Mark T Russell (NPI# 1457555864, PAC ID# 9537326525) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
| Nation Provider ID (NPI) | 1457555864 |
| PAC ID by PECOS | 9537326525 |
| Professional Enrollment ID | I20120202000357 |
| Full Name | Mark T Russell |
| Organization Legal Name | ALLIED EMERGENCY PHYSICIANS, INC. |
| Address |
2975 N Sycamore Dr Simi Valley CA 93065-1201 |
| Phone Number | 8059556107 |
| Gender | M |
| Medical School | UNIVERSITY OF CALIFORNIA, IRVINE, CALIFORNIA COLLEGE OF MEDICINE |
| Graduation Year | 2007 |
| Primary Specialty | EMERGENCY MEDICINE |
| Group Practice PAC ID | 9931391604 |
| Number of Group Practice Members | 17 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050082 | ST JOHNS REGIONAL MEDICAL CENTER |
| 050616 | ST JOHNS PLEASANT VALLEY HOSPITAL |
| 050236 | ADVENTIST HEALTH SIMI VALLEY |
| Address | Phone | Organization |
|---|---|---|
| 2975 N Sycamore Dr, Simi Valley, CA 93065-1201 | 8059556107 | ALLIED EMERGENCY PHYSICIANS, INC. |
| Organization Legal Name | ALLIED EMERGENCY PHYSICIANS, INC. |
| Physicians | 13 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joyce Norman | Emergency Medicine | Allied Emergency Physicians, Inc. | 2975 N Sycamore Dr, Simi Valley, CA 93065-1201 |
| Alan L Kuban | Emergency Medicine | Allied Emergency Physicians, Inc. | 2975 N Sycamore Dr, Simi Valley, CA 93065-1201 |
| Ira H Tilles | Emergency Medicine | Allied Emergency Physicians, Inc. | 2975 N Sycamore Dr, Simi Valley, CA 93065-1201 |
| Hillary D Runnels | Physician Assistant | Allied Emergency Physicians, Inc. | 2975 N Sycamore Dr, Simi Valley, CA 93065-1201 |
| Alfred L Yu | Emergency Medicine | Allied Emergency Physicians, Inc. | 2975 N Sycamore Dr, Simi Valley, CA 93065-1201 |
| Anthony H Ho | Emergency Medicine | Allied Emergency Physicians, Inc. | 2975 N Sycamore Dr, Simi Valley, CA 93065-1201 |
| Adrian G Danescu | Emergency Medicine | Allied Emergency Physicians, Inc. | 2975 N Sycamore Dr, Simi Valley, CA 93065-1201 |
| Nancy N Eich | Emergency Medicine | Allied Emergency Physicians, Inc. | 2975 N Sycamore Dr, Simi Valley, CA 93065-1201 |
| Andrew L Bourgeois | Emergency Medicine | Allied Emergency Physicians, Inc. | 2975 N Sycamore Dr, Simi Valley, CA 93065-1201 |
| Hossein Gharakhani | Emergency Medicine | Allied Emergency Physicians, Inc. | 2975 N Sycamore Dr, Simi Valley, CA 93065-1201 |
| Street Address |
2975 N SYCAMORE DR |
| City | SIMI VALLEY |
| State | CA |
| Zip | 93065-1201 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joyce Norman | Emergency Medicine | Allied Emergency Physicians, Inc. | 2975 N Sycamore Dr, Simi Valley, CA 93065-1201 |
| Alan L Kuban | Emergency Medicine | Allied Emergency Physicians, Inc. | 2975 N Sycamore Dr, Simi Valley, CA 93065-1201 |
| Ira H Tilles | Emergency Medicine | Allied Emergency Physicians, Inc. | 2975 N Sycamore Dr, Simi Valley, CA 93065-1201 |
| Hillary D Runnels | Physician Assistant | Allied Emergency Physicians, Inc. | 2975 N Sycamore Dr, Simi Valley, CA 93065-1201 |
| Alfred L Yu | Emergency Medicine | Allied Emergency Physicians, Inc. | 2975 N Sycamore Dr, Simi Valley, CA 93065-1201 |
| Anthony H Ho | Emergency Medicine | Allied Emergency Physicians, Inc. | 2975 N Sycamore Dr, Simi Valley, CA 93065-1201 |
| Adrian G Danescu | Emergency Medicine | Allied Emergency Physicians, Inc. | 2975 N Sycamore Dr, Simi Valley, CA 93065-1201 |
| Nancy N Eich | Emergency Medicine | Allied Emergency Physicians, Inc. | 2975 N Sycamore Dr, Simi Valley, CA 93065-1201 |
| Andrew L Bourgeois | Emergency Medicine | Allied Emergency Physicians, Inc. | 2975 N Sycamore Dr, Simi Valley, CA 93065-1201 |
| Hossein Gharakhani | Emergency Medicine | Allied Emergency Physicians, Inc. | 2975 N Sycamore Dr, Simi Valley, CA 93065-1201 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jeffrey M Cohen | Optometry | 1555 Simi Town Ctr Way, Suite 575, Simi Valley, CA 93065-0535 | |
| Daria Younessi | Family Medicine | Jonathan Nasseri Md Corp | 2975 Sycamore Dr, Simi Valley, CA 93065-1201 |
| Paul J Miller | Radiation Oncology | Coastal Radiation Oncology Medical Group, Inc. | 2985 N Sycamore Dr, Simi Valley Radiation Oncology Medi, Simi Valley, CA 93065-1201 |
| Qurat-ul-ain A Rashid | Internal Medicine | Jonathan Nasseri Md Corp | 2975 Sycamore Dr, Simi Valley, CA 93065-1201 |
| Jonathan R Nasseri | Hospice/palliative Care | Jonathan Nasseri Md Corp | 2975 Sycamore Dr, Simi Valley, CA 93065-1201 |
| Trung Bui | Vascular Surgery | 2975 Sycamore Dr, Simi Valley, CA 93065-1201 | |
| Lovelle C Valencia | Nurse Practitioner | Jonathan Nasseri Md Corp | 2975 Sycamore Dr, Simi Valley, CA 93065-1201 |
| Craig Inouye | Diagnostic Radiology | Simi Radiology and Imaging Medical Group | 2975 Sycamore Dr, Simi Valley, CA 93065-1201 |
| Jonathan D Madara | Anesthesiology | Simi Valley Anesthesia Medical Group | 2975 Sycamore Dr, Simi Valley, CA 93065-1201 |
| Robert A Acquarelli | Diagnostic Radiology | Simi Radiology and Imaging Medical Group | 2975 Sycamore Dr, Simi Valley, CA 93065-1201 |
| Find all physicians in zip 93065 | |||
| City | SIMI VALLEY |
| Zip Code | 93065 |
| Specialty | EMERGENCY MEDICINE |
| City + Specialty | SIMI VALLEY + EMERGENCY MEDICINE |
Please comment or provide details below to improve the information on Mark T 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.