JESSICA RUSS (NPI# 1174929129) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174929129 |
| Entity Type | Individual |
| Full Name | JESSICA RUSS |
| Credential | CCP |
| Practice Address |
10930 N Tatum Blvd Ste 103 Phoenix AZ 85028-6069 |
| Practice Telephone | 6022637600 |
| Practice Fax Number | 6022120365 |
| Mailing Telephone | 6022637600 |
| Mailing Fax Number | 6022120365 |
| Enumeration Date | 2014-11-18 |
| Last Update Date | 2014-11-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 242T00000X | Perfusionist | LP030 | NV | Technologists, Technicians & Other Technical Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881920973 | Jessica Ann Russ | Audiologist-Hearing Aid Fitter | 8202 Clearvista Pkwy, Ste 9c, Indianapolis, IN 46256-1457 | 2009-10-23 |
| Street Address |
10930 N TATUM BLVD STE 103 |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85028-6069 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144214172 | Kenneth A Ashton | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 10930 N Tatum Blvd, Ste 103, Phoenix, AZ 85028-6069 | 2005-09-06 |
| 1265988299 | Kelsey Slugocki | Physician Assistant | 10930 N Tatum Blvd, Ste 103, Phoenix, AZ 85028-6069 | 2016-08-30 |
| 1043602444 | Jordanna Newberger | Perfusionist | 10930 N Tatum Blvd, Ste 103, Phoenix, AZ 85028-6069 | 2015-02-23 |
| 1801287354 | Rachel Armenta | Nurse Practitioner | 10930 N Tatum Blvd, Ste 103, Phoenix, AZ 85028-6069 | 2015-02-05 |
| 1396184602 | Malia Goozen-suor | Perfusionist | 10930 N Tatum Blvd, 103, Phoenix, AZ 85028-6069 | 2013-06-19 |
| 1396970182 | Meghan Kirksey | Perfusionist | 10930 N Tatum Blvd, Ste 103, Phoenix, AZ 85028-6069 | 2009-05-21 |
| 1528284478 | Desert Surgical Assistants, LLC | Physician Assistant | 10930 N Tatum Blvd, #103, Phoenix, AZ 85028-6069 | 2007-04-18 |
| 1245364702 | Michelle D Carey-caskey | Registered Nurse | 10930 N Tatum Blvd, 103, Phoenix, AZ 85028-6069 | 2007-03-15 |
| 1902934342 | Vicki Larson | Specialist | 10930 N Tatum Blvd, #103, Phoenix, AZ 85028-6069 | 2007-02-28 |
| 1659409001 | Robert Harrison | Specialist | 10930 N Tatum Blvd, 103, Phoenix, AZ 85028-6069 | 2007-02-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235626565 | Celice Korsten | Psychologist | 11020 N. Tatum Blvd., Ste. 100, Phoenix, AZ 85028 | 2018-04-23 |
| 1720591605 | Michele Kaplan | Counselor | 11640 N Tatum Blvd #3096, Phoenix, AZ 85028 | 2017-11-14 |
| 1154840304 | Faustino M. Gonzalez, Md PC | Anesthesiology | 11811 N. Tatum Blvd, Suite 3031, Phoenix, AZ 85028 | 2017-09-19 |
| 1679092514 | Savior Palliative Care LLC | Family Medicine | 4530 E Shea Blvd Ste 175, Phoenix, AZ 85028 | 2017-09-12 |
| 1437688892 | Harmony Behavioral Health | Behavioral Analyst | 3008 E Sierra St, Phoenix, AZ 85028 | 2017-06-08 |
| 1275949224 | Alexander D Garza | Podiatrist | 3101 E Shea Blvd Ste 220, Phoenix, AZ 85028 | 2014-07-09 |
| 1720418379 | Alyssa Hale | Occupational Therapy Assistant | 4600 East Shea Boulevard, Suite 101, Phoenix, AZ 85028 | 2013-11-19 |
| 1932534476 | Stephen Howard Garber | Otolaryngology | 9607 N. 43rd Way, Phoenix, AZ 85028 | 2013-09-03 |
| 1366798050 | Irna Lynn Shamos | Clinical Neuropsychologist | 4516 East Onyx Avenue, Arizona Psychological Diagnostics, Plc, Phoenix, AZ 85028 | 2012-07-31 |
| 1285930925 | Cathy Ann Payne | Nurse Practitioner | 11209 N Tatum Blvd Ste 260, Phoenix, AZ 85028 | 2011-01-27 |
| Find all providers in zip 85028 | ||||
| Taxonomy Code | 242T00000X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Perfusionist |
| A perfusionist operates extracorporeal circulation and autotransfusion equipment during any medical situation where it is necessary to support or temporarily replace the patient’s circulatory or respiratory function. The perfusionist is knowledgeable concerning the variety of equipment available to perform extracorporeal circulation functions and is responsible, in consultation with the physician, for selecting the appropriate equipment and techniques to be used. |
| Notes: Source: Health Professions Career and Education Directory, American Medical Association [1/1/2007: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801435698 | Ameena Maher Arekat | Perfusionist | 22119 N 36th St, Phoenix, AZ 85050-7395 | 2019-12-27 |
| 1760620926 | David Bradford Sanders Jr. | Perfusionist | 350 W. Thomas Rd., St. Joseph's Hospital and Medical Center, Attn: Cath La, Phoenix, AZ 85013-0000 | 2009-01-27 |
| 1568000891 | Christopher Drozdz | Perfusionist | 10930 N Tatum Blvd Ste 103, Phoenix, AZ 85028-6069 | 2019-12-17 |
| 1992211494 | Lisa Mccune | Perfusionist | 10930 N Tatum Blvd Ste 103, Phoenix, AZ 85028-6069 | 2017-12-19 |
| 1043602444 | Jordanna Newberger | Perfusionist | 10930 N Tatum Blvd, Ste 103, Phoenix, AZ 85028-6069 | 2015-02-23 |
| 1396184602 | Malia Goozen-suor | Perfusionist | 10930 N Tatum Blvd, 103, Phoenix, AZ 85028-6069 | 2013-06-19 |
| 1962741298 | Arizona Cardiovascular Perfusion Service | Perfusionist | 500 W Thomas Rd Ste 460, Phoenix, AZ 85013-4219 | 2013-02-06 |
| 1710253851 | Lucas A Schroedl | Perfusionist | 5777 E Mayo Blvd, Mayo Clinic Specialty Building 01, Phoenix, AZ 85054-4502 | 2012-03-22 |
| 1225366586 | Barry Steinbock | Perfusionist | 350 W Thomas Rd, Phoenix, AZ 85013-4409 | 2009-11-25 |
| 1205164795 | Emily Todd | Perfusionist | 350 W Thomas Rd, Phoenix, AZ 85013-4409 | 2009-11-23 |
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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.