MARK DUANE RUSSELL


Address: 3950 Hollywood Rd Ste 140, Saint Joseph, MI 49085-9151
Phone: 2695567150

MARK DUANE RUSSELL (NPI# 1306867049) 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) 1306867049
Entity Type Individual
Full Name MARK DUANE RUSSELL
Credential ATC, CSCS
Practice Address 3950 Hollywood Rd Ste 140
Saint Joseph
MI 49085-9151
Mailing Address 4858 Sadler Dr
Watervliet
MI 49098-8703
Practice Telephone 2695567150
Mailing Telephone 2694635859
Enumeration Date 2006-07-21
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2255A2300X Specialist/Technologist
Specialization: Athletic Trainer
Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Other Providers MARK RUSSELL

NPI Name Taxonomy Address Enumeration
1831710771 Mark William Russell Dentist 461 Western Blvd Ste 104, Jacksonville, NC 28546-7637 2020-05-01
1144752221 Mark Russell Social Worker 475 Sykesville Troutville Rd, Punxsutawney, PA 15767-4367 2017-03-29
1154767267 Mark Stephen Russell Jr. Counselor 3901 Airport Fwy Ste 107, Bedford, TX 76021-6117 2013-05-15
1437314366 Mark William Russell Community Health Worker 108 Schooner Landing Dr, Edenton, NC 27932-8833 2008-07-21
1639137540 Mark Russell Internal Medicine 13024 Hesperia Rd Ste 103, Victorville, CA 92395-8303 2006-05-02
1689671315 Mark Dale Russell Chiropractor 5309 44th St, Lubbock, TX 79414-1321 2005-07-07
1154827756 Mark Russell Student in an Organized Health Care Education/Training Program 2160 S 1st Ave, Maywood, IL 60153-3328 2018-04-03
1033654967 Mark Russell Pharmacist 2920 Knoxville Center Dr, Knoxville, TN 37924-2013 2017-01-02
1477097392 Mark Russell Social Worker 302 S Spring St, Tupelo, MS 38804-4853 2016-12-12
1134463870 Mark Joseph Russell Occupational Therapist 275 East Main Street, Frankfort, KY 40621-0001 2012-11-19

Office Location

Street Address 3950 HOLLYWOOD RD STE 140
City SAINT JOSEPH
State MI
Zip Code 49085-9151

Providers in the same location

NPI Name Taxonomy Address Enumeration
1326510116 Tracie Lyn Wier Physical Therapist 3950 Hollywood Rd Ste 140, Saint Joseph, MI 49085-9151 2018-12-18
1124598180 Cara Michele Gillespie Physical Therapist 3950 Hollywood Rd Ste 140, Saint Joseph, MI 49085-9151 2018-12-03
1942770144 Abby Dill Physical Therapist 3950 Hollywood Rd Ste 140, Saint Joseph, MI 49085-9151 2018-11-29
1720557440 Sara Mccomish Physical Therapist 3950 Hollywood Rd Ste 140, Saint Joseph, MI 49085-9151 2018-11-26
1609345313 Todd Earl Rose Physical Therapist 3950 Hollywood Rd Ste 140, Saint Joseph, MI 49085-9151 2018-11-26
1417426131 Sherry Ellen Becker Physical Therapist 3950 Hollywood Rd Ste 140, Saint Joseph, MI 49085-9151 2018-11-26
1043789787 Kathryn E Collins Physical Therapist 3950 Hollywood Rd Ste 140, Saint Joseph, MI 49085-9151 2018-11-23
1336618172 Heidi Christa Gonzalez Physical Therapist 3950 Hollywood Rd Ste 140, Saint Joseph, MI 49085-9151 2018-11-23
1538638473 Michael Anthony O'hearn Physical Therapist 3950 Hollywood Rd Ste 140, Saint Joseph, MI 49085-9151 2018-11-21

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1134758949 Ahmed Elshareif Student in an Organized Health Care Education/Training Program Lakeland Health, 1234 Napier Avenue, Saint Joseph, MI 49085 2020-04-03
1033747225 Ezra Fox Student in an Organized Health Care Education/Training Program Lakeland Health- Gme, 1234 Napier Avenue, St. Joseph, MI 49085 2020-04-01
1679033930 Asad Butt Student in an Organized Health Care Education/Training Program Lakeland Health-gme, 1234 Napier Avenue, Saint Joseph, MI 49085 2019-03-22
1184194714 Benjamin Phillip Knuth Physical Therapist 3950 Hollywood Road, Suite 140, Saint Joseph, MI 49085 2018-11-27
1336624279 Brandi Chatot Counselor 1101 Broad Street #8, Saint Joseph, MI 49085 2018-09-26
1396239562 Lakeland Medical Practices Family Medicine 2500 Niles Ave., Suite 1, St. Joseph, MI 49085 2018-06-20
1760976518 Premier Health Associates, Inc. Home Health 1111 Main Sr, St Joseph, MI 49085 2018-06-15
1053817783 Chantell Strong Student in an Organized Health Care Education/Training Program Lakeland Health - Gme, 1234 Napier Avenue, Saint Joseph, MI 49085 2018-04-02
1386144053 Anjana Gupta, Dds, Pllc Dentist 2800 Niles Road, Saint Joseph, MI 49085 2018-02-19
1356858997 Hope Reborn Counseling, Pllc Counselor 2816 Willa Dr, Saint Joseph, MI 49085 2018-01-04
Find all providers in zip 49085

Taxonomy Information

Taxonomy Code 2255A2300X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Specialist/Technologist
Specialization Athletic Trainer

Taxonomy Definition

Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration.
Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1225592421 Andrea Canas Specialist/Technologist 508 Sherwood Dr, Saint Joseph, IL 61873-9468 2019-01-22
1538661186 Jesse Anderson Specialist/Technologist 102 Iverson St W, Saint Joseph, MN 56374-4650 2018-02-28
1437504594 Jenna Beth Zettel Specialist/Technologist 5655 S 4th St, Saint Joseph, MO 64504-1708 2016-04-26
1861856403 Hannah E Warnert Specialist/Technologist 33674 83rd Ave, Saint Joseph, MN 56374-9786 2016-04-10
1982074175 Timothy Clair Mcnair Specialist/Technologist 1446 Deerfield St, Saint Joseph, MI 49085-9763 2015-09-30
1033586466 Cara Conrad Specialist/Technologist 4367 Hart Dr, Saint Joseph, MI 49085-9310 2015-09-02
1861873952 Edison Derr II Specialist/Technologist 2214 Maple St, Saint Joseph, MO 64507-1413 2015-06-15
1992198014 Madeline Svec Specialist/Technologist 3170 Estates Dr N, Saint Joseph, MI 49085-3435 2015-03-13
1174860944 Blaise D. Kriley Specialist/Technologist 4525 Downs Dr, Saint Joseph, MO 64507-2246 2013-01-13
1588693311 Kate Lee Esely Specialist/Technologist 5110 Mockingbird Ln, Saint Joseph, MO 64506-3331 2006-07-02
Find all providers in SAINT JOSEPH

Competitor

Search similar providers

City SAINT JOSEPH
Zip Code 49085

Improve Information

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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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