Lakeya C Russell (NPI# 1376806976, PAC ID# 3779701867) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OBSTETRICS/GYNECOLOGY.
| Nation Provider ID (NPI) | 1376806976 |
| PAC ID by PECOS | 3779701867 |
| Professional Enrollment ID | I20140903000847 |
| Full Name | Lakeya C Russell |
| Organization Legal Name | WELLCARE PHYSICIANS GROUP LLC |
| Address |
5705 Monclova Rd Maumee OH 43537-1875 |
| Phone Number | 4198933321 |
| Gender | F |
| Medical School | WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2010 |
| Primary Specialty | OBSTETRICS/GYNECOLOGY |
| Group Practice PAC ID | 1456442771 |
| Number of Group Practice Members | 62 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 360090 | ST LUKE'S HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 5705 Monclova Rd, Maumee, OH 43537-1875 | 4198933321 | WELLCARE PHYSICIANS GROUP LLC |
| 28442 E River Rd, Perrysburg, OH 43551-2795 | 4198723201 | WELLCARE PHYSICIANS GROUP LLC |
| Organization Legal Name | WELLCARE PHYSICIANS GROUP LLC |
| Physicians | 78 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Douglas Olson | Orthopedic Surgery | Wellcare Physicians Group LLC | 5871 Monclova Rd, Maumee, OH 43537-1839 |
| Ann M Steck | Family Medicine | Wellcare Physicians Group LLC | 5757 Monclova Rd, Suite 11, Maumee, OH 43537-1863 |
| Laura L Graham | Physician Assistant | Wellcare Physicians Group LLC | 5755 Monclova Rd, Maumee, OH 43537-1837 |
| David Richard Sell | Physician Assistant | Wellcare Physicians Group LLC | 5901 Monclova Rd, Maumee, OH 43537-1841 |
| Shalini S Singh | Family Medicine | Wellcare Physicians Group LLC | 5757 Monclova Rd, Suite 11, Maumee, OH 43537-1863 |
| Juli A Smelser | Nurse Practitioner | Wellcare Physicians Group LLC | 5705 Monclova Rd, Maumee, OH 43537-1875 |
| Anna L Nelson | Family Medicine | Wellcare Physicians Group LLC | 5705 Monclova Rd, Maumee, OH 43537-1875 |
| Elizabeth M Read | Obstetrics/gynecology | Wellcare Physicians Group LLC | 5901 Monclova Rd, Maumee, OH 43537-1841 |
| Hana J Awada Mitchell | Certified Nurse Midwife (cnm) | Wellcare Physicians Group LLC | 5901 Monclova Rd, Maumee, OH 43537-1841 |
| Vithya Balasubramaniam Rodriguez | Psychiatry | Wellcare Physicians Group LLC | 100 Morse St, Suite 105, Norwood, MA 02062-4679 |
| Street Address |
5705 MONCLOVA RD |
| City | MAUMEE |
| State | OH |
| Zip | 43537-1875 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kevin A Creedon | Nurse Practitioner | Pairadocs Consulting | 5705 Monclova Rd, Suite 201, Maumee, OH 43537-1877 |
| Juli A Smelser | Nurse Practitioner | Wellcare Physicians Group LLC | 5705 Monclova Rd, Maumee, OH 43537-1875 |
| Anna L Nelson | Family Medicine | Wellcare Physicians Group LLC | 5705 Monclova Rd, Maumee, OH 43537-1875 |
| Amanda R Kruse | Nurse Practitioner | Wellcare Physicians Group LLC | 5705 Monclova Rd, Maumee, OH 43537-1875 |
| Katherine S Jender | Nurse Practitioner | Wellcare Physicians Group LLC | 5705 Monclova Rd, Maumee, OH 43537-1875 |
| Jason Lynn Evans | Family Medicine | Wellcare Physicians Group LLC | 5705 Monclova Rd, Maumee, OH 43537-1875 |
| Travis Edward Rasor | Family Medicine | Wellcare Physicians Group LLC | 5705 Monclova Rd, Maumee, OH 43537-1875 |
| Shannon Hamilton | Nurse Practitioner | Wellcare Physicians Group LLC | 5705 Monclova Rd, Maumee, OH 43537-1875 |
| James Lyions | Orthopedic Surgery | Wellcare Physicians Group LLC | 5705 Monclova Rd, Maumee, OH 43537-1875 |
| Anita L Antoniolli | General Surgery | Wellcare Physicians Group LLC | 5705 Monclova Rd, Maumee, OH 43537-1875 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Timothy F Wynkoop | Psychologist, Clinical | Po Box, Suite 332, Maumee, OH 43537-0332 | |
| David E Muck | Chiropractic | Heatherdowns Chiropractic Wellness Center LLC | 2526 Perrysburg Holland Rd, Maumee, OH 43537-1344 |
| Luke Amodeo | Chiropractic | Heatherdowns Chiropractic Wellness Center LLC | 2526 Perrysburg Holland Rd, Maumee, OH 43537-1344 |
| Jane A Broering-ammons | Psychiatry | 1627 Henthorne Dr B, Maumee, OH 43537-1370 | |
| Wade L Banker | Interventional Radiology | 1500 Holland Rd, Maumee, OH 43537-1619 | |
| Hany J Jacob | Critical Care (intensivists) | 1661 Holland Rd, Suite 300, Maumee, OH 43537-1659 | |
| Rebecca M Burgoon | Physician Assistant | Mercy Health Physicians - North, LLC. | 1657 Holland Rd, Suite A, Maumee, OH 43537-1661 |
| Heather L Paulus | Optometry | 1657 Holland Rd, Suite D, Maumee, OH 43537-1661 | |
| Belinda A Heywood | Physician Assistant | Mercy Health Physicians - North, LLC. | 1657 Holland Rd, Suite A, Maumee, OH 43537-1661 |
| Erin E Hill | Nurse Practitioner | Mercy Health Physicians - North, LLC. | 1657 Holland Rd, Suite A, Maumee, OH 43537-1661 |
| Find all physicians in zip 43537 | |||
| City | MAUMEE |
| Zip Code | 43537 |
| Specialty | OBSTETRICS/GYNECOLOGY |
| City + Specialty | MAUMEE + OBSTETRICS/GYNECOLOGY |
Please comment or provide details below to improve the information on Lakeya C 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.