DR. DAMIAN PAUL ROUSSEL (NPI# 1659436509) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1659436509 |
Entity Type | Individual |
Full Name | DR. DAMIAN PAUL ROUSSEL |
Credential | DPM |
Practice Address |
86 Thomas Johnson Ct Frederick MD 21702-4348 |
Mailing Address |
51 Gideon Garth Severna Park MD 21146-4000 |
Practice Telephone | 3016948311 |
Practice Fax Number | 3016943537 |
Mailing Telephone | 2156681513 |
Enumeration Date | 2006-12-22 |
Last Update Date | 2020-06-14 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
01449 | MD | Podiatric Medicine & Surgery Service Providers |
N | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
SC005669 | PA | Podiatric Medicine & Surgery Service Providers |
Street Address |
86 THOMAS JOHNSON CT |
City | FREDERICK |
State | MD |
Zip Code | 21702-4348 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972599678 | Michael D Kennedy | Physician Assistant | 86 Thomas Johnson Ct, Frederick, MD 21702-4348 | 2005-09-27 |
1457962219 | Jamie Lynn Russell | Physical Therapist | 86 Thomas Johnson Ct, Frederick, MD 21702-4348 | 2020-08-13 |
1053970335 | Lucas Lin Chang | Physical Therapist | 86 Thomas Johnson Ct, Frederick, MD 21702-4348 | 2019-06-10 |
1417469883 | Mackenzie Renee Frazier | Occupational Therapist | 86 Thomas Johnson Ct, Frederick, MD 21702-4348 | 2017-10-25 |
1619486701 | Centers for Advanced Orthopaedics, LLC | Orthopaedic Surgery | 86 Thomas Johnson Ct, Frederick, MD 21702 | 2017-09-21 |
1124547468 | Centers for Advanced Orthopaedics, LLC | Orthopaedic Surgery | 86 Thomas Johnson Ct, Frederick, MD 21702 | 2017-09-19 |
1104345719 | Centers for Advanced Orthopaedics, LLC | Orthopaedic Surgery | 86 Thomas Johnson Ct, Frederick, MD 21702-4348 | 2017-09-14 |
1578087276 | Centers for Advanced Orthopaedics, LLC | Occupational Therapist | 86 Thomas Johnson Ct, Frederick, MD 21702 | 2017-08-03 |
1215451919 | Centers for Advanced Orthopaedics, LLC | Chiropractor | 86 Thomas Johnson Ct, Frederick, MD 21702 | 2017-08-03 |
1962950196 | Megan Willis | Physical Therapist | 86 Thomas Johnson Ct, Frederick, MD 21702-4348 | 2016-09-16 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073129714 | Rita Akowuah | Nurse Practitioner | 1302 Baker Place East Apt 14, Frederick, MD 21702 | 2020-09-18 |
1912416272 | Morgan Nicely | Behavior Technician | 65 Thomas Johnson Drive Suite A, Frederick, MD 21702 | 2017-09-29 |
1154840494 | Centers for Advanced Orthopaedics, LLC | Orthopaedic Surgery | 184 Thomas Johnson Dr Ste 104, Frederick, MD 21702 | 2017-09-19 |
1831617471 | Hazel Elizabeth Gill | Physical Therapy Assistant | 2007 Butterfield Overlook, Frederick, MD 21702 | 2017-09-05 |
1831610161 | William Haynes | Nurse Practitioner | 103 Water Land Ct., Frederick, MD 21702 | 2017-06-27 |
1497299333 | Timothy Stimach | Pharmacist | 1430b W Patrick St, Frederick, MD 21702 | 2016-12-12 |
1184167405 | Maryland Nutrition and Diet Services, L.L.C. | Dietitian, Registered | 1301 W. 7th Street, No. 1607, Frederick, MD 21702 | 2016-11-18 |
1649649468 | Oluwakemi Olubunmi Osidele | Nurse Practitioner | 188 Thomas Johnson Dr Ste 102, Frederick, MD 21702 | 2015-09-22 |
1841678562 | Ventzislava Hristova | Spec/Tech, Pathology | 1050 Boyles St. Building 560 Room 12-39, National Cancer Institute - Frederick, Frederick, MD 21702 | 2015-05-14 |
1023404571 | Mychal Lynn Pilia | Advanced Practice Midwife | 7420 Hayward Road, Suite 104, Frederick, MD 21702 | 2015-04-11 |
Find all providers in zip 21702 |
Taxonomy Code | 213ES0103X |
Grouping | Podiatric Medicine & Surgery Service Providers |
Classification | Podiatrist |
Specialization | Foot & Ankle Surgery |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699718379 | Larry K Birriel | Podiatrist | 1433 Porter St, Fort Detrick Army Garrison, Frederick, MD 21702-9211 | 2006-06-13 |
1467413195 | Brenna Leigh Steinberg | Podiatrist | 141 Thomas Johnson Dr, Suite 170, Frederick, MD 21702-4530 | 2006-03-31 |
1164408746 | David Allen Lieb | Podiatrist | 10 Hillcrest Dr, Suite 25, Frederick, MD 21703-6107 | 2005-12-15 |
1912902545 | Jennifer E Mullendore | Podiatrist | 182 Thomas Johnson Dr Ste 204, Frederick, MD 21702-4557 | 2005-06-20 |
1932104007 | Kenneth James Benjamin | Podiatrist | 198 Thomas Johnson Dr, Ste 4, Frederick, MD 21702-4398 | 2005-06-16 |
1144602244 | Jacqueline Chen | Podiatrist | 141 Thomas Johnson Dr Ste 170, Frederick, MD 21702 | 2015-06-24 |
1619300779 | Isaac Kwaku Neequaye | Podiatrist | 141 Thomas Johnson Dr, Suite 170, Frederick, MD 21702-4502 | 2013-08-13 |
1619317419 | Sana Jahan Shamim | Podiatrist | 63 Thomas Johnson Dr, Suite C, Frederick, MD 21702-4384 | 2013-06-26 |
1386943561 | Laser Podiatry Associates, LLC | Podiatrist | 182 Thomas Johnson Dr Ste 204, Frederick, MD 21702-4557 | 2011-03-27 |
1902135296 | Coralia Terol | Podiatrist | 141 Thomas Johnson Dr, Suite 170, Frederick, MD 21702-4502 | 2009-12-15 |
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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.