DAVID P RUSSELL (NPI# 1477550663) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477550663 |
| Entity Type | Individual |
| Full Name | DAVID P RUSSELL |
| Credential | MD |
| Practice Address |
1301 Pleasant Valley Rd Suite 302 Owensboro KY 42303-9774 |
| Practice Telephone | 2704177880 |
| Practice Fax Number | 2704177888 |
| Mailing Telephone | 2704177880 |
| Mailing Fax Number | 2704177888 |
| Enumeration Date | 2005-07-01 |
| Last Update Date | 2016-06-10 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | 20218 | KY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 64-202187 | 05 | |
| BCBS | 000000197830 | 01 | |
| RAILROAD MEDICARE | 340001298 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477167666 | David Joseph Russell | Nurse Practitioner | 17846 Glenwood Rd, Manteca, CA 95336-9521 | 2020-09-03 |
| 1407234172 | David Lee Russell Jr. | Counselor | 60 Comstock Ave, Providence, RI 02907-1206 | 2015-05-13 |
| 1295024719 | David D Russell | Rehabilitation Counselor | 4410 Dillon Ln Ste 17, Corpus Christi, TX 78415-5335 | 2011-04-05 |
| 1932321700 | David Stanton Russell | Radiology | 2113 Wilshire Dr, Enid, OK 73703-6622 | 2007-05-02 |
| 1336269109 | David Lee Russell Sr. | Dentist | 14 Racetrack Rd Nw, Fort Walton Beach, FL 32547-1642 | 2007-03-29 |
| 1528196516 | David Henry Russell | Dentist | 4414 Kukui Grove St, Suite #103, Lihue, HI 96766-2016 | 2007-03-01 |
| 1386730018 | David Robert Russell | Dentist | 8334 Winter Gardens Blvd, Lakeside, CA 92040-5409 | 2006-10-04 |
| 1376551192 | David Richard Russell | Dentist | 660 Rising Sun Road, Millersburg, PA 17061 | 2006-08-04 |
| 1184654501 | David Alfred Russell | Dentist | #3 Post Office Square, Suite #900, Boston, MA 02109 | 2006-07-03 |
| 1740233162 | David Lee Russell | Family Medicine | 7 Deye Ln, Eastsound, WA 98245-8578 | 2006-05-18 |
| Street Address |
1301 PLEASANT VALLEY RD SUITE 302 |
| City | OWENSBORO |
| State | KY |
| Zip Code | 42303-9774 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588280713 | Mary Teresa Jenkins | Specialist/Technologist | 1301 Pleasant Valley Rd, Owensboro, KY 42303-9774 | 2020-06-23 |
| 1831710094 | Sarah Knop | Specialist/Technologist | 1301 Pleasant Valley Rd, Owensboro, KY 42303-9774 | 2020-04-29 |
| 1972072460 | Alyssa Hope Johnson | Specialist/Technologist | 1301 Pleasant Valley Rd, Owensboro, KY 42303-9774 | 2018-11-14 |
| 1043754815 | Brittany A. Davidson | Nurse Practitioner | 1301 Pleasant Valley Rd, Suite 401, Owensboro, KY 42303-9774 | 2016-12-13 |
| 1205286556 | Lauren Mahoney | Physician Assistant | 1301 Pleasant Valley Rd, Suite 500b, Owensboro, KY 42303-9774 | 2016-06-17 |
| 1477923084 | Williard Mazhawidza | Physician Assistant | 1301 Pleasant Valley Rd, Suite 201, Owensboro, KY 42303-9774 | 2015-09-25 |
| 1477938280 | Kerri Booker | Nurse Practitioner | 1301 Pleasant Valley Rd, Suite 500d, Owensboro, KY 42303-9774 | 2015-07-22 |
| 1538541198 | Maghan Fares | Nurse Practitioner | 1301 Pleasant Valley Rd, Suite 302, Owensboro, KY 42303-9774 | 2015-06-19 |
| 1386024750 | Benjamin T. Rhodes | Physician Assistant | 1301 Pleasant Valley Rd, Ste 202, Owensboro, KY 42303-9774 | 2015-06-01 |
| 1437553724 | Crystal Lynn Heady | Nurse Practitioner | 1301 Pleasant Valley Rd, Suite 404, Owensboro, KY 42303 | 2014-10-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881218121 | Strive Health Ky LLC | Clinic/Center | 4511 Springhill Road, Owensboro, KY 42303 | 2020-06-02 |
| 1952921991 | Carl P Lewis | Pharmacist | Nation's Medicines, 3000 Alvey Park Drive West, Owensboro, KY 42303 | 2020-04-20 |
| 1386292621 | Alexandra Freudenberg | Occupational Therapist | 2605 New Hartford Road, Owensboro, KY 42303 | 2019-08-29 |
| 1457843815 | Deaconess Clinic Inc | Family Medicine | 2710 Heartland Crossing Blvd, Owensboro, KY 42303 | 2018-06-01 |
| 1225525520 | Claudia Abrams | Nurse Practitioner | 3245 Mount Moriah Ave Ste 10, Owensboro, KY 42303 | 2018-04-23 |
| 1245751965 | Play Works Pediatric Therapy | Early Intervention Provider Agency | 4551 Indian Creek Loop, Owensboro, KY 42303 | 2017-07-03 |
| 1518490952 | Sue Lindsey | Social Worker | 1100 Walnut St., Owensboro, KY 42303 | 2017-04-04 |
| 1972034163 | Megan Nichole Meredith | Counselor | 2707 Breckenridge Street, Suite 4, Owensboro, KY 42303 | 2017-03-21 |
| 1275077786 | Physicians Affiliated Care, Psc | Family Medicine | 2710 Heartland Crossings, Suite B, Owensboro, KY 42303 | 2016-12-19 |
| 1790168516 | Kelli D. Brown | Nurse Practitioner | 2816 Veach Rd Ste 403, Owensboro, KY 42303 | 2015-06-30 |
| Find all providers in zip 42303 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962757187 | Daniel James Warburton | Urology | 1301 Pleasant Valley Rd Ste 302, Owensboro, KY 42303-9774 | 2012-07-14 |
| 1699067074 | Associated Owensboro Urology | Urology | 2211 Mayfair Dr, Suite 401, Owensboro, KY 42301-4568 | 2011-05-04 |
| 1518258177 | Ohio County Hospital Corp Inc | Urology | 2211 Mayfair Dr, Suite 410, Owensboro, KY 42301-4568 | 2011-04-29 |
| 1861601916 | Corey Morgan Johnson | Urology | 1301 Pleasant Valley Rd, Suite 302, Owensboro, KY 42303-9774 | 2007-05-22 |
| 1821180738 | James I Harty | Urology | 1301 Pleasant Valley Rd, Suite 302, Owensboro, KY 42303-9774 | 2006-09-28 |
| 1649387226 | Robert H Lewe | Urology | 1200 Breckenridge St, Owensboro, KY 42303-1089 | 2006-08-23 |
| 1245240415 | Owensboro Urology Psc | Urology | 2200 E Parrish Ave, Building E, Suite 201, Owensboro, KY 42303-1449 | 2006-08-09 |
| 1679583942 | J Ross Psc | Urology | 1100 Walnut Street, Owensboro, KY 42301 | 2006-08-09 |
| 1275570368 | Charles Mckelvey | Urology | 2211 Mayfair Dr, Suite 410, Owensboro, KY 42301-4568 | 2006-05-31 |
| 1225084098 | J R Ross | Urology | 1100 Walnut St, Owensboro, KY 42301-2956 | 2006-05-25 |
| Find all providers in OWENSBORO | ||||
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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.