DOUGLAS KENDAL RUSSELL (NPI# 1255842308) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255842308 |
| Entity Type | Individual |
| Full Name | DOUGLAS KENDAL RUSSELL |
| Credential | PA-C |
| Practice Address |
2000 Mon Health Medical Park Dr Ste 2300 Morgantown WV 26505-1134 |
| Mailing Address |
1200 J D Anderson Dr Morgantown WV 26505-3494 |
| Practice Telephone | 3045998802 |
| Practice Fax Number | 3045995607 |
| Mailing Telephone | 3045998802 |
| Mailing Fax Number | 3045995607 |
| Enumeration Date | 2017-10-17 |
| Last Update Date | 2017-10-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487617619 | Douglas B Russell | Physician Assistant | 439 Us Hwy 158 West, Yanceyville, NC 27379 | 2006-04-10 |
| 1477113744 | Douglas Charles Russell | Counselor | 1035 Market St Ste 400, San Francisco, CA 94103-1665 | 2019-06-18 |
| 1912343096 | Douglas Russell | Urology | 3327 Research Plz Ste 403, San Antonio, TX 78235 | 2013-05-16 |
| 1639463367 | Douglas Andrew Russell | Psychiatry & Neurology | 4800 Sand Point Way Ne, Seattle, WA 98105 | 2011-05-28 |
| 1720091119 | Douglas C Russell | Internal Medicine | 2500 Overlook Ter, Veterans Hospital, Madison, WI 53705-2254 | 2006-08-15 |
| 1932124112 | Douglas A Russell | Internal Medicine | 7100 W Center Rd, Omaha, NE 68106-2700 | 2006-07-12 |
| Street Address |
2000 MON HEALTH MEDICAL PARK DR STE 2300 |
| City | MORGANTOWN |
| State | WV |
| Zip Code | 26505-1134 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386757037 | Wissam Gharib | Internal Medicine | 2000 Mon Health Medical Park Dr Ste 2300, Morgantown, WV 26505-1134 | 2006-08-16 |
| 1215553219 | Aaron Fetty | Registered Nurse | 2000 Mon Health Medical Park Dr Ste 2300, Morgantown, WV 26505-1168 | 2020-06-25 |
| 1235771163 | Ashley Vanscyoc | Nurse Practitioner | 2000 Mon Health Medical Park Dr Ste 2300, Morgantown, WV 26505-1168 | 2019-10-11 |
| 1942786322 | Channing A Ash | Nurse Practitioner | 2000 Mon Health Medical Park Dr Ste 2300, Morgantown, WV 26505-1134 | 2018-07-18 |
| 1932619939 | Kayla N Strimel | Physician Assistant | 2000 Mon Health Medical Park Dr Ste 2300, Morgantown, WV 26505-1168 | 2017-10-04 |
| 1336659465 | Brooke Janine Key | Physician Assistant | 2000 Mon Health Medical Park Dr Ste 2300, Morgantown, WV 26505-1134 | 2017-10-03 |
| 1073030573 | Alexis Cox | Nurse Practitioner | 2000 Mon Health Medical Park Dr Ste 2300, Morgantown, WV 26505-1134 | 2017-08-25 |
| 1659628972 | Lisa Mae Henry | Nurse Practitioner | 2000 Mon Health Medical Park Dr Ste 2300, Morgantown, WV 26505-1134 | 2012-08-06 |
| 1679898290 | Samantha Jane Crites | Internal Medicine | 2000 Mon Health Medical Park Dr Ste 2300, Morgantown, WV 26505 | 2010-04-07 |
| 1477782142 | Krishna Kishore Bingi | Internal Medicine | 2000 Mon Health Medical Park Dr Ste 2300, Morgantown, WV 26505-1134 | 2009-07-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215535208 | Robert Howard Taylor | Pharmacist | 1608 Earl Core Rd, Morgantown, WV 26505 | 2020-10-13 |
| 1194366757 | Grace Catherine Clonch | Student in an Organized Health Care Education/Training Program | 3450 Monogahela Blvd, Morgantown, WV 26505 | 2019-10-04 |
| 1538629852 | Alexander Gross | Student in an Organized Health Care Education/Training Program | : 64 Medical Center Drive, Room 4601, Morgantown, WV 26505 | 2019-03-22 |
| 1194284018 | Ana Isabel Gomez Velazquez | Student in an Organized Health Care Education/Training Program | 64 Medical Center Dr., Room 4601, Morgantown, WV 26505 | 2019-03-19 |
| 1922584242 | Lisa Kate Hostutler | Pharmacist | 1851 Earl L. Core Rd, Morgantown, WV 26505 | 2018-07-19 |
| 1760983779 | Ashley Garner | Social Worker | 3602 Collins Ferry Road, Morgantown, WV 26505 | 2018-02-24 |
| 1861992174 | Usa Vein Clinics of West Virginia Pllc | Surgery | 1010 Suncrest Towne Centre, Morgantown, WV 26505 | 2018-02-14 |
| 1396272092 | Essential Foundations, Pllc | Community/Behavioral Health | 1287 Suncrest Towne Centre, Morgantown, WV 26505 | 2017-05-12 |
| 1689111452 | Good Heart Therapy Services, Pllc | Public Health or Welfare | 235 Hgh Street, Suite 311, Morgantown, WV 26505 | 2017-01-31 |
| 1982141776 | Heidi Otoole | Counselor | 235 High Street, Suite 720, Morgantown, WV 26505 | 2017-01-31 |
| Find all providers in zip 26505 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720686066 | Ana Brandt | Physician Assistant | 33 Medical Center Dr, Morgantown, WV 26505-4024 | 2020-10-09 |
| 1518339670 | Justin Browning | Physician Assistant | 1 Medicial Center Drive, Morgantown, WV 26505 | 2015-10-28 |
| 1568842326 | Katelyn Gross | Physician Assistant | 4000 Hampton Ctr, Suite B, Morgantown, WV 26505-1730 | 2015-06-05 |
| 1780082719 | Susan Tubens | Physician Assistant | 1 Medical Center Dr Ofc Center, Morgantown, WV 26506-1200 | 2014-12-08 |
| 1871929711 | Alicia Zomcik | Physician Assistant | Room 3400 Hss, Wvu Ruby Memorial Hospital, Morgantown, WV 26506 | 2013-09-24 |
| 1528340312 | Kayla Annette Donoghue | Physician Assistant | 165 Scott Ave Ste 100, Morgantown, WV 26508-8847 | 2011-09-16 |
| 1578713160 | Beth Ann Guzzi | Physician Assistant | 1000 J D Anderson Dr Ste 401, Morgantown, WV 26505 | 2008-09-19 |
| 1417119736 | Gregory Paul Selasky | Physician Assistant | 491 Michigan Ave, Morgantown, WV 26501-3908 | 2008-06-27 |
| 1801000559 | Julie Ann Ramsey | Physician Assistant | 1 Medical Drive #9247, Student Health Center Rcb Hsc, Morgantown, WV 26554 | 2007-05-10 |
| 1730300948 | Stacy Leigh Skidmore | Physician Assistant | 1 Stadium Drive Physician Office Center, Morgantown, WV 26506-9196 | 2007-05-02 |
| Find all providers in MORGANTOWN | ||||
| City | MORGANTOWN |
| Zip Code | 26505 |
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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.