RUSSELL SCOTT HOLLIDAY (NPI# 1598884900) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598884900 |
| Entity Type | Individual |
| Full Name | RUSSELL SCOTT HOLLIDAY |
| Credential | DO |
| Practice Address |
130 Division St Derby CT 06418-1326 |
| Practice Telephone | 2037327403 |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 043634 | CT | Allopathic & Osteopathic Physicians |
| Street Address |
130 DIVISION ST |
| City | DERBY |
| State | CT |
| Zip Code | 06418-1326 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427058478 | Mihaela Boran | Psychiatry & Neurology | 130 Division St, Derby, CT 06418-1326 | 2005-07-29 |
| 1437767134 | Sovit Dahal | Student in an Organized Health Care Education/Training Program | 130 Division St, Derby, CT 06418-1326 | 2020-07-20 |
| 1649894056 | Julie Sim | Student in an Organized Health Care Education/Training Program | 130 Division St, Derby, CT 06418-1326 | 2020-06-01 |
| 1073133435 | Angad Singh Gill | Student in an Organized Health Care Education/Training Program | 130 Division St, Griffin Hospital, Derby, CT 06418 | 2020-04-25 |
| 1699394924 | Ricardo Adolfo Concepcion Gomez | Student in an Organized Health Care Education/Training Program | 130 Division St, Derby, CT 06418 | 2020-04-16 |
| 1104455112 | Maharshi Panchal | Student in an Organized Health Care Education/Training Program | 130 Division St, Derby, CT 06418-1326 | 2020-04-02 |
| 1104455252 | Anwesh Babu Poosala | Student in an Organized Health Care Education/Training Program | 130 Division St, Derby, CT 06418-1326 | 2020-04-01 |
| 1720615271 | Anthony Karam Awad | Student in an Organized Health Care Education/Training Program | 130 Division St, Derby, CT 06418-1326 | 2020-03-25 |
| 1134756760 | Douglas Misael Palacios Hernandez | Student in an Organized Health Care Education/Training Program | 130 Division St, Derby, CT 06418-1326 | 2020-03-24 |
| 1437786142 | Rosa Constantino | Student in an Organized Health Care Education/Training Program | 130 Division St, Derby, CT 06418-1326 | 2020-03-24 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942839105 | Fnu Prinkiya | Student in an Organized Health Care Education/Training Program | Griffin Hospital. 130 Division St, Derby, CT 06418 | 2020-04-08 |
| 1942837935 | Ivanshi A Gondalia | Student in an Organized Health Care Education/Training Program | Griffin Hospital, 130 Division St, Derby, CT 06418 | 2020-03-27 |
| 1972168094 | Pir Saad | Student in an Organized Health Care Education/Training Program | C/o Margie Bliga, Department of Medical Education, Griffin Hospital, 130 Division St, Derby, CT 06418 | 2019-05-03 |
| 1295398899 | Ahtsham Yousaf Chaudhary | Student in an Organized Health Care Education/Training Program | 130 Division St, Griffin Hospital, Derby, CT 06418 | 2019-04-18 |
| 1477016376 | Rabia Usman | Student in an Organized Health Care Education/Training Program | 130 Division St. Griffin Hospital, Derby, CT 06418 | 2019-04-09 |
| 1932661428 | Meshal Qaiser | Student in an Organized Health Care Education/Training Program | 130 Division Street Griffin Hospital, Derby, CT 06418 | 2019-04-03 |
| 1275027666 | Victoria Anne Hodge Enquist | Social Worker | 241 Seymour Avenue, Griffin Hospital Iop, Seymour, CT 06418 | 2018-06-19 |
| 1811485758 | Nimeshayan Varatharajah | Student in an Organized Health Care Education/Training Program | Griffin Hospital, 130 Division St., Derby, CT 06418 | 2018-04-26 |
| 1851889836 | Pete Prashamsa Shenoy | Student in an Organized Health Care Education/Training Program | Griffin Hospital (dpt of Graduate Medical Education), 130 Division St., Derby, CT 06418 | 2018-04-25 |
| 1639696594 | Samantha Leigh Bassett | Counselor | 90 Sodom Lane, Derby, CT 06418 | 2017-08-23 |
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| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841754660 | Cep America - Kansas, LLC | Emergency Medicine | 3251 N Rock Rd, Derby, KS 67037-3850 | 2019-01-25 |
| 1710340443 | Medexpress Urgent Care Kansas, P.a. | Emergency Medicine | 2001 N Rock Road, Derby, KS 67037-3795 | 2016-03-31 |
| 1528592417 | Medexpress Urgent Care Connecticut, P.C. | Emergency Medicine | 68 Division St, Derby, CT 06418-1447 | 2017-04-18 |
| 1952420390 | David Hendricks | Emergency Medicine | 130 Division St, Derby, CT 06418-1326 | 2007-03-28 |
| 1376562991 | Indrani Datta | Emergency Medicine | 130 Division St, Derby, CT 06418-1326 | 2006-07-18 |
| 1558386292 | Gregory Boris | Emergency Medicine | 130 Division St, Derby, CT 06418-1326 | 2006-07-13 |
| 1881629426 | Jeanne Kuslis | Emergency Medicine | 130 Division St, Derby, CT 06418-1326 | 2006-07-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578126009 | Michaela Colleen Anderson | Emergency Medicine | 25 Dewhirst St, Bridgeport, CT 06606-4042 | 2019-04-19 |
| 1093216467 | Valentine David Galasyn | Emergency Medicine | 34 Buck Hill Rd, Canterbury, CT 06331-1201 | 2018-02-21 |
| 1508389859 | Medexpress Urgent Care Connecticut, P.C. | Emergency Medicine | 752 Washington Street, Middletown, CT 06457-2904 | 2017-07-19 |
| 1386173201 | Beaver Pond Brook Emergency Physicians LLC | Emergency Medicine | 3081 E Main St, Waterbury, CT 06705-3424 | 2017-06-05 |
| 1386095487 | Michael Gilio | Emergency Medicine | 145 Helen St, Hamden, CT 06514-4415 | 2016-06-29 |
| 1407201247 | Keith Bradley | Emergency Medicine | 66 Lilalyn Dr, Fairfield, CT 06825-1310 | 2016-04-29 |
| 1548655822 | Ronald G Thomas Md LLC | Emergency Medicine | 1310 Alexander Dr, Guilford, CT 06437-5031 | 2015-04-02 |
| 1760877674 | Lindsay Warren | Emergency Medicine | 10 Pamela Pl, Westport, CT 06880-3710 | 2015-03-30 |
| 1730580325 | Clinic 21 of Connecticut LLC | Emergency Medicine | 497 Westport Ave, Norwalk, CT 06851-4411 | 2014-09-15 |
| 1811315369 | Eduardo Sandoval Jr. | Emergency Medicine | 263 Farmington Ave Mc3955, Farmington, CT 03060-3955 | 2014-04-02 |
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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.