DR. MARK DALE RUSSELL (NPI# 1689671315) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1689671315 |
Entity Type | Individual |
Full Name | DR. MARK DALE RUSSELL |
Credential | D.C. |
Practice Address |
5309 44th St Lubbock TX 79414-1321 |
Practice Telephone | 8067924041 |
Mailing Telephone | 8067924041 |
Enumeration Date | 2005-07-07 |
Last Update Date | 2014-04-01 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 111N00000X | Chiropractor | 2622 | OK | Chiropractic Providers |
N | 111N00000X | Chiropractor | 928 | MT | Chiropractic Providers |
N | 111N00000X | Chiropractor | 1894 | NM | Chiropractic Providers |
Y | 111N00000X | Chiropractor | 5912 | TX | Chiropractic Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831710771 | Mark William Russell | Dentist | 461 Western Blvd Ste 104, Jacksonville, NC 28546-7637 | 2020-05-01 |
1144752221 | Mark Russell | Social Worker | 475 Sykesville Troutville Rd, Punxsutawney, PA 15767-4367 | 2017-03-29 |
1154767267 | Mark Stephen Russell Jr. | Counselor | 3901 Airport Fwy Ste 107, Bedford, TX 76021-6117 | 2013-05-15 |
1437314366 | Mark William Russell | Community Health Worker | 108 Schooner Landing Dr, Edenton, NC 27932-8833 | 2008-07-21 |
1306867049 | Mark Duane Russell | Specialist/Technologist | 3950 Hollywood Rd Ste 140, Saint Joseph, MI 49085-9151 | 2006-07-21 |
1639137540 | Mark Russell | Internal Medicine | 13024 Hesperia Rd Ste 103, Victorville, CA 92395-8303 | 2006-05-02 |
1154827756 | Mark Russell | Student in an Organized Health Care Education/Training Program | 2160 S 1st Ave, Maywood, IL 60153-3328 | 2018-04-03 |
1033654967 | Mark Russell | Pharmacist | 2920 Knoxville Center Dr, Knoxville, TN 37924-2013 | 2017-01-02 |
1477097392 | Mark Russell | Social Worker | 302 S Spring St, Tupelo, MS 38804-4853 | 2016-12-12 |
1134463870 | Mark Joseph Russell | Occupational Therapist | 275 East Main Street, Frankfort, KY 40621-0001 | 2012-11-19 |
Street Address |
5309 44TH ST |
City | LUBBOCK |
State | TX |
Zip Code | 79414-1321 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275182032 | Ensight Vision LLC | Optometrist | 6002 Slide Road, Lubbock, TX 79414 | 2019-09-05 |
1932697604 | Lone Star Mobile Med | Family Medicine | 5504 Wayne Ave Ste 105, Lubbock, TX 79414 | 2018-04-27 |
1679986806 | Nicole Evans-taylor | Pharmacist | 4847 Slide Road, Lubbock, TX 79414 | 2014-06-05 |
1679911697 | Jamel Deshane Vaughn | Optometrist | 6002 Slide Rd Ste P-8, Lubbock, TX 79414 | 2013-06-12 |
1659663284 | Vision One Associates | Optometrist | 6221 Slide Road, Lubbock, TX 79414 | 2011-05-16 |
1154445963 | C M Davis Od Pllc | Optometrist | 6002 Slide Road Suite P-8, Lubbock, TX 79414 | 2007-03-19 |
1922154632 | National Vision, Inc. | Eyewear Supplier (Equipment, not the service) | 5602 Slide Road, Lubbock, TX 79414 | 2007-01-26 |
1043393846 | Emily Rose Bohn | Physical Therapist | 3501 S. Loop 289, Lubbock, TX 79414 | 2006-10-23 |
1720176928 | Vann Alexander Home Medical Supplies Inc | Durable Medical Equipment & Medical Supplies | 5313 50th Street, Suite D-5, Lubbock, TX 79414 | 2006-10-11 |
1952499279 | Bradley Derl Brooks | Dentist | 5301 50th Street #200, Lubbock, TX 79414 | 2006-10-11 |
Find all providers in zip 79414 |
Taxonomy Code | 111N00000X |
Grouping | Chiropractic Providers |
Classification | Chiropractor |
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184245573 | Jim Lee Lowrance | Chiropractor | 5152 69th Suite 101, Suite 101 Box #2, Lubbock, TX 79424 | 2020-04-27 |
1982166732 | Krista Michelle Sanders | Chiropractor | 2507 79th St Ste A, Lubbock, TX 79423-2211 | 2019-04-02 |
1649776808 | Courtney D Sproul | Chiropractor | 7021 Kewanee Ave Unit 8101, Lubbock, TX 79424-7050 | 2018-04-04 |
1871097667 | Jason Jerry Barker | Chiropractor | 3411 61st St, Lubbock, TX 79413-5407 | 2018-03-19 |
1811416555 | Allana Patel | Chiropractor | 2120 29th St, Lubbock, TX 79411-1410 | 2017-09-13 |
1912444019 | Niraj Patel | Chiropractor | 5715 82nd St, Lubbock, TX 79424-2633 | 2017-01-26 |
1285012930 | Karim Shoujaa | Chiropractor | 3624 50th St, Suite D, Lubbock, TX 79413-3912 | 2015-05-14 |
1508282260 | Kayla Ruth Ahlfinger | Chiropractor | 3716 64th Dr, Lubbock, TX 79413-5312 | 2014-03-05 |
1083045462 | Family, Sports & Golf Chiropractic | Chiropractor | 6302 Frankford Ave, Suite 2, Lubbock, TX 79424-1220 | 2013-12-10 |
1992147375 | Korey Kothmann, D.c., Pa | Chiropractor | 5407 4th St Unit F, Lubbock, TX 79416-4379 | 2013-07-25 |
Find all providers in LUBBOCK |
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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.