DR. BRIAN W. RUSS (NPI# 1437169737) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437169737 |
| Entity Type | Individual |
| Full Name | DR. BRIAN W. RUSS |
| Credential | M.D. |
| Practice Address |
5300 Far Hills Ave Dayton OH 45429-2347 |
| Practice Telephone | 9373123830 |
| Practice Fax Number | 9374339612 |
| Mailing Telephone | 9373123830 |
| Mailing Fax Number | 9374339612 |
| Enumeration Date | 2006-08-09 |
| Last Update Date | 2016-08-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | 58606 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | UNITED HEALTHCARE | 3380966 | 01 |
| RAILROAD MEDICARE | P00977283 | 01 | |
| OH | CIGNA | 7766410 | 01 |
| OH | ANTHEM BC/BS | 000000731123 | 01 |
| OH | AETNA | 759842 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417056821 | Brian Scott Russ | Physical Therapist | 11482 Okeechobee Blvd, Suite 2, Royal Palm Beach, FL 33411-8735 | 2006-09-22 |
| 1144683434 | Brian Allen Russ | Emergency Medicine | 4301 W Markham St # 584, Little Rock, AR 72205-7101 | 2016-04-04 |
| 1962831206 | Brian Russ | Counselor | 1049 E Newell St, White Cloud, MI 49349-8795 | 2013-11-07 |
| Street Address |
5300 FAR HILLS AVE |
| City | DAYTON |
| State | OH |
| Zip Code | 45429-2347 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982668463 | Hand Surgery Associates | Orthopaedic Surgery | 5300 Far Hills Ave, Suite 100, Dayton, OH 45429-2381 | 2006-04-13 |
| 1285009837 | Srikanth Vangapandu | Physician Assistant | 5300 Far Hills Ave, Dayton, OH 45429-2381 | 2015-12-08 |
| 1538554522 | Natalie Marie Meeks | Dermatology | 5300 Far Hills Ave, Dayton, OH 45429-2381 | 2015-04-06 |
| 1639489545 | Jennifer Lynn Midtlien | Registered Nurse | 5300 Far Hills Ave, Dayton, OH 45429-2381 | 2010-10-13 |
| 1104138601 | Leigh Ann Pansch | Nurse Practitioner | 5300 Far Hills Ave, Dayton, OH 45429-2381 | 2010-07-13 |
| 1316174956 | Joel Crockett | Dermatology | 5300 Far Hills Ave, Dayton, OH 45429-2381 | 2009-06-22 |
| 1528109873 | Orthopedic Associates of Southwestern Ohio, Inc | Orthopaedic Surgery | 5300 Far Hills Ave, Ste. 100, Dayton, OH 45429-2381 | 2007-02-09 |
| 1235293820 | Jason Scott Ballin | Dermatology | 5300 Far Hills Ave, Dayton, OH 45429-2381 | 2006-12-20 |
| 1801819883 | Dermatologists of Southwestern Ohio, LLC. | Ophthalmology | 5300 Far Hills Ave, Dayton, OH 45429-2347 | 2006-07-25 |
| 1891721882 | Stephen B. Levitt | Dermatology | 5300 Far Hills Ave, Dayton, OH 45429-2381 | 2006-06-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821576414 | Lauren Danielle Sivley | Nurse Practitioner | 3535 Sourthern Boulevard, Kettering, OH 45429 | 2018-08-06 |
| 1114446127 | Louai Al-samkari | Chiropractor | 1441 E. Stroop Rd., Kettering, OH 45429 | 2017-09-12 |
| 1407373756 | Benjamin Edward Adkins | Specialist/Technologist | 4116 Vinita Dr., Kettering, OH 45429 | 2017-08-28 |
| 1972036341 | James Kim | Student in an Organized Health Care Education/Training Program | 3535 Southern Boulevard, Kettering, OH 45429 | 2017-04-04 |
| 1023549847 | Adrienne Krysiak | Emergency Medicine | 3525 Southern Boulevard, Kettering, OH 45429 | 2017-03-23 |
| 1386021889 | Cassandra Mckoy | Counselor | 529 East Stroop Road, Kettering, OH 45429 | 2015-05-04 |
| 1417343088 | Candace Benoit | Obstetrics & Gynecology | 3533 Southern Blvd Ste 4600, Dayton, OH 45429 | 2015-04-10 |
| 1275933574 | Lee Schwieterman | Nurse Practitioner | 3535 Southern Blvd., 1 East, Kettering, OH 45429 | 2014-08-25 |
| 1497161947 | Robert Jonathon Fresch Jr. | Obstetrics & Gynecology | 3533 Southern Blvd Ste 3750, Kettering, OH 45429 | 2014-07-05 |
| 1821349812 | Lucas Brewer | Counselor | 1524 E Stroop Rd Ste 300, Kettering, OH 45429 | 2012-10-01 |
| Find all providers in zip 45429 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134362403 | Rishi Kumar Gandhi | Dermatology | 999 Brubaker Dr Ste 3, Dayton, OH 45429-3505 | 2009-04-15 |
| 1689771933 | Shannon Michelle Novosad Verma | Dermatology | 5300 Far Hills Avenue, Dayton, OH 45429-2347 | 2006-09-20 |
| 1689781395 | Samia W Borchers Md Inc | Dermatology | 5727 Far Hills Ave, Dayton, OH 45429 | 2006-08-25 |
| 1699880609 | Bruce A. Brumfiel | Dermatology | 4244 Indian Ripple Rd, Ste 300, Dayton, OH 45440-3279 | 2006-08-20 |
| 1801814272 | Rafael A. Perez-figaredo | Dermatology | 5300 Far Hills Ave., Dayton, OH 45429-2347 | 2006-07-17 |
| 1285689976 | Shalini Bahl | Dermatology | 8363 Yankee St, Dayton, OH 45458-1809 | 2006-05-23 |
| 1578552287 | Michael Ian Feldman | Dermatology | 30 Ashridge Rd., Dayton, OH 45419 | 2005-10-14 |
| 1023005261 | Thomas George Olsen | Dermatology | 7835 Paragon Rd, Dayton, OH 45459-4021 | 2005-10-03 |
| 1114920329 | Wright State Physicians Inc | Dermatology | 725 University Blvd, Dayton, OH 45435-0001 | 2005-05-23 |
| 1952940850 | Ohio Skin Surgery and Cosmetic Center | Dermatology | 999 Brubaker Dr Ste 3, Dayton, OH 45429-3505 | 2019-12-26 |
| Find all providers in DAYTON | ||||
Please comment or provide details below to improve the information on DR. BRIAN W. RUSS.
| 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.