WILLIAM M RUSSELL (NPI# 1720178445) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720178445 |
| Entity Type | Individual |
| Full Name | WILLIAM M RUSSELL |
| Credential | MD |
| Practice Address |
5401 S Congress Ave Ste 201 Atlantis FL 33462-6637 |
| Mailing Address |
5700 Lake Worth Rd Ste 204 Greenacres FL 33463-3213 |
| Practice Telephone | 5616935403 |
| Mailing Telephone | 5619667707 |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2018-01-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | D30182 | MD | Allopathic & Osteopathic Physicians |
| Y | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
D0030182 | MD | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| BCBS OF DC | 0012 | 01 | |
| CAREFIRST BCBS OF MD | 0943ER-399490-05 | 01 | |
| MD | 369001600 | 05 | |
| BCBS OF MD | 39949003 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770050700 | William Russell | Hearing Instrument Specialist | 1105 Broad St, Ashland, OH 44805-2910 | 2018-10-29 |
| 1871079335 | William Andrew Russell | Social Worker | 3051 W Maple Loop Dr Ste 210, Lehi, UT 84043-4602 | 2018-07-17 |
| 1982842589 | William Russell | Pharmacist | 7014 Flax St, Springfield, VA 22152-3423 | 2009-02-04 |
| 1477746857 | William Joseph Russell Jr. | Physical Therapist | 12001 Pacific Ave S Ste 101, Tacoma, WA 98444-5101 | 2007-08-20 |
| 1326170127 | William A Russell | Dentist | 2002 No University, Little Rock, AR 72207 | 2007-03-09 |
| 1801943469 | William F. Russell | Psychologist | 1241 Vine St, Suite 300, Philadelphia, PA 19107-1111 | 2007-01-05 |
| 1013000520 | William E. Russell | Social Worker | 3322 Grove Avenue, Richmond, VA 23221-2818 | 2006-10-02 |
| 1619077740 | William Douglas Russell | Chiropractor | 2820 Missouri Ave, Saint Louis, MO 63118-1641 | 2006-09-25 |
| 1548883671 | William Wakefield Russell | Pediatrics | 3401 Civic Center Blvd, Philadelphia, PA 19104-4319 | 2020-05-23 |
| 1447710579 | William Paul Russell | Student in an Organized Health Care Education/Training Program | 743 Spring St Ne Ste 710, Gainesville, GA 30501-3715 | 2019-03-24 |
| Street Address |
5401 S CONGRESS AVE STE 201 |
| City | ATLANTIS |
| State | FL |
| Zip Code | 33462-6637 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104449503 | Brightlife Institute, LLC | Clinic/Center | 2315 Shimmery Lane, Lake Worth, FL 33462 | 2020-05-20 |
| 1760024988 | Woodelyne Marc | Home Health | 1307 Flamingo Dr, Lantan, FL 33462 | 2019-10-09 |
| 1336624428 | Jennifer Lynn Jones | Nurse Practitioner | 5401 S Congress Ave Ste 105, Atlantis, FL 33462 | 2018-09-25 |
| 1427548445 | Publix Super Markets, Inc. | Pharmacy | 262 S Ocean Blvd, Manalapan, FL 33462 | 2018-05-15 |
| 1629567474 | Perfection Rx LLC | Pharmacy | 3248 Lantana Rd, Lake Worth, FL 33462 | 2018-05-08 |
| 1942797824 | Mayra Alejandra Tovar Castro | Student in an Organized Health Care Education/Training Program | 180 Jfk Drive, Suite 210, Atlantis, FL 33462 | 2018-04-17 |
| 1285131169 | Samar Ibrahim Mohamed Huss Aboulenain | Student in an Organized Health Care Education/Training Program | 180 Jfk Drive, Suite 210, Atlantis, FL 33462 | 2018-04-09 |
| 1801392535 | Carla Ortega | Student in an Organized Health Care Education/Training Program | 180 Jkf Drive, Suite 210, Atlantis, FL 33462 | 2018-04-02 |
| 1811427438 | Sonia Camille | Behavior Technician | 49 Sioux Ln, Lantana, FL 33462 | 2017-06-15 |
| 1922536648 | Alyzza De La Uz Forte | Nurse Practitioner | 180 John F Kennedy Dr, 311, Atlantis, FL 33462 | 2017-05-25 |
| Find all providers in zip 33462 | ||||
| Taxonomy Code | 207RG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Geriatric Medicine |
| An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. |
| 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 |
|---|---|---|---|---|
| 1235326471 | Kenneth S Jaffe Md Pa | Internal Medicine | 130 John F Kennedy Drive, Suite 134, Atlantis, FL 33462 | 2007-10-02 |
| 1174507529 | Kenneth Scott Jaffe | Internal Medicine | 130 John F Kennedy Dr, Suite 134, Atlantis, FL 33462-1141 | 2005-11-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669087722 | Norma Leticia Goodrich | Internal Medicine | 19265 Nw 252nd St, Okeechobee, FL 34972-6966 | 2020-09-14 |
| 1356811897 | Lake Behavioral Health Management | Internal Medicine | 225 W Canton Ave Ste 600, Winter Park, FL 32789-3181 | 2018-11-27 |
| 1528549490 | Ultra Health Providers of Florida | Internal Medicine | 105 Asterbrooke Dr, Deland, FL 32724 | 2018-08-28 |
| 1710464946 | Baptist Agewell Physicians Inc | Internal Medicine | 1350 13th Ave S Ste 118-a, Jacksonville Beach, FL 32250-3203 | 2018-07-20 |
| 1659891018 | Pocketdoc Physicians Pa | Internal Medicine | 333 Se 2nd Ave Ste 2000, Miami, FL 33131-2185 | 2017-06-26 |
| 1003349549 | On Call Wound Care LLC | Internal Medicine | 12798 Forest Hill Blvd Ste 205b, Wellington, FL 33414-4768 | 2017-04-11 |
| 1154781284 | Verimed Health Group Land O' Lakes, LLC | Internal Medicine | 2638 Narnia Way, Ste 101, Land O Lakes, FL 34638-7231 | 2016-03-02 |
| 1083082895 | Edith Maria Ortega | Internal Medicine | 528 Oceanfront, Neptune Beach, FL 32266 | 2015-09-10 |
| 1881083020 | Arnold Jay Simon, M.d. | Internal Medicine | 3175 S Congress Ave Ste 305, Palm Springs, FL 33461-2562 | 2015-01-12 |
| 1912300575 | Geriatrics and Hospitalists Associates | Internal Medicine | 3255 Cypress Legends Cir Apt 433, Fort Myers, FL 33905-5516 | 2014-09-26 |
| Find all providers with the same taxonomy | ||||
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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.