DONALD J RUSS (NPI# 1609895069) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609895069 |
| Entity Type | Individual |
| Full Name | DONALD J RUSS |
| Credential | MD |
| Practice Address |
4525 Cameron Valley Pkwy Suite 3100 Charlotte NC 28211-4369 |
| Mailing Address |
Po Box 601643 Charlotte NC 28260-1643 |
| Practice Telephone | 7043029300 |
| Practice Fax Number | 7043029301 |
| Mailing Telephone | 7043029300 |
| Mailing Fax Number | 7043029301 |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2014-08-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 19188 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | 193375 | 05 | |
| NC | BCBS OF NC | 74036 | 01 |
| NC | 8974036 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407062615 | Donald Gerard Russ | Physical Therapist | 3413 Oceanside Rd, Oceanside, NY 11572-5520 | 2007-05-15 |
| 1598874489 | Donald Barnard Russ | Psychiatry & Neurology | 350 E Parker Rd, Suite 100, Morganton, NC 28655-5155 | 2006-08-30 |
| Street Address |
4525 CAMERON VALLEY PKWY SUITE 3100 |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28211-4369 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598747149 | Charles Termin | Obstetrics & Gynecology | 4525 Cameron Valley Pkwy, Ste 2500, Charlotte, NC 28211-4369 | 2005-11-18 |
| 1881201036 | Katherine Farmer Combs | Dietitian, Registered | 4525 Cameron Valley Pkwy, Charlotte, NC 28211-4369 | 2020-09-30 |
| 1962032326 | Emily Oatis | Dietitian, Registered | 4525 Cameron Valley Pkwy, Ste 4100, Charlotte, NC 28211-4369 | 2020-01-24 |
| 1881224970 | Sara Ohl | Internal Medicine | 4525 Cameron Valley Pkwy, Charlotte, NC 28211-4369 | 2020-01-17 |
| 1699311563 | Carolinas Physicians Network Inc | Dermatology | 4525 Cameron Valley Pkwy, Ste 2100, Charlotte, NC 28211-4369 | 2019-11-26 |
| 1215573423 | Carolinas Physicians Network Inc | Internal Medicine | 4525 Cameron Valley Pkwy, Ste 2100, Charlotte, NC 28211-4369 | 2019-11-22 |
| 1760952428 | Debbie Geraci | Dietitian, Registered | 4525 Cameron Valley Pkwy, Ste 4100, Charlotte, NC 28211-4369 | 2018-11-26 |
| 1043719958 | Adenike Fasan | Pharmacist | 4525 Cameron Valley Pkwy, Charlotte, NC 28211-4369 | 2018-02-06 |
| 1992213193 | Kathleen Tucker | Dietitian, Registered | 4525 Cameron Valley Pkwy, Ste 4100, Charlotte, NC 28211-4369 | 2018-01-22 |
| 1780125484 | Lourdes Ovide | Nurse Practitioner | 4525 Cameron Valley Pkwy, Ste 2100, Charlotte, NC 28211-4369 | 2017-03-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184277832 | I and J Wheelchair Transportation | Non-emergency Medical Transport (VAN) | 1512 Delane Avenue, Charlotte, NC 28211 | 2019-07-22 |
| 1922563923 | The Charlotte-mecklenburg Hospital Authority | Psychiatry & Neurology | 447 Billingsley Rd, Cottage A, Charlotte, NC 28211 | 2019-02-04 |
| 1649798273 | Ally Home Care Charlotte LLC | In Home Supportive Care | 3711 Latrobe Drive Suite 520, Charlotte, NC 28211 | 2017-09-04 |
| 1154866770 | Vaibhav Bajaj | Dentist | 2809 Coltsgate Rd Ste 200, Charlotte, NC 28211 | 2017-01-05 |
| 1508254939 | Lindsay Marie Smits | Speech-Language Pathologist | 427 N. Wendover Rd., Charlotte, NC 28211 | 2015-01-08 |
| 1457755480 | Kristen Hammer | Physical Therapy Assistant | 4120 Providence Rd Apt D, Charlotte, NC 28211 | 2014-10-20 |
| 1669805610 | Carla Elizabeth Scott | Physical Therapist | 3500 Ellington Street, Dr. Carlton Watkins Center, Charlotte, NC 28211 | 2013-08-14 |
| 1760726368 | Jill Hensdale Shipp | Social Worker | 307 Hunter Lane, Charlotte, NC 28211 | 2012-11-20 |
| 1346592722 | Danielle Marie Benoit | Occupational Therapist | 3541 Randolph Road Suite 100 W, Charlotte, NC 28211 | 2012-10-09 |
| 1487910832 | John Joseph Marcel Jr. | Orthopaedic Surgery | 449 North Wendover Rd Ste A, Charlotte, NC 28211 | 2012-04-10 |
| Find all providers in zip 28211 | ||||
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932722980 | Carolinas Physicians Network Inc | Internal Medicine | 2041 South Blvd, Ste 100, Charlotte, NC 28203-5062 | 2020-05-26 |
| 1538700745 | Geriatric Care of The Carolinas, Pllc | Internal Medicine | 6001 Graburns Ford Dr, Charlotte, NC 28269-7120 | 2019-09-30 |
| 1477100683 | Carolinas Physicians Network Inc | Internal Medicine | 9325 Jw Clay Blvd, Ste 221, Charlotte, NC 28262-5411 | 2019-08-22 |
| 1972169977 | Iora Health North Carolina, P.C. | Internal Medicine | 8332 Pineville Matthews Rd Ste 205, Charlotte, NC 28226-3765 | 2019-05-15 |
| 1700345105 | Carolinas Physicians Network Inc | Internal Medicine | 2109 Randolph Rd, Charlotte, NC 28207-1521 | 2019-03-15 |
| 1790256964 | Tele Phys Inc | Internal Medicine | 10035 Park Center Dr., Ste 100, Charlotte, NC 28210 | 2018-12-16 |
| 1053880518 | Low-t Physicians Professional Association | Internal Medicine | 10430 Park Road Suite 100a, Charlotte, NC 28210 | 2018-11-14 |
| 1033698527 | Novant Medical Group, Inc | Internal Medicine | 8201 Healthcare Loop Ste 304, Charlotte, NC 28215 | 2018-08-07 |
| 1588166060 | Allcare Medical Center,pllc | Internal Medicine | 7401 The Plaza, Charlotte, NC 28215 | 2018-03-01 |
| 1083137616 | Sc Med LLC | Internal Medicine | 10436 Winslet Dr, Charlotte, NC 28277-2956 | 2017-07-25 |
| Find all providers in CHARLOTTE | ||||
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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.