ERIC RUSSELL (NPI# 1215249362) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215249362 |
| Entity Type | Individual |
| Full Name | ERIC RUSSELL |
| Credential | M.D. |
| Practice Address |
6621 Fannin St Houston TX 77030-2358 |
| Mailing Address |
6621 Fannin St Ste A2210 Houston TX 77030-2374 |
| Practice Telephone | 8328245399 |
| Practice Fax Number | 8328251125 |
| Mailing Telephone | 8328245399 |
| Mailing Fax Number | 8328251125 |
| Enumeration Date | 2010-07-06 |
| Last Update Date | 2018-02-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208000000X | Pediatrics | MTL-2018-009 | GU | Allopathic & Osteopathic Physicians |
| Y | 208000000X | Pediatrics | P6514 | TX | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558852269 | Eric Gordon Russell | Dentist | 4465 S 900 E Ste 100, Salt Lake City, UT 84124-2695 | 2018-05-29 |
| 1235290107 | Eric Martin Russell | Chiropractor | 352 12th St, Plainwell, MI 49080-1154 | 2006-12-13 |
| 1336183904 | Eric Glenn Russell | Chiropractor | 1205 Washington St, Commerce, TX 75428-2613 | 2006-06-15 |
| 1669912267 | Eric Russell | Specialist | 201 W Springdale Ave, Knoxville, TN 37917-5158 | 2017-03-01 |
| 1013243401 | Eric Marc Russell | Internal Medicine | 100 E Lancaster Ave, Wynnewood, PA 19096-3450 | 2009-10-20 |
| 1235146416 | Eric Russell | Radiology | 680 N Lake Shore Dr, Suite 1000, Chicago, IL 60611-4546 | 2006-08-01 |
| 1033198510 | Eric Brian Russell | Dermatology | 2425 Dave Ward Dr, Suite 202, Conway, AR 72034-8686 | 2006-01-12 |
| Street Address |
6621 FANNIN ST |
| City | HOUSTON |
| State | TX |
| Zip Code | 77030-2358 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568465193 | William E Whitehead | Neurological Surgery | 6621 Fannin St, Clinical Care Center 1230.01, Houston, TX 77030-2303 | 2005-05-27 |
| 1447851571 | Lucero Gonzalez Franco Haghenbeck | Social Worker | 6621 Fannin St, Houston, TX 77030-2358 | 2020-11-04 |
| 1417562356 | Rylee Apodaca | Anesthesiology | 6621 Fannin St, Houston, TX 77030-2358 | 2020-09-08 |
| 1174132500 | Kiara Pegues | Nurse Practitioner | 6621 Fannin St, Houston, TX 77030-2358 | 2020-07-31 |
| 1104435973 | Colleen Bialas | Dietitian, Registered | 6621 Fannin St, Houston, TX 77030-2358 | 2020-07-28 |
| 1386253334 | Whitney Strong | Pharmacist | 6621 Fannin St, Houston, TX 77030-2358 | 2020-07-27 |
| 1972128296 | Ryan Nichole Wozniewicz | Pharmacist | 6621 Fannin St, Houston, TX 77030-2358 | 2020-06-11 |
| 1447873583 | Michael Sanchez | Respiratory Therapist, Registered | 6621 Fannin St, Houston, TX 77030-2358 | 2020-05-23 |
| 1174145460 | Katie Renee Hillman | Nurse Practitioner | 6621 Fannin St, Houston, TX 77030-2358 | 2020-05-11 |
| 1508498635 | Gregor Johannes Kasprian | Radiology | 6621 Fannin St, Houston, TX 77030-2358 | 2020-02-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639770852 | Mchaji Celestaine | Pharmacist | Medvamc 2002 Holcombe Blvd, Outpatient Pharmacy, Houston, TX 77030 | 2020-11-04 |
| 1730702598 | Christopher A Mcmillian | Student in an Organized Health Care Education/Training Program | Houston Methodist Department of Surgery, 6550 Fannin St., Smith Tower 1661, Houston, TX 77030 | 2020-05-27 |
| 1245852698 | Mostafa Hotait | Student in an Organized Health Care Education/Training Program | 7200 Cambridge Street 9a, Houston, TX 77030 | 2020-05-08 |
| 1790307288 | Ayushi Jayesh Shah | Student in an Organized Health Care Education/Training Program | 6560 Fannin St, Department of Neurology, Houston Method, Suite 802, Scurlock. 8thfloor, Houston, TX 77030 | 2020-05-07 |
| 1932720836 | Vera Whole Health Wa, PC | Clinic/Center | 6620 Main St, 12th Flr, Ste 1225, Houston, TX 77030 | 2020-05-01 |
| 1548881808 | Mobitz Heart and Rhythm Center Pllc | Internal Medicine | Scurlock Tower, 6560 Fannin St., Houston, TX 77030 | 2020-04-28 |
| 1710516513 | Thomas Chi Han Lu | Student in an Organized Health Care Education/Training Program | 6431 Fannin Street, Msb 3.151, Houston, TX 77030 | 2020-04-03 |
| 1063041085 | Kevin Tang | Student in an Organized Health Care Education/Training Program | 7200 Cambridge., Bcm 903, Suite A10.202, Houston, Texas, TX 77030 | 2020-04-02 |
| 1831728898 | Taylor Renbarger | Student in an Organized Health Care Education/Training Program | 6431 Fannin St Suite Jjl 431, Houston, TX 77030 | 2020-04-02 |
| 1972131423 | Sindhu R Rao | Student in an Organized Health Care Education/Training Program | 7200 Cambridge Street, 9th Floor, Suite 9a, Houston, TX 77030 | 2020-03-31 |
| Find all providers in zip 77030 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851908131 | Cesar A Ortega Md Pa | Pediatrics | 3309 Orlando St, Houston, TX 77093-4854 | 2020-09-30 |
| 1821612276 | Rainbow Pediatrics of Houston, Pllc. | Pediatrics | 12822 Veterans Memorial Dr, Houston, TX 77014-2049 | 2020-06-02 |
| 1730651688 | Jennifer Anne Sauve | Pediatrics | 3131 Timmons Ln Apt 1124, Houston, TX 77027-6075 | 2018-12-17 |
| 1972071207 | Peekaboo Pediatrics | Pediatrics | 1740 W 27th St Ste 305, Houston, TX 77008-1437 | 2018-11-05 |
| 1235605064 | Bola Olasunkanmi Jaiyeola | Pediatrics | 8338 W Sam Houston Pkwy S Ste 198, Houston, TX 77072-5088 | 2018-10-19 |
| 1013498690 | Ut Physicians Specialty Services | Pediatrics | 5516 Lockwood Dr., Houston, TX 77026-1919 | 2018-08-22 |
| 1366928418 | Ut Physicians Specialty Services | Pediatrics | 9105 N. Wayside Dr., Houston, TX 77028-1030 | 2018-07-12 |
| 1811486814 | Cypress Creek Pediatric Clinic | Pediatrics | 4560 Cypress Creek Pkwy Ste 100, Houston, TX 77069-4628 | 2018-05-04 |
| 1568963049 | Elizabeth Renee Holland | Pediatrics | 1875 Post Oak Park Dr Apt 721, Houston, TX 77027-3471 | 2018-02-21 |
| 1427579366 | Ut Physicians | Pediatrics | 9801 Long Point Rd, Houston, TX 77055-4188 | 2017-06-30 |
| Find all providers in HOUSTON | ||||
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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.