RUSSELL J ALLEN (NPI# 1427682905) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427682905 |
| Entity Type | Individual |
| Full Name | RUSSELL J ALLEN |
| Practice Address |
4009 Eufaula Ave Muskogee OK 74403-1132 |
| Practice Telephone | 9186822841 |
| Enumeration Date | 2020-02-24 |
| Last Update Date | 2020-02-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194090357 | Russell Todd Allen | Emergency Medicine | 1515 Union Ave, Moberly, MO 65270 | 2012-03-20 |
| 1093730400 | Russell C Allen | Chiropractor | 1542 S Timesquare Ln, Boise, ID 83709-8264 | 2006-07-13 |
| 1013968403 | Russell Allen | Anesthesiology | 1400 E Boulder St, Colorado Springs, CO 80909-5533 | 2006-05-12 |
| Street Address |
4009 EUFAULA AVE |
| City | MUSKOGEE |
| State | OK |
| Zip Code | 74403-1132 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548340771 | April Nicole Arnold Wheeler | Counselor | 4009 Eufaula Ave, Muskogee, OK 74403-1132 | 2006-10-16 |
| 1154930857 | Brandi Michelle King | Case Manager/Care Coordinator | 4009 Eufaula Ave, Muskogee, OK 74403-1132 | 2020-07-28 |
| 1073148094 | Russell Rowland | Counselor | 4009 Eufaula Ave, Muskogee, OK 74403-1132 | 2020-03-10 |
| 1194220699 | William Floyd Baldwin Jr. | Peer Specialist | 4009 Eufaula Ave, Muskogee, OK 74403-1132 | 2018-03-27 |
| 1912422866 | Joe Washington Jr. | Case Manager/Care Coordinator | 4009 Eufaula Ave, Muskogee, OK 74403-1132 | 2017-08-11 |
| 1215173133 | Muskogee County Council of Youth Service | Community/Behavioral Health | 4009 Eufaula Ave, Muskogee, OK 74403-1132 | 2008-12-23 |
| 1982849006 | Cindy Kay Edmonds | Case Manager/Care Coordinator | 4009 Eufaula Ave, Muskogee, OK 74403-1132 | 2008-12-03 |
| 1902056856 | Jeni Delainna Percifield | Counselor | 4009 Eufaula Ave, Muskogee, OK 74403 | 2008-09-29 |
| 1720270523 | Shawn Dale Bemo | Case Manager/Care Coordinator | 4009 Eufaula Ave, Muskogee, OK 74403-1132 | 2007-08-15 |
| 1326178021 | Janessa Marie Guerrero | Counselor | 4009 Eufaula Ave, Muskogee, OK 74403-1132 | 2007-03-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861945602 | Mccall Dental Studio | Dentist | 2214 Chandler Rd, Muskogee, OK 74403 | 2016-07-28 |
| 1386047256 | Dr. Penny B. Smythe, Inc., PC | Optometrist | 1157 N. York St., Muskogee, OK 74403 | 2014-10-06 |
| 1841563210 | Peggy Hanson | Social Worker | 503 E. Cincinnati Avenue, Muskogee, OK 74403 | 2012-02-16 |
| 1467736736 | Crystal S Richardson | Behavioral Analyst | 502 E Cincinnati Ave., Muskogee, OK 74403 | 2011-10-05 |
| 1114109816 | Jennifer Irene Newton | Dietitian, Registered | 1001 S. 41st Street East, Muskogee, OK 74403 | 2007-12-04 |
| 1922290899 | Casey Farmer | Counselor | 501 Fredonia, Muskogee, OK 74403 | 2007-08-15 |
| 1609068501 | Brenda Lawson | Counselor | 501 Fredonia St, Muskogee, OK 74403 | 2007-08-14 |
| 1689888661 | Christy Janet Coggins | Physical Therapy Assistant | 3310 Chandler Road, Muskogee, OK 74403 | 2007-05-09 |
| 1376765412 | Magnolia Gardens | Assisted Living Facility | 3211 Chandler Road, Muskogee, OK 74403 | 2007-05-02 |
| 1841411972 | Country Gardens Assisted Living, LLC | Assisted Living Facility | 611 S. Country Club Road, Muskogee, OK 74403 | 2007-05-02 |
| Find all providers in zip 74403 | ||||
| Taxonomy Code | 175T00000X |
| Grouping | Other Service Providers |
| Classification | Peer Specialist |
| Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
| Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467934380 | Zoe November Hall | Peer Specialist | 1217 Foxcroft Cir Apt 4, Muskogee, OK 74403-7621 | 2018-09-06 |
| 1548776156 | Markita James | Peer Specialist | 503 S 9th St, Muskogee, OK 74401-7145 | 2017-12-19 |
| 1538776547 | Amber Marie Wade | Peer Specialist | 619 N Main St, Muskogee, OK 74401-4431 | 2020-09-24 |
| 1982210159 | Dakota James Smith | Peer Specialist | 619 N Main St, Muskogee, OK 74401-4431 | 2020-09-22 |
| 1689287765 | Garrett Boyce Mcguire | Peer Specialist | 619 N Main St, Muskogee, OK 74401-4431 | 2020-08-28 |
| 1083226484 | Robert Samuel Stewart | Peer Specialist | 619 N Main St, Muskogee, OK 74401-4431 | 2020-08-18 |
| 1760007512 | Jacqueline Vernice Hopkins | Peer Specialist | 619 N Main St, Muskogee, OK 74401-4431 | 2020-06-08 |
| 1003442567 | Jeffery Coe | Peer Specialist | 619 N Main St, Muskogee, OK 74401-4431 | 2020-03-17 |
| 1245865872 | Matthew Mark Porter | Peer Specialist | 619 N Main St, Muskogee, OK 74401-4431 | 2020-03-04 |
| 1598399313 | Cheyenne Dawn Russell | Peer Specialist | 619 N Main St, Muskogee, OK 74401-4431 | 2020-03-02 |
| Find all providers in MUSKOGEE | ||||
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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.