TIMOTHY GAGE RUSSELL (NPI# 1417270786) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417270786 |
| Entity Type | Individual |
| Full Name | TIMOTHY GAGE RUSSELL |
| Credential | PA-C |
| Practice Address |
850 E Harvard Ave Ste 265 Denver CO 80210-5075 |
| Mailing Address |
6895 E Hampden Ave Denver CO 80224-3047 |
| Practice Telephone | 3038962274 |
| Enumeration Date | 2010-03-01 |
| Last Update Date | 2013-11-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 3856 | CO | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363A00000X | Physician Assistant | 0739 | SD | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306048491 | Timothy Wade Russell | Chiropractor | 325 E. Hawkeye Ave., Remsen, IA 51050-0086 | 2007-06-01 |
| 1770565087 | Timothy Paul Russell | Family Medicine | Unit 45011 Bldg 704, Attn: Mcja-qm, Usa Meddac-japan, Apo, AP 96338-5011 | 2005-11-14 |
| 1528471083 | Timothy Russell | Radiologic Technologist | 6431 Wade Springs Rd, Murfreesboro, TN 37130-8719 | 2014-06-03 |
| 1073937132 | Timothy Glenn Russell | Radiology | 6600 Van Aalst Blvd, Department of Radiology, Fort Benning, GA 31905-2102 | 2014-02-10 |
| 1013264530 | Timothy A Russell | Physical Therapist | 11482 Okeechobee Blvd, Suite 2, Royal Palm Beach, FL 33411-8735 | 2012-08-15 |
| 1487863403 | Timothy Lynn Russell | Massage Therapist | 1100 E 3rd St, Suite G-100, Chattanooga, TN 37403-2201 | 2007-05-22 |
| 1831108463 | Timothy Elmer Russell IIi | Dentist | 2616 Sherwood Hall Lane, Suite 405, Alexandria, VA 22306 | 2006-08-05 |
| 1962418103 | Timothy J. Russell | Emergency Medicine | 1200 Maple Rd, Silver Cross, Joliet, IL 60432-1439 | 2006-07-31 |
| Street Address |
850 E HARVARD AVE STE 265 |
| City | DENVER |
| State | CO |
| Zip Code | 80210-5075 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326121237 | Jay Michael Straight | Emergency Medicine | 850 E Harvard Ave Ste 265, Denver, CO 80210-5075 | 2006-10-23 |
| 1871079384 | Sheree Nicole Montoya | Nurse Practitioner | 850 E Harvard Ave Ste 265, Denver, CO 80210-5075 | 2018-07-17 |
| 1164814513 | Kyle E Odvody | Registered Nurse | 850 E Harvard Ave Ste 265, Denver, CO 80210-5075 | 2015-02-23 |
| 1922155688 | Michael Lynn Dunn | Family Medicine | 850 E Harvard Ave Ste 265, Denver, CO 80210-5075 | 2007-01-04 |
| 1568531234 | Heidi Gillespie | Physician Assistant | 850 E Harvard Ave Ste 265, Denver, CO 80210-5075 | 2006-11-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508408360 | Carley Danielle Westerson | Counselor | 290 North Williams Street, Room #205, Denver, CO 80210 | 2019-10-14 |
| 1427690429 | Katherine Elizabeth Mullen | Chiropractor | 1313 S Clarkson St. Unit 1, Denver, CO 80210 | 2019-10-10 |
| 1922665975 | Amy Welsh, Inc | Occupational Therapist | 1588 S Logan St, Denver, CO 80210 | 2019-05-24 |
| 1598328346 | Heather Lynn Stone | Social Worker | 950 E Porter Avenue #670, Denver, CO 80210 | 2019-04-17 |
| 1669952909 | Christopher G. Sharrow | Social Worker | 1777 S. Harrison St., Suite 1200, Denver, CO 80210 | 2018-08-16 |
| 1922598952 | Rebecca Turlo | Hearing Instrument Specialist | 950 E Harvard Ave Ste E620, Denver, CO 80210 | 2018-05-15 |
| 1215446083 | Alex James Koch | Acupuncturist | 1110 E Evans Ave, Denver, CO 80210 | 2017-09-25 |
| 1043738495 | Sarah Urycki | Counselor | 2317 A S Race Street, Denver, CO 80210 | 2017-09-06 |
| 1770032641 | The Young Men's Christian Association of Metropolitan Denver | Health Educator | 3901 E Yale Ave, Denver, CO 80210 | 2016-10-03 |
| 1831647437 | Samantha Johnson | Nurse Practitioner | 450 E Harvard Ave, Denver, CO 80210 | 2016-09-13 |
| Find all providers in zip 80210 | ||||
| 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 |
|---|---|---|---|---|
| 1962001438 | Brian Andrew Kacvinsky | Physician Assistant | 1333 E 17th Ave, Denver, CO 80218-1526 | 2020-10-25 |
| 1346849957 | Brittany Elizabeth Driscoll | Physician Assistant | 3056 S Grape Way, Denver, CO 80222-6810 | 2020-10-23 |
| 1912506528 | Christina Walley | Physician Assistant | 1111 Ash St Apt 701, Denver, CO 80220-3758 | 2020-10-23 |
| 1184223794 | Mckenzie Grace | Physician Assistant | 50 N Clarkson St Apt 205, Denver, CO 80218-3739 | 2020-10-23 |
| 1679183909 | Skye Smock | Physician Assistant | 3704 Dexter St, Denver, CO 80207-1045 | 2020-08-02 |
| 1558982397 | Aubrey Leigh Griffiths | Physician Assistant | 2890 Brighton Blvd Unit 347, Denver, CO 80216-5057 | 2020-05-04 |
| 1629616438 | Danielle Lacy | Physician Assistant | 5033 Tucson Way, Denver, CO 80239-4339 | 2019-12-12 |
| 1811531189 | Valerie C Sarni | Physician Assistant | 5974 Central Park Blvd, Denver, CO 80238-3993 | 2019-10-30 |
| 1578105615 | Mackenzie Dwyer | Physician Assistant | 295 E Speer Blvd Apt 339, Denver, CO 80203-3562 | 2019-10-10 |
| 1871149831 | Miles Saenger | Physician Assistant | 6127 S Hwy 16, Denver, NC 28037-9220 | 2019-08-15 |
| Find all providers in DENVER | ||||
Please comment or provide details below to improve the information on TIMOTHY GAGE RUSSELL.
| 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.