J. RUSSELL MANN (NPI# 1528153939) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528153939 |
| Entity Type | Individual |
| Full Name | J. RUSSELL MANN |
| Credential | M.D. |
| Practice Address |
2175 Rosaline Ave Redding CA 96001-2549 |
| Mailing Address |
Po Box 496084 Redding CA 96049-6084 |
| Practice Telephone | 5309178572 |
| Practice Fax Number | 5302293703 |
| Mailing Telephone | 5302415400 |
| Mailing Fax Number | 5302419265 |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2016-05-10 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | G327270 | CA | Other Service Providers |
| Street Address |
2175 ROSALINE AVE |
| City | REDDING |
| State | CA |
| Zip Code | 96001-2549 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932102498 | Mercy Surgery Center, Lp | Clinic/Center | 2175 Rosaline Ave, Ste A, Redding, CA 96001-2509 | 2005-05-27 |
| 1427658558 | Daniel Thomas Henderson | Speech-Language Pathologist | 2175 Rosaline Ave, Redding, CA 96001-2549 | 2020-10-28 |
| 1164032603 | Teresa Fe Fox | Registered Nurse | 2175 Rosaline Ave, Redding, CA 96001-2549 | 2020-08-07 |
| 1336757889 | Kathryn Feris | Registered Nurse | 2175 Rosaline Ave, Redding, CA 96001-2549 | 2020-07-21 |
| 1417584111 | Savannah Abel-smith | Physician Assistant | 2175 Rosaline Ave, Redding, CA 96001-2549 | 2020-03-24 |
| 1053945253 | Joseph Harrison Tippetts | Physician Assistant | 2175 Rosaline Ave, Redding, CA 96001-2549 | 2020-02-26 |
| 1285277400 | Annalee Toombs | Physician Assistant | 2175 Rosaline Ave, Redding, CA 96001-2549 | 2019-10-21 |
| 1013561851 | Cep America - Anesthesia PC | Anesthesiology | 2175 Rosaline Ave, Redding, CA 96001-2549 | 2019-07-30 |
| 1104484492 | Paragon Imaging and Intervention Inc | Radiology | 2175 Rosaline Ave, Redding, CA 96001-2549 | 2019-05-31 |
| 1831650993 | Cristina Maria Mackey | Student in an Organized Health Care Education/Training Program | 2175 Rosaline Ave, Redding, CA 96001-2549 | 2019-03-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730651266 | Vanessa Louise Banda | Social Worker | 1544 Magnolia Avenue, Redding, CA 96001 | 2018-12-21 |
| 1184194672 | Marie Sherrick | Licensed Vocational Nurse | 2030 Elreno Lane, Redding, CA 96001 | 2018-11-28 |
| 1699257857 | Prorehab Physical Therapy and Sports Performance, Inc | Physical Therapist | 3673 Eureka Way, Redding, CA 96001 | 2018-09-05 |
| 1316456833 | Jennifer Rose Goehring | Counselor | 1310 Continental Street, Redding, CA 96001 | 2017-09-27 |
| 1891224440 | Audrey Cutler | Social Worker | 1313 Yuba St., Redding, CA 96001 | 2017-06-07 |
| 1184167991 | Calafia Holdings LLC | Skilled Nursing Facility | 1836 Gold Street, Redding, CA 96001 | 2016-11-28 |
| 1194272369 | Shasta County | Clinic/Center | 2950 Polk Street, Rooms 2, 3, 4, Redding, CA 96001 | 2016-09-06 |
| 1417329236 | Shari Hayden | Specialist/Technologist, Other | 2111 Air Park Dr, Redding, CA 96001 | 2015-10-21 |
| 1679951982 | Shasta Hearing Aids | Health Maintenance Organization | 900 Butte St, Redding, CA 96001 | 2015-05-07 |
| 1073919171 | Native American Mental Health Services Corporation | Psychiatry & Neurology | 1742 Oregon Street, Redding, CA 96001 | 2014-11-17 |
| Find all providers in zip 96001 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902352966 | Katherine Fleming | Specialist | 9 Redcoat Lane, Redding, CT 06896 | 2016-08-30 |
| 1891046140 | Jillian Brietta Jones | Specialist | 2516 Goodwater Ave, Suite B, Redding, CA 96002-1559 | 2012-09-26 |
| 1881877207 | Robert E Maurer Md Inc | Specialist | 2121 Airpark Drive, Redding, CA 96001-2433 | 2007-12-07 |
| 1164622155 | Coretta Joanna Rhoda Hamlin | Specialist | 2175 Rosaline Ave Fl 4, Cep Hospitalist Group, Redding, CA 96001 | 2007-07-19 |
| 1306044474 | Andrea Deshiell Raymer | Specialist | 2051 Hilltop Dr Ste A5, Redding, CA 96002-0265 | 2007-07-10 |
| 1912021221 | Gregory A Skipitis | Specialist | 2626 Edith Ave Ste B, Redding, CA 96001-3056 | 2007-03-19 |
| 1255420253 | Therapy Station, Inc. | Specialist | 1784 California St, Redding, CA 96001-1905 | 2006-10-11 |
| 1710087556 | Roy J Stephens Sr. | Specialist | 1655 E Cypress Ave Ste 3, Redding, CA 96002-1345 | 2006-09-22 |
| 1417052226 | Samuel D Van Kirk | Specialist | 2139 Airpark Dr, Redding, CA 96001-2433 | 2006-09-14 |
| 1023113099 | Richard Mooney, Md. Inc. | Specialist | 2420 Sonoma St Ste B, Redding, CA 96001-3027 | 2006-09-14 |
| Find all providers in REDDING | ||||
Please comment or provide details below to improve the information on J. RUSSELL MANN.
| 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.