EMILY GRACE BOND RUSSELL (NPI# 1154971174) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1154971174 |
Entity Type | Individual |
Full Name | EMILY GRACE BOND RUSSELL |
Other Name | EMILY GRACE BOND |
Credential | PA-C |
Practice Address |
2327 Sw 4th Ave Ontario OR 97914-1851 |
Mailing Address |
2603 W Jefferson St Boise ID 83702-4714 |
Practice Telephone | 5418892340 |
Mailing Telephone | 7654142656 |
Enumeration Date | 2019-09-12 |
Last Update Date | 2019-09-12 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
OR | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710502489 | Emily Russell | Behavior Technician | 265 S Harlan St # 80226, Lakewood, CO 80226-2261 | 2020-06-09 |
1033769740 | Emily Victoria Russell | Physical Therapist | 3999 Austell Rd Ste 701, Austell, GA 30106-0002 | 2019-09-14 |
1396264966 | Emily Russell | Speech-Language Pathologist | 1313 E 5th St, Dayton, OH 45402-2222 | 2017-09-15 |
1699102343 | Emily Danielle Hoffman Russell | Social Worker | 335 Glessner Ave Fl Mob5, Mansfield, OH 44903-2269 | 2013-09-26 |
1649462086 | Emily Diane Russell | Speech-Language Pathologist | 986 Hunter Ave, Columbus, OH 43201-3424 | 2007-08-09 |
1023617073 | Emily Catherine Russell | Psychologist | 25 Highland Ave, Lisbon, NH 03585-6112 | 2020-10-21 |
1700344363 | Emily Russell | Behavior Technician | 421 Fayetteville St Ste 1100, Raleigh, NC 27601-3000 | 2019-03-03 |
1457825945 | Emily Russell | Psychologist | 100 Brewster Blvd, Camp Lejeune, NC 28547-2575 | 2019-01-17 |
1972013431 | Emily Luann Russell | Speech-Language Pathologist | 7819 Conser Pl, Overland Park, KS 66204-2820 | 2017-10-10 |
1891211975 | Emily Jane Russell | Pharmacist | 110 Price Ave, Aiken, SC 29803-7395 | 2017-08-21 |
Street Address |
2327 SW 4TH AVE |
City | ONTARIO |
State | OR |
Zip Code | 97914-1851 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518968320 | Judith Norris | Nurse Practitioner | 2327 Sw 4th Ave, Ontario, OR 97914-1851 | 2005-08-02 |
1316558620 | Amber Mechelle Berger | Nurse Practitioner | 2327 Sw 4th Ave, Ontario, OR 97914-1851 | 2020-08-11 |
1891260378 | Keely Wolf | Physician Assistant | 2327 Sw 4th Ave, Ontario, OR 97914-1851 | 2018-10-10 |
1184074635 | Brandon Alden Snow | Dentist | 2327 Sw 4th Ave, Ontario, OR 97914-1851 | 2016-06-15 |
1366897332 | Daniel F Jones | Family Medicine | 2327 Sw 4th Ave, Ontario, OR 97914-1851 | 2016-04-27 |
1023471000 | Mark Berger | Clinical Nurse Specialist | 2327 Sw 4th Ave, Ontario, OR 97914-1851 | 2016-03-29 |
1053797746 | Abigail Borman | Dentist | 2327 Sw 4th Ave, Ontario, OR 97914-1851 | 2015-08-04 |
1780878868 | Sharmeen Nelson | Family Medicine | 2327 Sw 4th Ave, Ontario, OR 97914-1851 | 2007-08-31 |
1336167121 | Valley Family Health Care, Inc | Dentist | 2327 Sw 4th Ave, Ontario, OR 97914-1851 | 2006-07-18 |
1891711800 | Brian Raymond Jones | Dentist | 2327 Sw 4th Ave, Ontario, OR 97914-1851 | 2006-07-14 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467925420 | The Family Place D/b/a Tfp Services Therapeutic | Case Manager/Care Coordinator | 390 Ne 2nd St., Ontario, OR 97914 | 2019-01-02 |
1154805729 | Ronald William Strohmeyer | Physician Assistant | 2327 S.w. 4th Ave, Ontario, OR 97914 | 2018-09-19 |
1700334117 | Arlene Schwenke | Social Worker | 686 Nw 9th St., Ontario, OR 97914 | 2016-09-14 |
1871990408 | Sally Melissa Sluder | Nurse Practitioner | 351 Sw 9th Ave, Ontario, OR 97914 | 2014-11-25 |
1932460870 | E Patricia Jeanne Engel | Surgery | 1050 Sw 3rd Ave Ste 2600, Ontario, OR 97914 | 2012-06-07 |
1487946521 | Tyler Jepson | Physical Therapist | 1182 Sw 4th Avenue, Ontario, OR 97914 | 2011-05-09 |
1255641577 | Cami Lyn Rebmann | Pharmacist | 728 S 4th Ave, Ontario, OR 97914 | 2010-10-20 |
1295051126 | Project Dove | Case Manager/Care Coordinator | 915-02 Sw 2nd Ave, Ontario, OR 97914 | 2010-04-16 |
1467666024 | Tfp Therapeutic Service, Inc. | Counselor | 390 Ne 2nd Street, Ontario, OR 97914 | 2007-05-10 |
1639381569 | Emeritus Corporation | Assisted Living Facility | 1372 Southwest 8th Avenue, Ontario, OR 97914 | 2007-05-04 |
Find all providers in zip 97914 |
Taxonomy Code | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154805729 | Ronald William Strohmeyer | Physician Assistant | 2327 S.w. 4th Ave, Ontario, OR 97914 | 2018-09-19 |
1659829513 | Gregory J Musselman | Physician Assistant | 3550 E Philadelphia St Ste 150, Ontario, CA 91761 | 2016-09-20 |
1093024994 | Stephen Styadi | Physician Assistant | 1760 E Flora St, Ontario, CA 91764-4458 | 2010-09-27 |
1801127170 | Rafael Romero | Physician Assistant | 521 E Park St, Ontario, CA 91761-1724 | 2010-01-26 |
1306175021 | Lilian Y Chou | Physician Assistant | 1440 E Cedar St, Ontario, CA 91761-8300 | 2009-12-08 |
1215160510 | Kacey L Andreasen | Physician Assistant | 1050 Sw 3rd Ave Ste 1200, Ontario, OR 97914-4550 | 2009-09-02 |
1235206483 | Leah Rose Zalsman | Physician Assistant | 1520 N. Moutain Ave Bldg F Suite 128, Ontario, CA 91762 | 2006-11-30 |
1518577394 | Matea Berria | Physician Assistant | 840 Sw 4th Ave, Ontario, OR 97914-2633 | 2020-08-05 |
1053740290 | Courtney M Combe | Physician Assistant | 702 Sunset Dr, Ontario, OR 97914-3121 | 2013-11-07 |
1588907802 | Jennifer Shin Yim | Physician Assistant | 1650 S Euclid Ave, Ontario, CA 91762-5824 | 2013-04-04 |
Find all providers in ONTARIO |
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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.