DR. RUSSELL CARLSTON (NPI# 1710369095) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710369095 |
| Entity Type | Individual |
| Full Name | DR. RUSSELL CARLSTON |
| Credential | D.P.M |
| Practice Address |
516 W 14th Ave Ste 100 Holdrege NE 68949-1215 |
| Mailing Address |
1401 St Joseph Pkwy Houston TX 77002-8301 |
| Practice Telephone | 3089954431 |
| Mailing Telephone | 7137568217 |
| Enumeration Date | 2015-06-23 |
| Last Update Date | 2018-09-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | 369 | NE | Podiatric Medicine & Surgery Service Providers |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1401 St Joseph Pkwy, Houston, TX 770028301 | 7137568217 |
| Street Address |
516 W 14TH AVE STE 100 |
| City | HOLDREGE |
| State | NE |
| Zip Code | 68949-1215 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184705980 | Shane Michael Smith | Family Medicine | 516 W 14th Ave Ste 100, Holdrege, NE 68949-1215 | 2006-10-18 |
| 1619454485 | Holdrege Medical Clinic, P.C. | Family Medicine | 516 W 14th Ave Ste 100, Holdrege, NE 68949-1215 | 2018-07-25 |
| 1104209337 | Kathryn Thelen | Family Medicine | 516 W 14th Ave Ste 100, Holdrege, NE 68949 | 2015-07-07 |
| 1487032181 | Krista Marie Stoecker | Family Medicine | 516 W 14th Ave Ste 100, Holdrege, NE 68949-1215 | 2015-05-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740623354 | Wells Health PC | Chiropractor | 502 4th Ave., Holdrege, NE 68949 | 2013-04-12 |
| 1841568722 | Mileah A. Panter | Nurse Practitioner | Phelps Medical Group, 1315 Tibbals Street, Holdrege, NE 68949 | 2011-12-07 |
| 1386706984 | Grant Joel Hinze | Dentist | 725 Burlington, Holdrege, NE 68949 | 2006-12-14 |
| 1407922388 | Timothy Wade Fuehrer | Chiropractor | 812 4th Avenue, Holdrege, NE 68949 | 2006-11-24 |
| 1730271537 | South Central Behavioral Services | Clinic/Center | 701 4th Avenue, Suite 11a, Holdrege, NE 68949 | 2006-09-29 |
| 1396851572 | Douglas Mark Hohman | Dentist | 1223 Hill St, Holdrege, NE 68949 | 2006-08-21 |
| 1528004231 | Charlotte A Wirges | Family Medicine | 1315 Tibbals Street, Holdrege, NE 68949 | 2006-06-21 |
| 1962473835 | Great Plains Surgery PC | Surgery | 1138 Miller Street, Holdrege, NE 68949 | 2006-01-30 |
| 1790180263 | Sarah L Bader | Occupational Therapist | 516 W 14th Ave, Ste 200, Holdrege, NE 68949 | 2014-10-27 |
| 1689979684 | Katie M Brooks | Occupational Therapist | 516 W 14th Ave, Ste 200, Holdrege, NE 68949 | 2011-01-21 |
| Find all providers in zip 68949 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437607298 | Advanced Foot & Ankle LLC | Podiatrist | 3213 South 24th Street, Suite 101b, Omaha, NE 68108-1832 | 2016-09-21 |
| 1467830083 | Ryan Supon | Podiatrist | 2824 North 6th Ave, Omaha, NE 68104-3928 | 2015-05-14 |
| 1164619409 | Katherine J. Berger, D.p.m. | Podiatrist | 747 N Burlington Ave Ste 308, Hastings, NE 68901-4478 | 2007-10-01 |
| 1023203874 | Richard M. Evans, D.p.m., P.C. | Podiatrist | 3401 O St, Lincoln, NE 68510-1541 | 2007-09-13 |
| 1982826111 | Ankle & Foot Clinic PC | Podiatrist | 8625 Q St, Omaha, NE 68127-3673 | 2007-05-03 |
| 1467532986 | Steven Dale Meinhold | Podiatrist | 11334 Elm St, Omaha, NE 68144-4733 | 2006-10-17 |
| 1043390578 | Elizabeth Marie Klawitter | Podiatrist | 11071 W Maple Rd, Omaha, NE 68164-2604 | 2006-10-17 |
| 1710076906 | Torrey Brett Rassfeld | Podiatrist | 2627 Stockwell St, Lincoln, NE 68502-5755 | 2006-10-12 |
| 1487749230 | Omaha Foot Care Center Inc | Podiatrist | 6659 Sorensen Parkway, Omaha, NE 68152-2139 | 2006-10-04 |
| 1508978693 | Brock Randall Angelos | Podiatrist | 4213 O St, Lincoln, NE 68510-1751 | 2006-08-31 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DR. RUSSELL CARLSTON.
| 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.