DR. RUSSELL OWEN SCHUB (NPI# 1679583587) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679583587 |
| Entity Type | Individual |
| Full Name | DR. RUSSELL OWEN SCHUB |
| Credential | D.O. |
| Practice Address |
8875 Centre Park Dr Suite D Columbia MD 21045-2114 |
| Practice Telephone | 4107301000 |
| Practice Fax Number | 4107308615 |
| Mailing Telephone | 4107301000 |
| Mailing Fax Number | 4107308615 |
| Enumeration Date | 2006-08-09 |
| Last Update Date | 2009-01-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
H35058 | MD | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 526471500 | 05 |
| Street Address |
8875 CENTRE PARK DR SUITE D |
| City | COLUMBIA |
| State | MD |
| Zip Code | 21045-2114 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194961730 | Advanced Anesthesia, LLC | Clinic/Center | 8875 Centre Park Dr, Suite D, Columbia, MD 21045-2382 | 2009-01-03 |
| 1598932626 | Tsal N Wei | Anesthesiology | 8875 Centre Park Dr, Suite D, Columbia, MD 21045-2382 | 2008-05-08 |
| 1790974152 | Dara E Burstein | Nurse Practitioner | 8875 Centre Park Dr, Suite D, Columbia, MD 21045-2382 | 2007-10-22 |
| 1336332998 | Dr Russell O Schub Pa | Nurse Practitioner | 8875 Centre Park Dr, Suite D, Columbia, MD 21045-2382 | 2007-08-27 |
| 1831214717 | Advanced Endoscopy Center of Howard County, LLC | Clinic/Center | 8875 Centre Park Dr, Ste D, Columbia, MD 21045-2114 | 2007-03-20 |
| 1356436273 | Deborah Jackson | Nurse Practitioner | 8875 Centre Park Dr, Suite D, Columbia, MD 21045-2114 | 2006-10-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497374136 | Keenan Eldridge | Behavior Technician | 8950 Md-108, Suite 100, Columbia, MD 21045 | 2020-04-13 |
| 1730724220 | Luci Lee Redman Cassella | Family Medicine | 8900 Columbia 100 Parway Suite G, Columbia, MD 21045 | 2019-11-08 |
| 1417519414 | Howard County Health Department | Clinic/Center | Cradlerock Elementary School-based Wellness Center, 6700 Cradlerock Way, Columbia, MD 21045 | 2019-07-01 |
| 1649754490 | Dana Pirzchalski | Behavioral Analyst | 8815 Columbia Parkwary, 4, Columbia, MD 21045 | 2018-09-18 |
| 1871089177 | Melissa Jo Kennedy | Behavior Technician | 8815 Columbia Parkway, 4, Columbia, MD 21045 | 2018-07-10 |
| 1497246193 | Kjd | Physical Therapist | 8900 Columbia 100 Pkwy Ste C, Columbia, MD 21045 | 2018-05-29 |
| 1174010276 | Roger Lee | Audiologist | 8600 Snowden River Pkwy #309, Columbia, MD 21045 | 2018-04-16 |
| 1811497910 | Dominique Nichole Hale | Behavior Technician | 8115 Columbia 100 Parkway, Suite 4, Columbia, MD 21045 | 2018-02-15 |
| 1982116802 | Bradley D. Stiles | Acupuncturist | 6257 Deep River Cyn, Columbia, MD 21045 | 2017-11-01 |
| 1194234849 | University of Maryland Eye Associates, P.a. | Eyewear Supplier (Equipment, not the service) | 5900 Waterloo Road, Suite 230, Columbia, MD 21045 | 2017-09-26 |
| Find all providers in zip 21045 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal 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 |
|---|---|---|---|---|
| 1477160984 | Lifebridge Community Physicians Inc | Internal Medicine | 8875 Centre Park Dr Ste D, Columbia, MD 21045-2382 | 2020-09-29 |
| 1902099336 | Ekta Gupta | Internal Medicine | 10700 Charter Dr Ste 310, Columbia, MD 21044-3730 | 2007-08-20 |
| 1275743221 | Eduardo Castillo Del Castillo | Internal Medicine | 7120 Minstrel Way Ste 100, Columbia, MD 21045-5274 | 2007-05-22 |
| 1992715361 | Richard Martin Helman | Internal Medicine | 6439 Garners Ferry Rd # V, Gastroenterology 2 East, Columbia, SC 29209-1638 | 2006-08-09 |
| 1265470140 | Gerald Bertiger | Internal Medicine | 3 Richland Medical Park Dr Ste 120, Columbia, SC 29203-6850 | 2006-06-03 |
| 1174575294 | Nicolas Llorens | Internal Medicine | 210 Portland St, Suite 100, Columbia, MO 65201-6677 | 2006-05-17 |
| 1376508374 | Amit A Choksi | Internal Medicine | 1222 Trotwood Avenue, Ste 501, Columbia, TN 38401-6422 | 2006-04-20 |
| 1093777310 | Daniel Iseman | Internal Medicine | 1520 Taylor St, Suite 200, Columbia, SC 29201-2901 | 2006-04-03 |
| 1811962517 | Lawrence Fredric Sorkin | Internal Medicine | 10382 Barcan Cir, Columbia, MD 21044-2504 | 2006-02-17 |
| 1346213824 | Rudrajit Masand Rai | Internal Medicine | 7120 Minstrel Way, Suite 100, Columbia, MD 21045-5248 | 2006-02-07 |
| Find all providers in COLUMBIA | ||||
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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.