RUSSELL NIELAND (NPI# 1750486262) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750486262 |
| Entity Type | Individual |
| Full Name | RUSSELL NIELAND |
| Credential | P.T., C.H.T. |
| Practice Address |
1420 London Rd Suite 102 Duluth MN 55805-2433 |
| Practice Telephone | 2187283774 |
| Practice Fax Number | 2187283640 |
| Mailing Telephone | 2187283774 |
| Mailing Fax Number | 2187283640 |
| Enumeration Date | 2006-09-13 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251H1200X |
Physical Therapist Specialization: Hand |
1734 | MN | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | MEDICA INDIVIDUAL | 6411554 | 01 |
| WI | 40008000 | 05 | |
| MN | BCBSMN INDIVIDUAL | 32B71NI | 01 |
| Street Address |
1420 LONDON RD SUITE 102 |
| City | DULUTH |
| State | MN |
| Zip Code | 55805-2433 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033116942 | Sara King Downs | Audiologist | 1420 London Rd, Suite 105, Duluth, MN 55805-2433 | 2005-07-07 |
| 1851640478 | Kristy Lynn Derosia | Dental Hygienist | 1420 London Rd, Suite 206, Duluth, MN 55805-2433 | 2012-08-29 |
| 1235467655 | Eva Grant Trueblood-pearce | Physical Therapist | 1420 London Rd, Suite 102, Duluth, MN 55805-2433 | 2009-11-23 |
| 1942450143 | Sara Beth Chmielewski | Physical Therapist | 1420 London Rd, Suite 102, Duluth, MN 55805-2433 | 2008-09-24 |
| 1821251455 | Occupational and Manual Medicine of Duluth | Preventive Medicine | 1420 London Rd, Suite 102b, Duluth, MN 55805-2433 | 2008-07-03 |
| 1114110624 | Lisa Marie Mcinally | Physical Therapist | 1420 London Rd, Suite 102, Duluth, MN 55805-2433 | 2007-08-20 |
| 1447456058 | Kara Conry | Dentist | 1420 London Rd, Suite 206, Duluth, MN 55805-2433 | 2007-06-21 |
| 1740311067 | Northern Arm & Hand Center, Inc. | Durable Medical Equipment & Medical Supplies | 1420 London Rd, Suite 102, Duluth, MN 55805-2433 | 2007-03-08 |
| 1477612604 | Gillette Children's Specialty Healthcare | Durable Medical Equipment & Medical Supplies | 1420 London Rd, Duluth, MN 55805-2433 | 2006-12-06 |
| 1649376682 | Janice Culliton | Physical Therapist | 1420 London Rd, Suite 102, Duluth, MN 55805-2433 | 2006-09-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356852180 | Peace of Mind of Duluth, Inc. | Community/Behavioral Health | 1000 East 1st Street, Suite 100, Duluth, MN 55805 | 2017-10-19 |
| 1891213419 | Arielle Skalisky | Registered Nurse | 400 E. 3rd Street, Duluth, MN 55805 | 2017-09-04 |
| 1457886400 | Chefrdn, LLC | Dietitian, Registered | 1101 East 4th Street, Duluth, MN 55805 | 2017-04-27 |
| 1962811604 | Claire Elena Kap | Nurse Practitioner | Essentia Health Duluth Clnic, 400 East Third Street, Duluth, MN 55805 | 2014-08-06 |
| 1598196313 | Kelsey Lindsay Putvin | Audiologist | 400 E 3rd St., Duluth, MN 55805 | 2013-12-04 |
| 1639462997 | James F Conniff | Family Medicine | Duluth Family Medicine Clinic, 330 N Eighth Ave E, Duluth, MN 55805 | 2011-05-19 |
| 1215237433 | Bobby Jo Mineheine | Speech-Language Pathologist | 530 East Second St, Polinsky Medical Rehab Ctr, Duluth, MN 55805 | 2010-10-22 |
| 1891004248 | Robin Michelle Warfel | Occupational Therapist | 530 East 2nd Street, Polinsky Medical Rehabilitation Center, Duluth, MN 55805 | 2010-10-04 |
| 1154638716 | Jennifer Chen | Pharmacist | 420 E 1st St Mail Drop 1s3w10, Duluth, MN 55805 | 2010-09-02 |
| 1376858084 | Jennifer Lynn Howard | Pharmacist | 211 West Fourth Street, Center for American Indian Resources, Duluth, MN 55805 | 2010-08-18 |
| Find all providers in zip 55805 | ||||
| Taxonomy Code | 2251H1200X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Hand |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144337635 | Susan M Wagner | Physical Therapist | 85 Pleasant Dr, Hastings, MN 55033-1648 | 2006-08-23 |
| 1801920640 | Julie E Liebelt | Physical Therapist | 800 E 28th St, Suite 1750, Minneapolis, MN 55407-3723 | 2007-03-15 |
| 1427076694 | Mary Beth Schiffer | Physical Therapist | 4010 W 65th St, Edina, MN 55435-1706 | 2006-07-17 |
Please comment or provide details below to improve the information on RUSSELL NIELAND.
| 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.