Corey B Russell (NPI# 1467418418, PAC ID# 5395645154) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PODIATRY.
| Nation Provider ID (NPI) | 1467418418 |
| PAC ID by PECOS | 5395645154 |
| Professional Enrollment ID | I20040109000519 |
| Full Name | Corey B Russell |
| Organization Legal Name | BRENT L RUBIN AND ASSOCIATES INC |
| Address |
3055 W Sylvania Toledo OH 43613-4135 |
| Phone Number | 4194730125 |
| Gender | M |
| Credential | DPM |
| Medical School | OHIO COLLEGE OF PODIATRIC MEDICINE |
| Graduation Year | 1995 |
| Primary Specialty | PODIATRY |
| Group Practice PAC ID | 8820092042 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 360262 | MERCY ST ANNE HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 3055 W Sylvania, Toledo, OH 43613-4135 | 4194730125 | BRENT L RUBIN AND ASSOCIATES INC |
| Organization Legal Name | BRENT L RUBIN AND ASSOCIATES INC |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rostislav Denenburg | Podiatry | Brent L Rubin and Associates Inc | 3055 W Sylvania, Toledo, OH 43613-4135 |
| Michael Walkovich | Podiatry | Brent L Rubin and Associates Inc | 3055 W Sylvania, Toledo, OH 43613-4135 |
| Theodore Henry Bowlus | Podiatry | Brent L Rubin and Associates Inc | 3055 W Sylvania, Toledo, OH 43613-4135 |
| Sara M Skilliter | Physical Therapy | Brent L Rubin and Associates Inc | 3055 W Sylvania, Toledo, OH 43613-4135 |
| Street Address |
3055 W SYLVANIA |
| City | TOLEDO |
| State | OH |
| Zip | 43613-4135 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rostislav Denenburg | Podiatry | Brent L Rubin and Associates Inc | 3055 W Sylvania, Toledo, OH 43613-4135 |
| Michael Walkovich | Podiatry | Brent L Rubin and Associates Inc | 3055 W Sylvania, Toledo, OH 43613-4135 |
| Theodore Henry Bowlus | Podiatry | Brent L Rubin and Associates Inc | 3055 W Sylvania, Toledo, OH 43613-4135 |
| Sara M Skilliter | Physical Therapy | Brent L Rubin and Associates Inc | 3055 W Sylvania, Toledo, OH 43613-4135 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Thomas James Mccabe | Podiatry | 3106 Tremainsville Rd, Toledo, OH 43613-1804 | |
| Raymond A Welly | Chiropractic | 3124 Tremainsville Rd, Toledo, OH 43613-1804 | |
| Jennifer Seal | Nurse Practitioner | Toledo Clinic Incorporated | 2658 W Laskey Rd, Suite 101, Toledo, OH 43613-3288 |
| Tiffany R Dallas-kish | Physical Therapy | Pt Link LLC | 1722 W Laskey Rd, Suite A, Toledo, OH 43613-3500 |
| Eric Ondrus | Physical Therapy | Pt Link LLC | 1722 W Laskey Rd, Suite A, Toledo, OH 43613-3500 |
| Alexandria Lui | Optometry | Midwest Eye Consultants Ohio, Inc | 1814 W Laskey Rd, Toledo, OH 43613-3526 |
| Kelly Marie Parks | Nurse Practitioner | The Little Clinic of Ohio LLC | 4925 Jackman Rd, Toledo, OH 43613-3574 |
| Jessica Lynn Didion | Nurse Practitioner | The Little Clinic of Ohio LLC | 4925 Jackman Rd, Toledo, OH 43613-3574 |
| Kevin C Ruddy | Physical Therapy | Accelerated Rehabilitation Centers Ltd | 4925 Jackman Rd, Suite 34, Toledo, OH 43613-3574 |
| Lisa Marie Marciniak | Nurse Practitioner | The Little Clinic of Ohio LLC | 4925 Jackman Rd, Toledo, OH 43613-3574 |
| Find all physicians in zip 43613 | |||
| City | TOLEDO |
| Zip Code | 43613 |
| Specialty | PODIATRY |
| City + Specialty | TOLEDO + PODIATRY |
Please comment or provide details below to improve the information on Corey B 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.