EVAN T RUSSELL (NPI# 1609039973) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609039973 |
| Entity Type | Individual |
| Full Name | EVAN T RUSSELL |
| Credential | MD |
| Practice Address |
2325 18th St Suite 130 Columbus IN 47201-5388 |
| Mailing Address |
Po Box 775383 Chicago IL 60677-5383 |
| Practice Telephone | 8123792020 |
| Mailing Telephone | 8123753000 |
| Enumeration Date | 2008-07-08 |
| Last Update Date | 2020-10-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
01068153A | IN | Allopathic & Osteopathic Physicians |
| N | 208M00000X | Hospitalist | 01068153A | IN | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 201012920 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699330589 | Evan Alexander Russell | Counselor | 2019 Norse Dr Apt 42, Pleasant Hill, CA 94523-1843 | 2019-05-06 |
| 1639626898 | Evan Russell | Registered Nurse | 780 Albany St, Boston, MA 02118-2524 | 2016-09-06 |
| 1902211808 | Evan Russell | Internal Medicine | 2700 Clay Edwards Dr Ste 240, North Kansas City, MO 64116-3254 | 2014-06-30 |
| Street Address |
2325 18TH ST SUITE 130 |
| City | COLUMBUS |
| State | IN |
| Zip Code | 47201-5388 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720090947 | Kimberly Mellencamp Freeman | Clinical Nurse Specialist | 2325 18th St, Suite 210, Columbus, IN 47201-5388 | 2006-08-13 |
| 1053782722 | Columbus Regional Health Physicians, LLC | Internal Medicine | 2325 18th St, Suite 130, Columbus, IN 47201-5387 | 2015-10-07 |
| 1912347717 | Sandra Minnick Oliverio | Dietitian, Registered | 2325 18th St, Suite 210, Columbus, IN 47201-5388 | 2013-06-26 |
| 1386087385 | Diane Watson Stone | Nurse Practitioner | 2325 18th St, Suite 130, Columbus, IN 47201 | 2013-04-10 |
| 1972848588 | Physicians Practice Organization, Inc | Internal Medicine | 2325 18th St, Ste 130, Columbus, IN 47201-5388 | 2012-12-07 |
| 1609156801 | Sakshi Vaishnav | Internal Medicine | 2325 18th St, Suite 210, Columbus, IN 47201-5388 | 2011-08-19 |
| 1164749701 | Jose Gabriel Improvola | Internal Medicine | 2325 18th St, Suite 130, Columbus, IN 47201-5388 | 2010-04-21 |
| 1710053616 | Melinda Waitt Hunnicutt | Internal Medicine | 2325 18th St, Suite 130, Columbus, IN 47201-5387 | 2006-11-24 |
| 1194894675 | David Joseph Hamilton | Internal Medicine | 2325 18th St, Suite 130, Columbus, IN 47201-5387 | 2006-11-07 |
| 1508935370 | Columbus Cardiology P C | Internal Medicine | 2325 18th St, Suite 130, Columbus, IN 47201-5387 | 2006-11-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699389569 | Ryanne Nicole Slavens | Speech-Language Pathologist | 1974 Glenmoor Drive, Columbus, IN 47201 | 2020-09-08 |
| 1023670759 | Alisha Nicole Scoville | Counselor | 2630 22nd Street, Columbus, IN 47201 | 2019-07-02 |
| 1467964718 | Columbus Radiology Physicians LLC | Radiology | 2400 E. 17th Street, Columbus, IN 47201 | 2017-10-26 |
| 1790148849 | Gabriel Woon | Specialist | 913 25th St., Columbus, IN 47201 | 2016-04-05 |
| 1144680604 | Forefront Dermatology, S.c. | Dermatology | 244 Westwood Blvd, Columbus, IN 47201 | 2016-02-26 |
| 1871832550 | Jennifer Lynn Grant | Nurse Practitioner | 836 Jackson St., Columbus, IN 47201 | 2013-01-31 |
| 1235404526 | Eric Philip Tannenbaum | Orthopaedic Surgery | 940 N Marr Rd Ste C, Columbus, IN 47201 | 2012-03-20 |
| 1881994176 | Terri Ann Brewer | Social Worker | 12000 W. Moores Vineyard Rd, Columbus, IN 47201 | 2010-11-02 |
| 1255654620 | The Kane Group LLC | Durable Medical Equipment & Medical Supplies | 927 Fourth Street, Columbus, IN 47201 | 2010-03-12 |
| 1023243771 | Allison K Royer | Otolaryngology | 2326 18th Street, Suite 230, Columbus, IN 47201 | 2009-05-26 |
| Find all providers in zip 47201 | ||||
| Taxonomy Code | 207RI0011X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Interventional Cardiology |
| An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/ Board Certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. ACGME Accredited Residency Program Requirements: 1 year of training plus a prerequisite of 3 years Internal Medicine, 3 years Cardiovascular Disease for a total of 7 years. ABMS Approved Subspecialty Certificate (Internal Medicine) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760980049 | Cardiac Cin of Columbus LLC | Internal Medicine | 175 S 3rd St Ste 200-248, Columbus, OH 43215-5134 | 2018-01-31 |
| 1679557375 | Shane B Darrah | Internal Medicine | 2121 Warm Springs Rd, Columbus, GA 31904-7955 | 2005-12-06 |
| 1245214196 | Hemraj R. Makwana | Internal Medicine | 520 Willowbrook Rd, Columbus, MS 39705-2015 | 2005-12-05 |
| 1720087257 | Joon K Chang | Internal Medicine | 255 Baptist Blvd, Ste. 401, Columbus, MS 39705-2011 | 2005-07-18 |
| 1811994403 | Sebastian O Hubbuch | Internal Medicine | 2300 Manchester Expy, Ste 1003, Columbus, GA 31904-6877 | 2005-06-28 |
| 1669474839 | David G Bichsel | Internal Medicine | 745 W State St, Ste 750, Columbus, OH 43222-1515 | 2005-06-01 |
| 1285244137 | Sec2 | Internal Medicine | 2121 Warm Springs Rd, Columbus, GA 31904-7955 | 2020-08-05 |
| 1154989689 | King and Associates Cardiology Pllc | Internal Medicine | 2323 5th St N, Columbus, MS 39705-2213 | 2019-05-30 |
| 1598228272 | Coh Care of Oh II, LLC | Internal Medicine | 175 S 3rd St Ste 200-185, Columbus, OH 43215-5134 | 2019-04-10 |
| 1942763628 | Coh Care of Oh IIi, LLC | Internal Medicine | 175 S 3rd St Ste 200-185, Columbus, OH 43215-5134 | 2019-04-10 |
| Find all providers in COLUMBUS | ||||
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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.