DR. KEITH WAYNE RUSSELL


Address: 1200 Ne 13th St, Oklahoma City, OK 73152-3277
Phone: 4055222368

DR. KEITH WAYNE RUSSELL (NPI# 1730270018) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1730270018
Entity Type Individual
Full Name DR. KEITH WAYNE RUSSELL
Credential D O
Practice Address 1200 Ne 13th St
Oklahoma City
OK 73152-3277
Practice Telephone 4055222368
Practice Fax Number 4055224120
Mailing Telephone 4055222368
Mailing Fax Number 4055224120
Enumeration Date 2006-09-28
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2084P0800X Psychiatry & Neurology
Specialization: Psychiatry
19746 OK Allopathic & Osteopathic Physicians

Other Providers KEITH RUSSELL

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1326335886 Keith Perry Russell Radiology 200 State Highway 30 W, New Albany, MS 38652-3112 2011-07-06
1275798480 Keith Russell Physical Therapist 1330 E Arlington Blvd, Suite A, Greenville, NC 27858-7850 2008-07-28
1023239662 Keith Duncan Russell Social Worker 20816 E 11 Mile Rd, Suite 113, Saint Clair Shores, MI 48081-1565 2007-05-01
1447328752 Keith Edmund Russell Dentist 495 Woodford St, Portland, ME 04103-2438 2006-12-04

Office Location

Street Address 1200 NE 13TH ST
City OKLAHOMA CITY
State OK
Zip Code 73152-3277

Providers in the same location

NPI Name Taxonomy Address Enumeration
1659322527 Peggy Louise Jewell Psychiatry & Neurology 1200 Ne 13th St, Oklahoma City, OK 73117-1022 2006-05-15
1881206142 Rozella Marie Murray Technician, Other 1200 Ne 13th St, Oklahoma City, OK 73117-1022 2020-08-18
1821619834 Amanda Kay Holer Peer Specialist 1200 Ne 13th St, Oklahoma City, OK 73117-1022 2020-04-30
1104301563 Christie Eve Horn Case Manager/Care Coordinator 1200 Ne 13th St, Oklahoma City, OK 73117-1022 2018-10-01
1639658032 Ophelia Lorene Viezcas Peer Specialist 1200 Ne 13th St, Oklahoma City, OK 73117-1022 2018-08-07
1245725738 Shannon D Clymer Peer Specialist 1200 Ne 13th St, Oklahoma City, OK 73117-1022 2018-06-27
1457886871 Taft Jackson II Behavior Technician 1200 Ne 13th St, Oklahoma City, OK 73117-1022 2017-04-23
1154854743 Limbusha Fields Behavior Technician 1200 Ne 13th St, Oklahoma City, OK 73117-1022 2017-04-10
1104378819 Canyon Merrill Peer Specialist 1200 Ne 13th St, Oklahoma City, OK 73117-1022 2016-10-28
1871963884 Sharryc Smith Counselor 1200 Ne 13th St, Oklahoma City, OK 73117-1022 2015-10-02
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1639375215 Harper R. Ward Anesthesiology 1200 Ne 13th, Okla. County Crisis Intervention Center, Oklahoma City, OK 73152 2007-06-21
1114187416 Benjamin D Pitman Anesthesiology 1200 Ne 13th, Okla. County Crisis Intervention Center, Oklahoma City, OK 73152 2008-06-11
1891061636 Oklahoma Crisis Recovery Unit Clinic/Center 1200 Ne 13th St., Oklahoma City, OK 73152-3277 2012-03-27
1669500088 James Bryan Hiel Counselor 1200 N.e. 13th, Oklahoma City, OK 73152-3277 2007-02-28
1164513453 Brandon Wayne Schader Psychiatry & Neurology 1200 N E 13th St, Oklahoma City, OK 73152-3277 2006-09-28
1205908126 Tamara E Hearst Psychiatry & Neurology 1200 N E 13th St, Oklahoma City, OK 73152-3277 2006-11-15
1073604369 Nilam Prakash Patel Psychiatry & Neurology 1200 N E 13th St, Oklahoma City, OK 73152-3277 2006-09-28

Taxonomy Information

Taxonomy Code 2084P0800X
Grouping Allopathic & Osteopathic Physicians
Classification Psychiatry & Neurology
Specialization Psychiatry

Taxonomy Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1700385481 Reeder Psychiatry Pllc Psychiatry & Neurology 2515 Nw 16th St, Oklahoma City, OK 73107-4839 2018-02-07
1568997401 Erin Walling Psychiatry & Neurology 920 Stanton L Young Blvd Ste 3440, Oklahoma City, OK 73104-5036 2017-04-28
1992259501 Tranquil Psychiatry Clinic,llc Psychiatry & Neurology 333 Nw 5th St, Apt. No. 1010, Oklahoma City, OK 73102-3080 2016-08-11
1679937197 Geetika M Verma Md Plcc Psychiatry & Neurology 5100 N Brookline Ave Bldg Suite360, Oklahoma City, OK 73112-3623 2016-04-11
1104232768 Ayesha Sattar Psychiatry & Neurology 920 Stanton L Young Blvd # Wp3039, Oklahoma City, OK 73104-5036 2014-07-03
1457791444 Thuy Hong Nguyen Psychiatry & Neurology 5100 N Brookline Ave Ste 900, Oklahoma City, OK 73112-3630 2013-07-05
1851684971 Spring Child & Adult Psychiatry Pllc Psychiatry & Neurology 11032 Quail Creek Rd Ste 107, Oklahoma City, OK 73120-6208 2011-05-23
1093941452 Courtney Nixon Psychiatry & Neurology 3135 Nw 63rd St, Suite A, Oklahoma City, OK 73116-3701 2009-05-29
1982856548 Sebastian PC Psychiatry & Neurology 4100 W Memorial, Suite 221, Oklahoma City, OK 73120 2008-10-15
1932312691 Andrea James Psychiatry & Neurology 1330 N Classen Blvd Ste 112, Oklahoma City, OK 73106-6834 2007-05-08
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Competitor

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City OKLAHOMA CITY
Zip Code 73152

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Dataset Information

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.

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