MR. MELVIN DAVID RUSSELL (NPI# 1538239546) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538239546 |
| Entity Type | Individual |
| Full Name | MR. MELVIN DAVID RUSSELL |
| Credential | D.O. |
| Practice Address |
1200 Enclave Pkwy Ste 200 Houston TX 77077-1733 |
| Mailing Address |
Po Box 23188 El Paso TX 79923-0188 |
| Practice Telephone | 9158429705 |
| Mailing Telephone | 9158429705 |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | F4460 | TX | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760452999 | Melvin D Russell | Family Medicine | 875 Friendship Rd, Tallassee, AL 36078-1255 | 2006-01-23 |
| Street Address |
1200 ENCLAVE PKWY STE 200 |
| City | HOUSTON |
| State | TX |
| Zip Code | 77077-1733 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689980799 | Glenda Joyce Marsh | Nurse Practitioner | 1200 Enclave Pkwy Ste 200, Houston, TX 77077-1733 | 2010-08-26 |
| 1770759078 | William Howe Leedy Jr. | Nurse Anesthetist, Certified Registered | 1200 Enclave Pkwy Ste 200, Houston, TX 77077-1733 | 2008-05-06 |
| 1891966941 | Mahmud Shah | Internal Medicine | 1200 Enclave Pkwy Ste 200, Houston, TX 77077-1733 | 2008-03-17 |
| 1629255138 | Fred Paul Frenger | General Practice | 1200 Enclave Pkwy Ste 200, Houston, TX 77077-1733 | 2008-01-28 |
| 1124246491 | Indu Ramesh Shah | Family Medicine | 1200 Enclave Pkwy Ste 200, Houston, TX 77077-1733 | 2007-04-23 |
| 1215151394 | Barbara Richardson | Nurse Practitioner | 1200 Enclave Pkwy Ste 200, Houston, TX 77077-1733 | 2007-04-12 |
| 1194846378 | Damian Johnson | Family Medicine | 1200 Enclave Pkwy Ste 200, Houston, TX 77077-1733 | 2007-04-03 |
| 1891811360 | Xochitl Bockmon | Physician Assistant | 1200 Enclave Pkwy Ste 200, Houston, TX 77077-1733 | 2007-03-22 |
| 1891828117 | Amy Christianson | Family Medicine | 1200 Enclave Pkwy Ste 200, Houston, TX 77077-1733 | 2007-03-14 |
| 1174676894 | Maria Bravo-large | Radiology | 1200 Enclave Pkwy Ste 200, Houston, TX 77077-1733 | 2007-01-18 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407457922 | Tam Minh Ha | Pharmacist | 2700 S Kirkwood, Houston, TX 77077 | 2020-11-02 |
| 1497396881 | Laboratory Concepts | Technician, Pathology | 2025 Gentryside Dr, Houston, TX 77077 | 2019-10-07 |
| 1447730940 | Olufunke O'banion | Registered Nurse | 1011 South Texas 6, Suite 311, Houston, TX 77077 | 2018-08-15 |
| 1548753536 | Jasmine M Mckenzie | Specialist | 12350 Westhemier Rd, Suite 128, Houston, TX 77077 | 2018-06-13 |
| 1396233698 | Waabeke Charlotte Nwikpo | Counselor | 1919 S Kirkwood Rd Apt 144, Houston, TX 77077 | 2018-04-23 |
| 1447747894 | Westside Medical Centers of Texas Pllc | Chiropractor | 1137 Highway 6 South, Houston, TX 77077 | 2018-04-20 |
| 1649786427 | Medical Care Innovation, P.C. | Clinic/Center | 1254 Enclave Parkway, Houston, TX 77077 | 2017-12-16 |
| 1194242545 | Lydia Danielle Breedlove | Specialist/Technologist | 12310 Rincon Drive, Houston, TX 77077 | 2017-08-26 |
| 1649602962 | Bereket Haileab Tsegai | Optometrist | 11660 Westheimer Rd Ste 125, Houston, TX 77077 | 2013-08-09 |
| 1851733273 | Tomekia Alvarez | Occupational Therapy Assistant | 1815 Enclave Parkway, Apt 6307, Houston, TX 77077 | 2013-07-26 |
| Find all providers in zip 77077 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
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| 1417562919 | Privia Medical Group Gulf Coast, Pllc | Internal Medicine | 1140 Business Center Dr Ste 110, Houston, TX 77043-2749 | 2020-09-11 |
| 1174133870 | Houston Family Medicine & Pediatrics Pllc | Internal Medicine | 10101 Bissonnet St Ste 105a, Houston, TX 77036-7856 | 2020-08-06 |
| 1285250308 | Vzsss Inc | Internal Medicine | 11410 East Fwy Ste 164, Houston, TX 77029-2028 | 2020-06-24 |
| 1134744873 | Manoj B Vakil Md Pa | Internal Medicine | 1801 North Loop W Ste 42, Houston, TX 77008-1445 | 2020-06-09 |
| 1912526997 | Obur Health Pa | Internal Medicine | 1700 Post Oak Blvd Ste 600, Houston, TX 77056-3973 | 2020-04-10 |
| 1841824489 | Senior Care Providers Pllc | Internal Medicine | 1910 Aspley Ct, Houston, TX 77094-3431 | 2020-02-22 |
| 1306478730 | Sunny Medical Care Pllc | Internal Medicine | 18220 State Highway 249 Ste 100, Houston, TX 77070-4349 | 2020-02-04 |
| Find all providers in HOUSTON | ||||
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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.