MR. RUBEN REGINALD RUSSELL III


Address: 22091 Libby Rd Apt 101 Aa, Bedford Hts., OH 44146
Phone: 2163923108

MR. RUBEN REGINALD RUSSELL III (NPI# 1619212693) 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) 1619212693
Entity Type Individual
Full Name MR. RUBEN REGINALD RUSSELL III
Credential STNA
Practice Address 22091 Libby Rd Apt 101 Aa
Bedford Hts.
OH 44146
Practice Telephone 2163923108
Mailing Telephone 2163923108
Enumeration Date 2012-12-03
Last Update Date 2012-12-03
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 246RP1900X Technician, Pathology
Specialization: Phlebotomy
OH23128M211 OH Technologists, Technicians & Other Technical Service Providers

Office Location

Street Address 22091 LIBBY RD APT 101 AA
City BEDFORD HTS.
State OH
Zip Code 44146

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NPI Name Taxonomy Address Enumeration
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1427577782 Katrina Allen Social Worker 6118 Eaton Ct., Bedford Hts, OH 44146 2017-09-18
1538686878 Stephanie Frankel Registered Nurse 26364 Bluebird Cove, Bedford, OH 44146 2017-08-28
1790206738 Agape Home Health Agency Home Health 50 Woodrow Avenue, Bedford, OH 44146 2017-06-29
1609300060 Carlesha Embrey Home Health Aide 6269 Sparrowhawk Way, Bedford, OH 44146 2017-04-12
1548627987 Nicolette Walker Licensed Practical Nurse 91 Thames Avenue, Bedford, OH 44146 2016-01-15
1992189872 B-trice Home Health Agency LLC Home Health 5311 Northfield Road, Suite 202, Bedford, OH 44146 2015-07-10
1659774438 Chitaqua Jackson Licensed Practical Nurse 860 Broadway Ave, Bedford, OH 44146 2014-10-07
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Taxonomy Information

Taxonomy Code 246RP1900X
Grouping Technologists, Technicians & Other Technical Service Providers
Classification Technician, Pathology
Specialization Phlebotomy

Taxonomy Definition

Definition to come...

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1154937803 Robin Lynnette Million Technician, Pathology 1172 W. Galbraith, Suite 110, Cinti, OH 45231 2020-09-18
1184237448 Oasis Homecare LLC Technician, Pathology 3381 E 146th St, Cleveland, OH 44120-4127 2020-08-26
1033721709 Kizzy Williams Technician, Pathology 638 Nicholas St, Toledo, OH 43609-2920 2020-08-23
1023629771 Takisha Rayford Technician, Pathology 1128 Brookley Blvd, Toledo, OH 43607-3048 2020-08-14
1205468204 Independent Phlebotomy Services LLC Technician, Pathology 504 Market Ave N, Canton, OH 44709-8545 2020-02-07
1336782325 Chari Latrice Bills Technician, Pathology 1303 Arlington Ave, Steubenville, OH 43952-1668 2019-10-22
1548802226 Ashley Johnson Technician, Pathology 8 John Ave, New Carlisle, OH 45344-9177 2019-10-14
1093374043 Fonda Renee Spears Technician, Pathology 700 Bryden Rd Ste 125, Columbus, OH 43215-4839 2019-06-12
1801354881 Sheila Finch Technician, Pathology 902 E 18th Ave, Columbus, OH 43211-2480 2019-03-08
1528549151 Maria Mcgee Technician, Pathology 3222 E 130th St, Cleveland, OH 44120-3966 2018-08-22
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Competitor

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City BEDFORD HTS.
Zip Code 44146

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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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