JEFFREY DANE RUSSELL (NPI# 1518394204) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518394204 |
| Entity Type | Individual |
| Full Name | JEFFREY DANE RUSSELL |
| Credential | PA-C |
| Practice Address |
900 Caton Ave Baltimore MD 21229-5201 |
| Mailing Address |
2100 Powell St Suite 900 Emeryville CA 94608-1826 |
| Practice Telephone | 4103682000 |
| Mailing Telephone | 5103502600 |
| Mailing Fax Number | 5108799084 |
| Enumeration Date | 2013-09-26 |
| Last Update Date | 2013-09-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | C0005160 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912072257 | Jeffrey Alan Russell | Specialist/Technologist | Shape Clinic, Putnam Hall 304, 96 E Union St, Athens, OH 45701 | 2006-11-22 |
| 1942309034 | Jeffrey Lynn Russell | Podiatrist | Rr 1 Box 34-a, Watonga, OK 73772-9706 | 2006-09-22 |
| 1497799654 | Jeffrey S Russell | Internal Medicine | 327 W Chicago St, Coldwater, MI 49036-2805 | 2006-06-16 |
| 1942858055 | Jeffrey Russell II | Counselor | 1003 S Beacon St, San Pedro, CA 90731-4324 | 2019-09-01 |
| 1609193432 | Jeffrey Russell | Counselor | 201 W Springdale Ave, Knoxville, TN 37917-5158 | 2010-05-04 |
| 1073842175 | Jeffrey C. Russell | Nurse Anesthetist, Certified Registered | 9601 Interstate 630 Exit 7, Little Rock, AR 72205-7202 | 2009-12-18 |
| 1043332497 | Jeffrey Wyan Russell | Physician Assistant | 2741 Debarr Rd, Suite C-308, Anchorage, AK 99508-2953 | 2007-04-05 |
| 1578603494 | Jeffrey David Russell | Chiropractor | 302 N Mckinley Ave, Sand Springs, OK 74063-7611 | 2007-02-08 |
| 1295897130 | Jeffrey Kent Russell | Internal Medicine | 750 Alliance Ct, Asheville, NC 28806-2248 | 2006-12-15 |
| 1154482388 | Jeffrey Scott Russell | Counselor | 333 Union St, New Bedford, MA 02740-3665 | 2006-12-12 |
| Street Address |
900 CATON AVE |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21229-5201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083617021 | Susan L Behen | Surgery | 900 Caton Ave, Baltimore, MD 21229-5201 | 2005-05-23 |
| 1992326532 | Seton Medical Group, Inc | Counselor | 900 Caton Ave, Baltimore, MD 21229-5201 | 2020-05-06 |
| 1801416821 | Deanna Dong | Student in an Organized Health Care Education/Training Program | 900 Caton Ave, Baltimore, MD 21229-5201 | 2020-04-20 |
| 1780225326 | St. Agnes Healthcare, Inc. | Counselor | 900 Caton Ave, Baltimore, MD 21229-5201 | 2019-10-04 |
| 1346890886 | Mary B Krause | Counselor | 900 Caton Ave, Baltimore, MD 21229-5201 | 2019-09-17 |
| 1447800974 | Tyrone Qualls | Counselor | 900 Caton Ave, Baltimore, MD 21229-5201 | 2019-09-17 |
| 1669020301 | Lori Anne Massey | Nurse Practitioner | 900 Caton Ave, Baltimore, MD 21229-5201 | 2019-08-27 |
| 1265086649 | Lilia Gutierrez Villarin | Student in an Organized Health Care Education/Training Program | 900 Caton Ave, Baltimore, MD 21229-5201 | 2019-07-24 |
| 1699328245 | St. Agnes Healthcare, Inc. | Audiologist-Hearing Aid Fitter | 900 Caton Ave, Baltimore, MD 21229-5201 | 2019-07-23 |
| 1780168351 | Ahmad Ali Al-abdouh | Student in an Organized Health Care Education/Training Program | 900 Caton Ave, Baltimore, MD 21229-5201 | 2018-09-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265068373 | Bodyworks Medical | Clinic/Center | St. Agnes Medical Center, 3455 Wilkens Ave Suite 100, Baltimore, MD 21229 | 2020-03-20 |
| 1750932430 | Amanda Felix | Nurse Practitioner | 5411 Old Frederick Road, Catonsville, MD 21229 | 2019-09-24 |
| 1497317853 | Wakeelat A Adeoye | Nurse Practitioner | 5411 0ld Fredrick Rd, Suite 7, Baltimore, MD 21229 | 2019-07-05 |
| 1598328080 | Oprah Cherelle Keyes | Social Worker | 4511 Birchwood Drive, Baltimore, MD 21229 | 2019-04-19 |
| 1477051779 | Shahin Vohara | Dentist | Dental Dreams, 4510 Edmondson Avenue, Edmondson Village Shopping Center, Baltimore, MD 21229 | 2018-02-01 |
| 1386179299 | Sharon Mccollough | Counselor | 3219 Phelps Lane, First Floor, Baltimore, MD 21229 | 2017-04-28 |
| 1184175697 | Yekeen Odewale | Registered Nurse | 5411 Old Frederick Rd Ste 7, Baltimore, MD 21229 | 2016-10-19 |
| 1942608070 | Charity Ashe | Social Worker | 4024 Colborne Rd, Baltimore, MD 21229 | 2014-12-05 |
| 1376947127 | Sumanya Venkat Rao | Dentist | 4510 Edmondson Ave, Baltimore, MD 21229 | 2014-10-21 |
| 1497091573 | Anita Phillips | Social Worker | 5110 Frederick Avenue, Baltimore, MD 21229 | 2012-12-18 |
| Find all providers in zip 21229 | ||||
| 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 |
|---|---|---|---|---|
| 1306447495 | Naftali Zapinsky | Physician Assistant | 3507 Labyrinth Rd, Baltimore, MD 21215-1731 | 2020-11-04 |
| 1235738683 | Ester Dahee Kim | Physician Assistant | 2400 W Belvedere Ave, Baltimore, MD 21215-5216 | 2020-10-17 |
| 1962014233 | Julian Kang | Physician Assistant | 3407 Wilkens Ave Ste 250, Baltimore, MD 21229-5222 | 2020-08-18 |
| 1962034868 | Ruth Angelica Naomi Jasienski | Physician Assistant | 6821 Reisterstown Rd Lowr Lvl, Baltimore, MD 21215-1431 | 2020-02-08 |
| 1679115463 | Mark Symancyk | Physician Assistant | 620 W Lexington St, Baltimore, MD 21201-1508 | 2019-10-13 |
| 1356800353 | Kara M Dragunas | Physician Assistant | 6701 N Charles St Rm 3808, Baltimore, MD 21204-6808 | 2019-03-19 |
| 1184190480 | Joshua Davidoff | Physician Assistant | 5200 Eastern Ave Fl East2, Baltimore, MD 21224-2734 | 2018-10-15 |
| 1083189005 | Bing Wang | Physician Assistant | 6701 N Charles St Rm 3641, Baltimore, MD 21204-6808 | 2018-10-05 |
| 1932674140 | Georgia Foulds | Physician Assistant | 5801 Smith Ave Ste 210, Baltimore, MD 21209-3652 | 2018-10-04 |
| 1922582576 | Catherine Kashmer | Physician Assistant | 600 N Wolfe St Ste 1008, Baltimore, MD 21287-0005 | 2018-09-19 |
| Find all providers in BALTIMORE | ||||
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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.