RUSSELL DUMIRE (NPI# 1619971223) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1619971223 |
Entity Type | Individual |
Full Name | RUSSELL DUMIRE |
Credential | MD |
Practice Address |
1086 Franklin Street Ground Floor Good Samaritan Bldg. Johnstown PA 15905 |
Mailing Address |
1086 Franklin St Johnstown PA 15905-4305 |
Practice Telephone | 8145349402 |
Practice Fax Number | 8145343178 |
Mailing Telephone | 8144108300 |
Mailing Fax Number | 8144108331 |
Enumeration Date | 2005-06-10 |
Last Update Date | 2014-10-17 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2086S0102X |
Surgery Specialization: Surgical Critical Care |
MD061876L | PA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
PA | 0018822560001 | 05 |
Street Address |
1086 FRANKLIN STREET, GROUND FLOOR GOOD SAMARITAN BLDG. |
City | JOHNSTOWN |
State | PA |
Zip Code | 15905 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720019680 | D'arcy N Duke | Surgery | 1086 Franklin Street, Good Samaritan Bldg, Ground Floor, Johnstown, PA 15905-4305 | 2006-07-06 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528552445 | Kristina Marie Sloan | Registered Nurse | Womens Center At Memorial Medical Center, 1111 Franklin St, Suite 210, Johnstown, PA 15905 | 2018-06-15 |
1376921403 | Joel Edward Messom | Obstetrics & Gynecology | 1111 Franklin St Ste 300, Johnstown, PA 15905 | 2015-05-08 |
1497091797 | Jessica Pacsai | Occupational Therapist | 807 Goucher Street, Johnstown, PA 15905 | 2012-12-14 |
1225396351 | Lusine Mesropyan | Surgery | 1086 Franklin Street Good Samaritan Building, Johnstown, PA 15905 | 2012-04-26 |
1467766931 | Kimberly Buchanan | Speech-Language Pathologist | 787 Goucher Street, Johnstown, PA 15905 | 2010-07-27 |
1205149846 | Lighthouse Medical, LLC | Clinic/Center | 507 Tire Hill Road, Suite 100, Johnstown, PA 15905 | 2010-07-26 |
1932357878 | Michael Cameron Sleet | Surgery | Dlp Conemaugh Memorial Hospital, 1086 Franklin Street, Johnstown, PA 15905 | 2008-09-04 |
1255528543 | Assisted Living Concepts Inc | Assisted Living Facility | 500 Cheney Oaks Drive, Johnstown, PA 15905 | 2007-10-01 |
1578766648 | Tamera Waggle | Nurse Anesthetist, Certified Registered | 1186 Franklin St., Johnstown, PA 15905 | 2007-06-07 |
1821206178 | Blue and Green Medical PC | Internal Medicine | 1743 Goucher Street, Johnstown, PA 15905 | 2007-05-18 |
Find all providers in zip 15905 |
Taxonomy Code | 2086S0102X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Surgery |
Specialization | Surgical Critical Care |
A surgeon with expertise in the management of the critically ill and postoperative patient, particularly the trauma victim, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962443150 | Joseph L. Smith | Surgery | 1086 Franklin St, Johnstown, PA 15905-4305 | 2006-06-09 |
1841297389 | Stephen Lee Miller | Surgery | 1086 Franklin St, Good Samaritan Bldg., Ground Floor, Johnstown, PA 15905-4305 | 2005-06-30 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205272127 | Lily Tung | Surgery | 51 N. 39th Street, Suite 120, Philadelphia, PA 19104 | 2013-05-18 |
1083994149 | Mobile Wound Consultants II Inc. | Surgery | 123 Powderhorn Ln, Media, PA 19063-4520 | 2011-08-22 |
1073741484 | Joseph S Fernandez-moure | Surgery | 51 N 39th St Rm 120, Philadelphia, PA 19104 | 2009-06-24 |
1790913267 | Lourdes Castanon | Surgery | 2570 Haymaker Rd Ste 304, Monroeville, PA 15146-3513 | 2009-06-23 |
1508873126 | James Reilly | Surgery | 915 Lawn Ave Ste 203, Sellersville, PA 18960-1551 | 2006-08-03 |
1992729032 | Lexington Surgical | Surgery | 1701-12th Avenue, Bldg D, Altoona, PA 16602 | 2006-07-26 |
1750338166 | Donnelle L. Crouse | Surgery | 3685 Leah Dr, Emmaus, PA 18049-1560 | 2006-05-30 |
1952368136 | Jeremy Wynne Cannon | Surgery | 51 N 39th Street, Suite 120 Mob, Philadelphia, PA 19104 | 2006-04-29 |
1336117357 | Karyn L Butler | Surgery | 1245 Highland Ave Ste 302, Abington, PA 19001 | 2006-03-08 |
1285609404 | Ehyal Shweiki | Surgery | 1100 Walnut Street, Mob, 5th Floor, Philadelphia, PA 19107-5563 | 2006-02-21 |
Find all providers with the same taxonomy |
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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.