MR. JEFFREY WYAN RUSSELL (NPI# 1043332497) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043332497 |
| Entity Type | Individual |
| Full Name | MR. JEFFREY WYAN RUSSELL |
| Credential | MHS, PA-C |
| Practice Address |
2741 Debarr Rd Suite C-308 Anchorage AK 99508-2953 |
| Mailing Address |
Po Box 140386 Anchorage AK 99514-0386 |
| Practice Telephone | 9072723366 |
| Practice Fax Number | 9072720269 |
| Mailing Telephone | 9072770972 |
| Enumeration Date | 2007-04-05 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 371 | AK | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912072257 | Jeffrey Alan Russell | Specialist/Technologist | Shape Clinic, Putnam Hall 304, 96 E Union St, Athens, OH 45701 | 2006-11-22 |
| 1942309034 | Jeffrey Lynn Russell | Podiatrist | Rr 1 Box 34-a, Watonga, OK 73772-9706 | 2006-09-22 |
| 1497799654 | Jeffrey S Russell | Internal Medicine | 327 W Chicago St, Coldwater, MI 49036-2805 | 2006-06-16 |
| 1942858055 | Jeffrey Russell II | Counselor | 1003 S Beacon St, San Pedro, CA 90731-4324 | 2019-09-01 |
| 1518394204 | Jeffrey Dane Russell | Physician Assistant | 900 Caton Ave, Baltimore, MD 21229-5201 | 2013-09-26 |
| 1609193432 | Jeffrey Russell | Counselor | 201 W Springdale Ave, Knoxville, TN 37917-5158 | 2010-05-04 |
| 1073842175 | Jeffrey C. Russell | Nurse Anesthetist, Certified Registered | 9601 Interstate 630 Exit 7, Little Rock, AR 72205-7202 | 2009-12-18 |
| 1578603494 | Jeffrey David Russell | Chiropractor | 302 N Mckinley Ave, Sand Springs, OK 74063-7611 | 2007-02-08 |
| 1295897130 | Jeffrey Kent Russell | Internal Medicine | 750 Alliance Ct, Asheville, NC 28806-2248 | 2006-12-15 |
| 1154482388 | Jeffrey Scott Russell | Counselor | 333 Union St, New Bedford, MA 02740-3665 | 2006-12-12 |
| Street Address |
2741 DEBARR RD SUITE C-308 |
| City | ANCHORAGE |
| State | AK |
| Zip Code | 99508-2953 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518968403 | Jane Sonnenburg | Physician Assistant | 2741 Debarr Rd, Ste. C-308, Anchorage, AK 99508-2961 | 2005-08-02 |
| 1417482266 | Josh Morehouse | Massage Therapist | 2741 Debarr Rd, Unit 309, Anchorage, AK 99508-2961 | 2017-04-28 |
| 1457885261 | Nate Benson | Massage Therapist | 2741 Debarr Rd, Ste. 309, Anchorage, AK 99508-2961 | 2017-04-18 |
| 1972042612 | Alaska Inpatient Neurology Services, LLC | Psychiatry & Neurology | 2741 Debarr Rd, Suite 413, Anchorage, AK 99508-2961 | 2017-02-14 |
| 1093168296 | Brittany Noelle Marshall | Physician Assistant | 2741 Debarr Rd, C411, Anchorage, AK 99508-2961 | 2016-07-22 |
| 1194181586 | Alaska Surgical Arts PC | Surgery | 2741 Debarr Rd, Suite C-415, Anchorage, AK 99508-2961 | 2016-01-14 |
| 1629433701 | Alaska Breast Care Specialists PC | Surgery | 2741 Debarr Rd, Suite 402, Anchorage, AK 99508-2961 | 2015-12-16 |
| 1942670153 | Meagan Mclaughlin | Nurse Practitioner | 2741 Debarr Rd, Anchorage, AK 99508-2961 | 2015-09-30 |
| 1184010274 | Alaska Cardiothoracic Surgery PC | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2741 Debarr Rd, Suite C-416, Anchorage, AK 99508-2961 | 2015-04-15 |
| 1457747800 | Summit Family Practice, LLC | Clinic/Center | 2741 Debarr Rd, Suite C-308, Anchorage, AK 99508-2961 | 2015-04-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366063349 | Alexandra L Davis | Student in an Organized Health Care Education/Training Program | 1202 E 36th Ave, Anchorage, AK 99508 | 2020-05-01 |
| 1366087108 | The Salvation Army, A California Corporation | Community/Behavioral Health | 3600 East 20th Avenue, Anchorage, AK 99508 | 2019-11-15 |
| 1679120349 | Kila Gilcart | Speech-Language Pathologist | 161 Klevin Street #103, Anchorage, AK 99508 | 2019-08-19 |
| 1326692963 | Shannon Maillet | Behavior Technician | 1650 S Bragaw, Anchorage, AK 99508 | 2019-07-31 |
| 1427602044 | Frank Harris Lawson Iv | Behavior Technician | 1650 S. Bragaw, Anchorage, AK 99508 | 2019-07-31 |
| 1104470723 | Vivalesi Seforosa Nair | Behavior Technician | 1650 South Bragaw, Anchorage, AK 99508 | 2019-07-31 |
| 1043864267 | The Cozy Chalet Assisted Living Home LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3707 Mt Blanc Circle, Anchorage, AK 99508 | 2019-07-25 |
| 1942861778 | Christine Mary Hoover | Registered Nurse | Alaska Native Medical Center - Inpatient Pediatrics, 4315 Diplomacy Dr, Anchorage, AK 99508 | 2019-06-24 |
| 1215594502 | Ashley Ongtowasruk | Case Manager/Care Coordinator | 4441 Dipomacy Dr, Suite 500, Anchorage, AK 99508 | 2019-05-22 |
| 1659937019 | Rayne Johnson | Behavior Technician | 4000 San Ernesto Blvd, Anchorage, AK 99508 | 2019-05-11 |
| Find all providers in zip 99508 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912426040 | Ashley Boge | Physician Assistant | 2925 Debarr Rd Ste D350, Anchorage, AK 99508-2959 | 2017-09-09 |
| 1215455597 | Leigha Henry-waugh | Physician Assistant | 3724 Lincoln Ellsworth Ct Unit B, Anchorage, AK 99517-2354 | 2017-09-06 |
| 1003264052 | Kimberley Aikey | Physician Assistant | 1400 E 4th Ave, Anchorage, AK 99501-2857 | 2016-06-01 |
| 1457709008 | Betsy Louise Douds-paczan | Physician Assistant | 4701 Kenai Avenue, Anchorage, AK 99508 | 2016-05-24 |
| 1689021693 | Stephanie Marie Guzman | Physician Assistant | 4320 Diplomacy Dr Ste 2191, Anchorage, AK 99508-5925 | 2016-05-19 |
| 1972977866 | Alaska Medical Services Inc. | Physician Assistant | 2240 Paxson Dr Unit 1, Anchorage, AK 99504-3412 | 2015-11-16 |
| 1245610955 | Aaron M Thrasher | Physician Assistant | 4100 Lake Otis Parkway Suite 200, Anchorage, AK 99508 | 2015-06-08 |
| 1861891285 | Shawna J Mcelroy | Physician Assistant | 1389 Huffman Road, #150, Anchorage, AK 99515 | 2014-08-21 |
| 1891030789 | Katharine J Linduska | Physician Assistant | 4320 Diplomacy Dr Ste 2121, Anchorage, AK 99508-5925 | 2012-12-03 |
| 1659623031 | Alana Mandalapa | Physician Assistant | 1310 E Dimond Blvd Ste 1, Anchorage, AK 99515-2031 | 2012-10-09 |
| Find all providers in ANCHORAGE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.