MARIE ANN RUSSELL


Address: 4212 N 16th St, Phoenix, AZ 85016-5319
Phone: 6022631511

MARIE ANN RUSSELL (NPI# 1609947449) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1609947449
Entity Type Individual
Full Name MARIE ANN RUSSELL
Credential MD.
Practice Address 4212 N 16th St
Phoenix
AZ 85016-5319
Mailing Address Po Box 31001-0698
Pasadena
CA 91110-0698
Practice Telephone 6022631511
Practice Fax Number 6022631619
Mailing Telephone 6022631511
Mailing Fax Number 6022631619
Enumeration Date 2006-11-13
Last Update Date 2007-07-09
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207R00000X Internal Medicine 28355 AZ Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
AZ BCBSAZ AZ0713260 01
AZ 634685 05

Other Providers MARIE RUSSELL

NPI Name Taxonomy Address Enumeration
1659630796 Marie Russell Home Health Aide 21452 Exquisite Ct, Lexington Park, MD 20653-1312 2012-05-10
1497022545 Marie Murphy Russell Doula 39460 Middleton St, Palmdale, CA 93551-1043 2011-11-17
1124346077 Marie Ellen Russell Licensed Practical Nurse 165 Sunset Ln, Waterford, OH 45786-6337 2010-05-16
1154454155 Marie Russell Nurse Practitioner 7944 Birmingham Dr, San Diego, CA 92123-2705 2007-03-13
1093940140 Marie Dawn Russell Social Worker 74 Bunner St, Oswego, NY 13126-3357 2009-05-19
1760529556 Marie Russell Emergency Medicine 1200 N State St, Los Angeles, CA 90033-1029 2007-01-31

Office Location

Street Address 4212 N 16TH ST
City PHOENIX
State AZ
Zip Code 85016-5319

Providers in the same location

NPI Name Taxonomy Address Enumeration
1184627648 Judy Marie Pinsonneault Family Medicine 4212 N 16th St, Phoenix, AZ 85016-5319 2005-05-27
1568071348 Christopher Tran Pharmacist 4212 N 16th St, Phoenix, AZ 85016-5319 2020-07-28
1659980480 Corinne Easterling Pharmacist 4212 N 16th St, Phoenix, AZ 85016-5319 2020-07-28
1598383192 Tamika Howard Pharmacist 4212 N 16th St, Phoenix, AZ 85016-5319 2020-07-09
1659901544 Joseph Maloy Pharmacist 4212 N 16th St, Phoenix, AZ 85016-5319 2020-01-20
1437709680 Kymberly Sue Ludwig Pharmacist 4212 N 16th St, Phoenix, AZ 85016-5319 2019-09-18
1962052746 Jamie C Wilson Registered Nurse 4212 N 16th St, Phoenix, AZ 85016-5319 2019-09-13
1427602721 Jonathon Andrew Marquez Respiratory Therapist, Certified 4212 N 16th St, Phoenix, AZ 85016-5319 2019-07-25
1700441664 Douglas Edward Henry Physical Therapist 4212 N 16th St, Phoenix, AZ 85016-5319 2019-05-07
1982189205 Rachael Renina Hunter Edwards Psychologist 4212 N 16th St, Phoenix, AZ 85016-5319 2018-10-02
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1851992705 Heatheranne Baker-oldfield Counselor 2415 E Camelback Rd Ste 700, Phoenix, AZ 85016 2020-11-06
1780215681 Sip Home Systems - Mesa LLC Home Health 24th At Camelback, 2375 E. Camelback Rd., Suite 600, Phoenix, AZ 85016 2020-01-29
1760945588 Wei Wei Student in an Organized Health Care Education/Training Program Phoenix Children's Hospital 1919 E. Thomas Rd., Phoenix, AZ 85016 2019-04-09
1942765623 Grace Hatfield Dietitian, Registered Phoenix Childrens Hospital 1919 E Thomas Rd, Phoenix, AZ 85016 2019-02-06
1861977027 Dawn Yvette Lima Occupational Therapy Assistant 3128 E Cheery Ln, Phoenix, AZ 85016 2018-10-03
1720583685 Kristin Pauline Hicklin Registered Nurse 2930 E Camelback Rd Ste 100, Phoenix, AZ 85016 2018-03-24
1588181622 Taness Eyre Billington Pharmacist 1625 E. Camelback Rd., Phoenix, AZ 85016 2017-08-29
1093239048 Emma Ross Psychologist 1919 E Thomas Rd Bldg 4th, Phoenix, AZ 85016 2017-08-01
1609396985 Mohammed Waseemuddin Student in an Organized Health Care Education/Training Program Phoenix Children's Hospital, 1919 E Thomas Rd, Phoenix, AZ 85016 2017-06-27
1144777632 Amanda Mazerall Occupational Therapist 4333 N 24th Street, Apartment 223, Phoenix, AZ 85016 2016-09-01
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Taxonomy Information

Taxonomy Code 207R00000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1902415011 Aims-az-med, LLC Internal Medicine 1346 E Mcdowell Rd, Phoenix, AZ 85006-2616 2020-07-24
1245865096 Cleanslate Medical Group of Arizona Pllc Internal Medicine 8410 W Thomas Rd Ste 124, Phoenix, AZ 85037-3373 2020-03-11
1114576162 Caring Doctor LLC Internal Medicine 27412 N 58th Ln, Phoenix, AZ 85083-7394 2019-09-11
1417500034 Contrast Medical Pllc Internal Medicine 813 E Fairmount Ave, Phoenix, AZ 85014-4708 2019-07-23
1386106045 Key Medical Solutions LLC Internal Medicine 1120 E Waltann Ln, Phoenix, AZ 85022-3531 2019-04-02
1700350261 Nierenberg Associates,pa Internal Medicine 1800 E Van Buren St # 605, Phoenix, AZ 85006-3742 2019-01-17
1952875783 Vpa PC Internal Medicine 7600 N 15th St Ste 165b, Phoenix, AZ 85020-4305 2019-01-15
1568944148 Avicenna Integrative Medicine Plc Internal Medicine 4429 N 44th St, Phoenix, AZ 85018 2018-08-30
1053803676 Ahwatukee Health Care, LLC Internal Medicine 16515 S 40th St Ste 119, Phoenix, AZ 85048-0559 2018-05-30
1720590011 Dr Richards Pllc Internal Medicine 20815 N 25th Pl Ste A106, Phoenix, AZ 85050 2017-10-26
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Competitor

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City PHOENIX
Zip Code 85016

Improve Information

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Dataset Information

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.

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