MATTHEW DAVID RUSSELL (NPI# 1194352765) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1194352765 |
Entity Type | Individual |
Full Name | MATTHEW DAVID RUSSELL |
Practice Address |
75 Francis St # Streetl1 Boston MA 02115-6110 |
Practice Telephone | 6177325500 |
Mailing Telephone | 6177328218 |
Enumeration Date | 2020-03-24 |
Last Update Date | 2020-03-24 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 390200000X | Student in an Organized Health Care Education/Training Program | MA | Student, Health Care |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386244648 | Matthew B Russell | Marriage & Family Therapist | 4125 Temescal St Ste G, Fair Oaks, CA 95628-7558 | 2020-10-27 |
1821468604 | Matthew Russell | Psychologist | 520 S Grand Ave Ste 671, Los Angeles, CA 90071-2655 | 2015-10-06 |
1821260084 | Matthew Scott Russell | Otolaryngology | 2233 Post St. 3rd Floor; Box 1225, University of California, San Francisco; Department Of, San Francisco, CA 94115 | 2008-03-28 |
1699723627 | Matthew L. Russell | Internal Medicine | 1200 Centre Street, Department of Medicine, Roslindale, MA 02131 | 2006-05-04 |
1740881143 | Matthew Russell | Counselor | 151 Industrial Dr, Birmingham, AL 35211-4445 | 2020-11-03 |
1245868090 | Matthew Russell | Pediatrics | 2160 S 1st Ave, Maywood, IL 60153-3328 | 2020-03-28 |
1851931059 | Matthew Thomas Russell | Pharmacist | 3410 Northpark Dr, Kingwood, TX 77345-6108 | 2020-01-15 |
1487203485 | Matthew E.b. Russell | Psychologist | 1504 Ben Taub Loop, Houton, TX 77030 | 2019-09-11 |
1477045326 | Matthew David Russell | Behavioral Analyst | 151 S 4th St Ste 401, Grand Forks, ND 58201-4715 | 2018-06-05 |
1366951394 | Matthew Cassady Russell | Physician Assistant | 3 E 101st St, New York, NY 10029-6528 | 2017-09-21 |
Street Address |
75 FRANCIS ST # STREETL1 |
City | BOSTON |
State | MA |
Zip Code | 02115-6110 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366898801 | Yun-yun Chen | Anesthesiology | 75 Francis St # Streetl1, Boston, MA 02115-6110 | 2016-05-13 |
1992332811 | Richard James Bremer | Student in an Organized Health Care Education/Training Program | 75 Francis St # Streetl1, Boston, MA 02115-6106 | 2020-03-23 |
1508326174 | Adlai Lilburne Pappy II | Student in an Organized Health Care Education/Training Program | 75 Francis St # Streetl1, Boston, MA 02115-6106 | 2019-03-20 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013524339 | Jacqueline Busa | Student in an Organized Health Care Education/Training Program | Northeastern University 336 Huntington Ave, Boston, MA 02115 | 2020-09-30 |
1417564279 | Katherine Rose Brainard | Student in an Organized Health Care Education/Training Program | 336 Huntington Avenue, Boston, MA 02115 | 2020-09-25 |
1679189112 | Tara Baxter | Orthopaedic Surgery | Boston Children's Hospital - Sports Medicine Division, 319 Longwood Avenue, Boston, MA 02115 | 2020-09-21 |
1053923110 | Wendy Tu | Student in an Organized Health Care Education/Training Program | 75 Francis Street Abdominal Imaging and Intervention, Department of Radiology, Brigham and Women's Hospital, Boston, MA 02115 | 2020-08-20 |
1477177335 | Nicolas Wyvekens | Student in an Organized Health Care Education/Training Program | 75 Francis Street Department of Pathology, Brigham And, Boston, MA 02115 | 2020-06-05 |
1669095923 | Erin Crocker | Student in an Organized Health Care Education/Training Program | Northeastern University Physician Assistant Program, 360 Huntington Avenue, Boston, MA 02115 | 2020-05-21 |
1033732417 | Tyler Francis Hayes | Student in an Organized Health Care Education/Training Program | Gordon Hall, Suite 213, 25 Shattuck Street, Boston, MA 02115 | 2020-05-20 |
1982225090 | Emily Blake | Student in an Organized Health Care Education/Training Program | 202 Robinson Hall, 360 Huntington Avenue, Boston, MA 02115 | 2020-04-29 |
1891315495 | Stephanie Schoch | Student in an Organized Health Care Education/Training Program | 360 Huntington Ave., 202 Robinson Hall, Boston, MA 02115 | 2020-04-23 |
1427678093 | Meghan Miles | Student in an Organized Health Care Education/Training Program | 360 Huntington Avenue 202 Robinson Hall, Boston, MA 02115 | 2020-04-23 |
Find all providers in zip 02115 |
Taxonomy Code | 390200000X |
Grouping | Student, Health Care |
Classification | Student in an Organized Health Care Education/Training Program |
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
Notes: [1/1/2005: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306447636 | Sarah Wieman | Student in an Organized Health Care Education/Training Program | 16 Blossom St Fl 1, Boston, MA 02114-3104 | 2020-11-03 |
1932709938 | Brianna Mae Duval | Student in an Organized Health Care Education/Training Program | 58 Colborne Rd, Boston, MA 02135-4103 | 2020-10-28 |
1780281279 | Sarah Hamad Alsaggabi | Student in an Organized Health Care Education/Training Program | 55 Traveler St Apt 1310, Boston, MA 02118-2973 | 2020-10-07 |
1821695933 | Matthew John Needham | Student in an Organized Health Care Education/Training Program | 330 Brookline Ave, Yamins 2nd Floor, Department of Anesthesia, Boston, MA 02215 | 2020-10-02 |
1013524339 | Jacqueline Busa | Student in an Organized Health Care Education/Training Program | Northeastern University 336 Huntington Ave, Boston, MA 02115 | 2020-09-30 |
1558978957 | Tien-hsin Chang | Student in an Organized Health Care Education/Training Program | 1 Kneeland Street (tufts University School of Dental Me, Boston, MA 02111 | 2020-09-29 |
1417564279 | Katherine Rose Brainard | Student in an Organized Health Care Education/Training Program | 336 Huntington Avenue, Boston, MA 02115 | 2020-09-25 |
1962018069 | Cara Connors | Student in an Organized Health Care Education/Training Program | 18 Wiget St Apt 1, Boston, MA 02113-2363 | 2020-09-23 |
1023624608 | Bernadette Avila | Student in an Organized Health Care Education/Training Program | 19 Peterborough St Apt 5, Boston, MA 02215-4409 | 2020-09-19 |
1588276281 | Guoliang Qiao | Student in an Organized Health Care Education/Training Program | Massachusetts General Hospital, 55 Fruit Street., Boston, MA 02114 | 2020-08-24 |
Find all providers in BOSTON |
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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.