DR. DOUGLAS C RUSSELL (NPI# 1720091119) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720091119 |
| Entity Type | Individual |
| Full Name | DR. DOUGLAS C RUSSELL |
| Credential | MD |
| Practice Address |
2500 Overlook Ter Veterans Hospital Madison WI 53705-2254 |
| Mailing Address |
630 Ondossagon Way Madison WI 53719-3244 |
| Practice Telephone | 6082807003 |
| Mailing Telephone | 6082807003 |
| Enumeration Date | 2006-08-15 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
39296-020 | WI | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487617619 | Douglas B Russell | Physician Assistant | 439 Us Hwy 158 West, Yanceyville, NC 27379 | 2006-04-10 |
| 1477113744 | Douglas Charles Russell | Counselor | 1035 Market St Ste 400, San Francisco, CA 94103-1665 | 2019-06-18 |
| 1255842308 | Douglas Kendal Russell | Physician Assistant | 2000 Mon Health Medical Park Dr Ste 2300, Morgantown, WV 26505-1134 | 2017-10-17 |
| 1912343096 | Douglas Russell | Urology | 3327 Research Plz Ste 403, San Antonio, TX 78235 | 2013-05-16 |
| 1639463367 | Douglas Andrew Russell | Psychiatry & Neurology | 4800 Sand Point Way Ne, Seattle, WA 98105 | 2011-05-28 |
| 1932124112 | Douglas A Russell | Internal Medicine | 7100 W Center Rd, Omaha, NE 68106-2700 | 2006-07-12 |
| Street Address |
2500 OVERLOOK TER VETERANS HOSPITAL |
| City | MADISON |
| State | WI |
| Zip Code | 53705-2254 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104820448 | Diane Marie Conway | Nurse Practitioner | 2500 Overlook Ter, Madison, WI 53705-2254 | 2005-06-01 |
| 1124627310 | Aracely Becerra | Social Worker | 2500 Overlook Ter, Madison, WI 53705-2254 | 2020-10-20 |
| 1679172027 | Christopher James Dietzman | Podiatrist | 2500 Overlook Ter, Madison, WI 53705-2254 | 2020-10-17 |
| 1265039846 | Kathryn Ann Jamieson | Nurse Practitioner | 2500 Overlook Ter, Madison, WI 53705-2254 | 2020-10-06 |
| 1538766720 | Kevin Charles Cannon | Physical Therapist | 2500 Overlook Ter, Madison, WI 53705-2254 | 2020-10-01 |
| 1194330670 | Rikki Hanifin | Pharmacist | 2500 Overlook Ter, Madison, WI 53705-2254 | 2020-09-11 |
| 1184238172 | Julia Grace Gilbertson | Pharmacist | 2500 Overlook Ter, Madison, WI 53705-2254 | 2020-09-07 |
| 1073127072 | Mackenzie Betancur | Pharmacist | 2500 Overlook Ter, Madison, WI 53705-2254 | 2020-09-07 |
| 1265043061 | Bradley John Rehrauer | Physical Medicine & Rehabilitation | 2500 Overlook Ter, Madison, WI 53705-2254 | 2020-08-14 |
| 1629688783 | Taylor Iverson | Registered Nurse | 2500 Overlook Ter, Madison, WI 53705-2254 | 2020-08-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629563986 | Magdalena Maria Siodlak | Pharmacist | 2500 Overlook Terrace (119), Madison, WI 53705 | 2018-06-28 |
| 1104343243 | Aisling Margaret Tallman | Physician Assistant | 725 University Row, Apt 124, Madison, WI 53705 | 2017-08-29 |
| 1346785938 | Rachel Maria Sanabria | Social Worker | 4513 Vernon Blvd Ste 100, Madison, WI 53705 | 2017-01-05 |
| 1124482856 | Samantha Jo Juve | Social Worker | 313 Price Pl Ste 212, Madison, WI 53705 | 2016-04-08 |
| 1912373002 | Brittany Dennis | Counselor | 5005 University Avenue, Suite 100, Madison, WI 53705 | 2015-08-12 |
| 1225456981 | John Martin Floberg | Radiology | 2140, Med 4 Mailbox, Hslc, 750 Highland Ave., Madison, WI 53705 | 2014-03-31 |
| 1457693319 | Matthew Ryan May-curry | Psychiatry & Neurology | 2500 Overlook Ter # 116a, Madison, WI 53705 | 2013-03-19 |
| 1396083168 | Madison Psychiatric & Psychological Services | Psychiatry & Neurology | 702 N. Blackhawk Ave, #100, Madison, WI 53705 | 2013-01-29 |
| 1174872808 | Natasha Bulat | Massage Therapist | 5317 Old Middleton Rd, Room #102, 'hot Stone Therapy & Massage', Madison, WI 53705 | 2012-09-10 |
| 1033401609 | Ann B Braus | Family Medicine | 6209 Mineral Point Rd, Madison, WI 53705 | 2011-05-13 |
| Find all providers in zip 53705 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://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 |
|---|---|---|---|---|
| 1215414727 | Telemedico Physicians of Wisconsin Sc | Internal Medicine | 301 S Bedford St Ste 1, Madison, WI 53703-3691 | 2018-07-26 |
| 1932489291 | Proactive Cardiology LLC | Internal Medicine | 2614 Hubbard Rd, Madison, OH 44057-2530 | 2011-08-18 |
| 1265730865 | Richard Glenn Hutchinson | Internal Medicine | 337 Long Cove Dr, Madison, MS 39110-9113 | 2011-03-05 |
| 1073844932 | James Harry Thomsen | Internal Medicine | 7709 Twinflower Dr, Madison, WI 53719-4544 | 2010-01-15 |
| 1194998955 | Manoochehr Meshginpoosh | Internal Medicine | 5856 Chapel Rd, Madison, OH 44057-1754 | 2008-04-11 |
| 1083893606 | Kornelia Keszler, Md, PC | Internal Medicine | 1-b Meigswood Ave, Madison, CT 06443 | 2007-10-31 |
| 1821002833 | Alfred E Hutcheson | Internal Medicine | 794 Highway 51, Suite D, Madison, MS 39110-9662 | 2006-07-27 |
| 1396701553 | Zilin Wang | Internal Medicine | 100 Whisper Lake Blvd, Madison, MS 39110-7881 | 2006-04-25 |
| 1396713368 | Bonnie Lynn Hiatt | Internal Medicine | 27 Indigo Trl, Madison, CT 06443-1960 | 2006-03-08 |
| 1861469470 | Tamara S Hagen | Internal Medicine | 811 Potawatomi Dr, Madison, WI 53718 | 2006-03-02 |
| Find all providers in MADISON | ||||
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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.