Deidre J Russell (NPI# 1467565341, PAC ID# 9638262892) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OBSTETRICS/GYNECOLOGY.
| Nation Provider ID (NPI) | 1467565341 |
| PAC ID by PECOS | 9638262892 |
| Professional Enrollment ID | I20140801000914 |
| Full Name | Deidre J Russell |
| Organization Legal Name | MOMDOC LLC |
| Address |
21300 N John Wayne Pkwy Suite 121 Maricopa AZ 85139-8978 |
| Phone Number | 5204947045 |
| Gender | F |
| Graduation Year | 1990 |
| Primary Specialty | OBSTETRICS/GYNECOLOGY |
| Group Practice PAC ID | 3375534282 |
| Number of Group Practice Members | 20 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 2055 W Frye Rd, Suite 9, Chandler, AZ 85224-6277 | 4808213600 | MOMDOC LLC |
| 21300 N John Wayne Pkwy, Suite 121, Maricopa, AZ 85139-8978 | 5204947045 | MOMDOC LLC |
| Organization Legal Name | MOMDOC LLC |
| Physicians | 28 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brittany Stam | Obstetrics/gynecology | Momdoc LLC | 7342 E Thomas Rd, Suite 105, Scottsdale, AZ 85251-7243 |
| Stepanida Freeman | Obstetrics/gynecology | Momdoc LLC | 1634 S Priest Dr, Bldg 3 Suite 101, Tempe, AZ 85281-6204 |
| Scott R Partridge | Obstetrics/gynecology | Momdoc LLC | 2055 W Frye Rd, Suite 9, Chandler, AZ 85224-6277 |
| Thylma L Sta. Maria | Obstetrics/gynecology | Momdoc LLC | 21755 N 77th Ave, Suite 1200, Peoria, AZ 85382-2112 |
| Lorenzo C Boyce | Obstetrics/gynecology | Momdoc LLC | 8410 W Thomas Rd, Suite 134, Phoenix, AZ 85037-3374 |
| Robert L Gallai | Obstetrics/gynecology | Momdoc LLC | 8410 W Thomas Rd, Suite 134, Phoenix, AZ 85037-3374 |
| Sunayana Srinivasan | Obstetrics/gynecology | Momdoc LLC | 8410 W Thomas Rd, Suite 134, Phoenix, AZ 85037-3374 |
| Grayson J Guzman | Obstetrics/gynecology | Momdoc LLC | 10238 E Hampton Ave, Suite 507, Mesa, AZ 85209-3321 |
| Eric T Overdorf | Obstetrics/gynecology | Momdoc LLC | 2055 W Frye Rd, Suite 9, Chandler, AZ 85224-6277 |
| Micah S Harris | Obstetrics/gynecology | Momdoc LLC | 7342 E Thomas Rd, Suite 105, Scottsdale, AZ 85251-7243 |
| Street Address |
21300 N JOHN WAYNE PKWY SUITE 121 |
| City | MARICOPA |
| State | AZ |
| Zip | 85139-8978 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kyle J Stoeckmann | Internal Medicine | Agave Family Physicians Pllc | 21300 N John Wayne Pkwy, Suite 123, Maricopa, AZ 85239-8964 |
| Jon M Holden | Physician Assistant | Agave Family Physicians Pllc | 21300 N John Wayne Pkwy, Suite 123, Maricopa, AZ 85239-8964 |
| Shawn Douglas Gorsline | Physical Therapy | Petersen Physical Therapy PC | 21300 N John Wayne Pkwy, Suite 125, Maricopa, AZ 85139-8978 |
| Kimberly K Lee | Physical Therapy | Pinnacle Maricopa, LLC | 21300 N John Wayne Pkwy, Suite 107, Maricopa, AZ 85139-8964 |
| Ashesh H Sanghvi | Gastroenterology | Arizona Centers for Digestive Health Pllc | 21300 N John Wayne Pkwy, Suite 123, Maricopa, AZ 85139-8978 |
| Hilda M Flores Vidal | Internal Medicine | 21300 N John Wayne Pkwy, Bldg 7 Unit 116, Maricopa, AZ 85239-8964 | |
| Lara Whitford | Podiatry | Foot and Ankle Clinics of Arizona | 21300 N John Wayne Pkwy, Suite 116, Maricopa, AZ 85139-8978 |
| Jennifer L Shaw | Obstetrics/gynecology | Momdoc LLC | 21300 N John Wayne Pkwy, Suite 121, Maricopa, AZ 85139-8978 |
| Brandon M Poulter | Physical Therapy | Pinnacle Maricopa, LLC | 21300 N John Wayne Pkwy, Suite 107, Maricopa, AZ 85139-8964 |
| Kelley Lawrence | Optometry | Desert Eyecare Center | 21300 N John Wayne Pkwy, Suite 105, Maricopa, AZ 85139-8964 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tangeca Elizabeth Wells | Nurse Practitioner | 19756 N John Wayne Pkwy, Suite 111, Maricopa, AZ 85139 | |
| Janna Tobin Roberts | Nurse Practitioner | American Medical Associates Pllc | 20928 N John Wayne Pkwy, Suite C4, Maricopa, AZ 85139-2924 |
| Serena Shao | Optometry | Nationwide Optometry P.C. | 20928 N John Wayne Pkwy, C6, Maricopa, AZ 85139-2924 |
| Erica M Flores | Cardiovascular Disease (cardiology) | East Valley Cardiology Ltd | 20924 N John Wayne Pkwy, Suite D4, Maricopa, AZ 85139-2958 |
| Kimberly E Morin | Physical Therapy | 360 Physical Therapy LLC | 21083 N John Wayne Pkwy, Suite C104, Maricopa, AZ 85139-2961 |
| Anthony R Kuhl | Physical Therapy | 360 Physical Therapy LLC | 21083 N John Wayne Pkwy, Suite C104, Maricopa, AZ 85139-2961 |
| Michael A Hacker | Occupational Therapy | 360 Physical Therapy LLC | 21083 N John Wayne Pkwy, Suite C104, Maricopa, AZ 85139-2961 |
| Kayla R Baldwin | Physical Therapy | 360 Physical Therapy LLC | 21083 N John Wayne Pkwy, Suite C104, Maricopa, AZ 85139-2961 |
| Thomas K Spray | Physical Therapy | 360 Physical Therapy LLC | 21083 N John Wayne Pkwy, Suite C104, Maricopa, AZ 85139-2961 |
| Jeffrey Tsai | Diagnostic Radiology | Chandler Radiology Associates LLC | 20750 N John Wayne Pkwy, Maricopa, AZ 85139-5882 |
| Find all physicians in zip 85139 | |||
| City | MARICOPA |
| Zip Code | 85139 |
| Specialty | OBSTETRICS/GYNECOLOGY |
| City + Specialty | MARICOPA + OBSTETRICS/GYNECOLOGY |
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| 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.