DR. KATHRYN JOY RUSSELL


Address: 2235 Venetian Court Suite 1, Naples, FL 34109
Phone: 6195436268

DR. KATHRYN JOY RUSSELL (NPI# 1184950313) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1184950313
Entity Type Individual
Full Name DR. KATHRYN JOY RUSSELL
Credential M.D.
Practice Address 2235 Venetian Court Suite 1
Naples
FL 34109
Practice Telephone 6195436268
Mailing Telephone 2395969337
Mailing Fax Number 2395969466
Enumeration Date 2009-10-22
Last Update Date 2020-08-28
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207ND0101X Dermatology
Specialization: MOHS-Micrographic Surgery
115577 FL Allopathic & Osteopathic Physicians
N 207NI0002X Dermatology
Specialization: Clinical & Laboratory Dermatological Immunology
115577 FL Allopathic & Osteopathic Physicians
N 207NP0225X Dermatology
Specialization: Pediatric Dermatology
115577 FL Allopathic & Osteopathic Physicians
N 207NS0135X Dermatology
Specialization: Procedural Dermatology
115577 FL Allopathic & Osteopathic Physicians
N 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

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1902149800 Kathryn Nikole Russell Nurse Practitioner 3900 New Covington Pike Ste 112, Memphis, TN 38128-2526 2013-03-29
1720188790 Kathryn Jane Russell Marriage & Family Therapist 5029 Lamart Dr, #6, Riverside, CA 92507-0605 2006-09-22
1255974887 Kathryn Russell Specialist/Technologist 415 Columbia Rd, Colorado Springs, CO 80904-1307 2019-10-27
1881160315 Kathryn Anne Russell Specialist/Technologist 6200 College Ave, Snyder, TX 79549-6189 2018-10-23
1568940377 Kathryn Russell Nurse Practitioner 50 N Medical Dr, Salt Lake City, UT 84132 2018-08-02
1447551114 Kathryn Renee-smith Russell Nurse Practitioner 825 Eastlake Ave E, Seattle, WA 98109-4405 2010-11-10
1750518049 Kathryn White Russell Surgery 3401 Civic Center Blvd, Division of Pediatric Surgery, Philadelphia, PA 19104-4319 2009-06-15

Office Location

Street Address 2235 VENETIAN COURT SUITE 1
City NAPLES
State FL
Zip Code 34109

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1407325467 Dah Therapies LLC Clinic/Center 4750 Aston Gardens Way, Therapy Room, Second Floor, Naples, FL 34109 2018-11-20
1003302712 Ocuflow Doppler LLC Radiology 1855 Veterans Park Drive, Naples, FL 34109 2018-07-05
1114417508 Vascular Center of Naples Inc. Surgery 5490 Bryson Dr Ste 201, Naples, FL 34109 2018-05-11
1497257968 Neuro-tech Inc Behavioral Analyst 5687 Naples Blvd Suite A, Naples, FL 34109 2018-03-01
1407302177 Kendria Brown Behavioral Analyst 10641 Airport Pulling Road, Naples, FL 34109 2016-08-31
1255789368 Ideal Image Specialist 1485 Pine Ridge Road Unit #1, Naples, FL 34109 2016-05-31
1790153062 Lee Memorial Health System Pharmacy 3361 Pine Ridge Rd, Suite 100, Naples, FL 34109 2015-09-03
1922400340 North Naples Pediatric Center Pediatrics 9160 Galleria Court, Naples, FL 34109 2014-09-17
1720326978 Evan Michael Asay Occupational Therapist 1865 Veterans Park Drive, Suite 101, Naples, FL 34109 2013-01-23
1942599436 Anchors Away Medical Corp. Internal Medicine 1495 Pine Ridge Rd., Suite 4, Naples, FL 34109 2011-04-05
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Taxonomy Information

Taxonomy Code 207ND0101X
Grouping Allopathic & Osteopathic Physicians
Classification Dermatology
Specialization MOHS-Micrographic Surgery

Taxonomy Definition

The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S.
Notes: Source: American College of Mohs Surgery, 2007 [1/1/2008: added definition, added source] Additional Resources: Additional Resources: http://www.mohscollege.org/; American Board of Dermatology, 2007. http://www.abderm.org/

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1164742383 The Skin Cancer Surgery Center of Naples, LLC Dermatology 29170 Positano Court, Naples, FL 34110-2851 2010-06-10
1699741405 Andrew Todd Jaffe Dermatology 1015 Crosspointe Drive, Naples, FL 34110 2006-02-23

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1144827577 Onspot-fl LLC. Dermatology 16461 Domestic Ave, Fort Myers, FL 33912-6008 2020-10-08
1942855150 International Dermatology Research, Inc. Dermatology 8370 W Flagler St Ste 200, Miami, FL 33144-2038 2019-08-05
1154815546 Forefront Dermatology, S.c. Dermatology 7720 Us Highway 98 W Ste 240, Miramar Beach, FL 32550-7232 2018-06-19
1437517802 Total Vein and Skin LLC Dermatology 10383 Hagen Ranch Road, Ste 100, Boynton Beach, FL 33437-3732 2016-02-01
1861812851 Anand Haryani Dermatology 8745 N Us Highway 1, Sebastian, FL 32958-7524 2014-04-17
1164841797 Michael Montuno Dermatology 38135 Market Sq Ste 108, Zephyrhills, FL 33542-7505 2014-04-10
1861813719 Hillcrest Dermatology and Plastic Surgery P.a. Dermatology 733 Highway 466, Lady Lake, FL 32159-6340 2013-12-19
1922355957 Florida Medical Specialists Dermatology 4351 Cortez Rd W, Suite 101, Bradenton, FL 34210 2012-08-09
1619232501 Alliant Dermatology Pa Dermatology 8620 E County Road 466, The Villages, FL 32162-3670 2012-07-07
1114218328 Leavitt Medical Assocaittes of Florida Inc Dermatology 1426 E Bloomindale Ave, Valrico, FL 33596 2011-04-21
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City NAPLES
Zip Code 34109

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Dataset Information

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.

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