanson | Clinical Social Worker | Sunburst Community Service Foundation, Inc | 2282 Hwy 93 S 1, Kalispell, MT 59901 |
| Marcia J Tharp | Clinical Social Worker | Sunburst Community Service Foundation, Inc | 2282 Hwy 93 S 1, Kalispell, MT 59901 |
| Chelsea L Crandell | Optometry | Glacier Eye Clinic PC | 175 Timberwolf Pkwy, Kalispell, MT 59901-1218 |
| Find all physicians in zip 59901 | |||
| City | KALISPELL |
| Zip Code | 59901 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | KALISPELL + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Joshua Russell.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.