DAWN R RUSSELL (NPI# 1790892024) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790892024 |
| Entity Type | Individual |
| Full Name | DAWN R RUSSELL |
| Credential | M.D. |
| Practice Address |
12303 Ne 130th Ln Suite #420 Kirkland WA 98034 |
| Mailing Address |
12303 Ne 130th Ln Suite #420 Kirkland WA 98034-3099 |
| Practice Telephone | 4258996400 |
| Practice Fax Number | 4258994490 |
| Mailing Telephone | 4258996400 |
| Mailing Fax Number | 4258994490 |
| Enumeration Date | 2006-08-24 |
| Last Update Date | 2018-08-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | MD39840 | WA | Allopathic & Osteopathic Physicians |
| N | 207VX0000X |
Obstetrics & Gynecology Specialization: Obstetrics |
81225 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 1113158 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225675184 | Dawn Russell | Massage Therapist | 4839 W Oak Dr, New Palestine, IN 46163-9648 | 2019-12-10 |
| 1831637610 | Dawn Russell | Counselor | 1215 Sw G St, Grants Pass, OR 97526-2544 | 2017-02-01 |
| 1033568373 | Dawn Russell | Licensed Vocational Nurse | 13737 Noel Rd Ste 1400, Dallas, TX 75240-2004 | 2016-06-07 |
| 1336404938 | Dawn Marie Russell | Licensed Practical Nurse | 201 W Springdale Ave, Knoxville, TN 37917-5158 | 2012-07-10 |
| 1730375031 | Dawn Renee' Russell | Nurse Practitioner | 10706 Clemson Blvd, Seneca, SC 29678-4528 | 2007-09-20 |
| 1467651505 | Dawn S Russell | Student in an Organized Health Care Education/Training Program | 330 Cedar Street, Boardman Building, Second Floor, New Haven, CT 06520 | 2007-07-17 |
| 1508906116 | Dawn Marie Russell | Physician Assistant | 4881 Sugar Maple Dr, 88th Medical Group, Wright Patterson Afb, OH 45433-5250 | 2007-02-06 |
| 1356328413 | Dawn C Russell | Family Medicine | 970 N Kalaheo Ave Ste C306, Kailua, HI 96734-1873 | 2005-12-29 |
| Street Address |
12303 NE 130TH LN SUITE #420 |
| City | KIRKLAND |
| State | WA |
| Zip Code | 98034 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265436687 | Shannon Lee Bailey | Obstetrics & Gynecology | 12303 Ne 130th Ln, Suite 450, Kirkland, WA 98034-3099 | 2005-06-13 |
| 1598238966 | Transform Weight Loss LLC | Surgery | 12303 Ne 130th Ln, Kirkland, WA 98034-3099 | 2019-01-08 |
| 1720551195 | Peter S. Billing Md LLC | Surgery | 12303 Ne 130th Ln, Kirkland, WA 98034-3099 | 2019-01-08 |
| 1043695190 | Amy Bartnikowski | Advanced Practice Midwife | 12303 Ne 130th Ln, Kirkland, WA 98034-3099 | 2015-07-29 |
| 1003290073 | Xuemei Su | Nurse Practitioner | 12303 Ne 130th Ln, Ste400, Kirkland, WA 98034-3099 | 2015-07-19 |
| 1770913055 | Jocelyn Halverson | Nurse Practitioner | 12303 Ne 130th Ln, Ms 26, Kirkland, WA 98034-3099 | 2013-11-22 |
| 1073940219 | Rolin Alan Pruyn | Physician Assistant | 12303 Ne 130th Ln, Suite 550, Kirkland, WA 98034-3099 | 2013-10-02 |
| 1205137213 | Jennifer Anne Hamblett Mohr | Advanced Practice Midwife | 12303 Ne 130th Ln, Suite 225, Kirkland, WA 98034-3099 | 2010-11-07 |
| 1447563267 | Lisa Marguerite Arnold | Advanced Practice Midwife | 12303 Ne 130th Ln, Suite 500, Kirkland, WA 98034-3099 | 2010-07-21 |
| 1801107271 | Misung Kim | Internal Medicine | 12303 Ne 130th Ln, Suite 250, Kirkland, WA 98034-3099 | 2010-06-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578116596 | Rachel Bowers | Behavior Technician | 1335 Northeast 122nd Way, Suite 105, Kirkland, WA 98034 | 2019-07-18 |
| 1740841048 | Kristina Louise Inghram | Behavior Technician | 11415 Ne 128th St., Suite 40, Kirkland, WA 98034 | 2019-06-26 |
| 1053978064 | Matthew A. Bagnulo, Dds, Ps | Dentist | 11830 Ne 128th St., #202, Kirkland, WA 98034 | 2019-05-24 |
| 1629568928 | Stephanie Michalko | Optometrist | 11800 Ne 128th St Ste 110, Kirkland, WA 98034 | 2018-05-14 |
| 1952800013 | Heath Family Counseling LLC | Marriage & Family Therapist | 12025 115th Ave. Ne, Building D, Ste 200, Kirkland, WA 98034 | 2018-02-05 |
| 1891202834 | Barbara Josephine Gorham | Counselor | 2025 115th Ave Ne, Bldg D, #200, Kirkland, WA 98034 | 2017-12-29 |
| 1548782915 | Eleanor Hollis Wall | Counselor | 14340 102nd Ave Ne, Kirkland, WA 98034 | 2017-07-07 |
| 1457885212 | Peter Schoonmaker | Hospitalist | 12040 Ne 128th Street, Ms105, Kirkland, WA 98034 | 2017-04-18 |
| 1780124370 | Rebecca Managan | Advanced Practice Midwife | 12303 Ne 130th Ln Ste Coral225, Kirkland, WA 98034 | 2017-03-01 |
| 1669821104 | Winter Gonzalez | Counselor | 11720 97th Ln Ne Apt A411, Kirkland, WA 98034 | 2016-06-06 |
| Find all providers in zip 98034 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487017299 | Semonti K. Hossain | Obstetrics & Gynecology | 12333 Ne 130th Ln Ste Tan 110, Kirkland, WA 98034-7467 | 2016-03-30 |
| 1831364470 | Maheen Fallah | Obstetrics & Gynecology | 12333 Ne 130th Lane Suite 110, Kirkland, WA 98034 | 2008-04-24 |
| 1861695017 | Vivienne Louise Souter | Obstetrics & Gynecology | Evergreen Surgery and Physician's Center Tan 240, 12040 Ne 128th St, Kirkland, WA 98034 | 2007-06-06 |
| 1952481889 | Mary Beth Wittman | Obstetrics & Gynecology | 12303 Ne 130th Ln Ste 450, Kirkland, WA 98034-3032 | 2006-10-16 |
| 1619068228 | Luanne E. Schocket | Obstetrics & Gynecology | 12333 Ne Lane, Suite 110, Kirkland, WA 98034-4168 | 2006-09-27 |
| 1225027428 | Suman L. Tewari | Obstetrics & Gynecology | 12040 Ne 128th St, Ms 105, Kirkland, WA 98034-3013 | 2005-10-19 |
| 1427047943 | Anita S. Ninan | Obstetrics & Gynecology | 12303 Ne 130th Ln Ste 420, Kirkland, WA 98034-3042 | 2005-10-18 |
| 1447251970 | Bonnie Gong | Obstetrics & Gynecology | 12910 Totem Lake Blvd Ne, Suite 102, Kirkland, WA 98034-2954 | 2005-08-09 |
| 1265436687 | Shannon Lee Bailey | Obstetrics & Gynecology | 12303 Ne 130th Ln, Suite 450, Kirkland, WA 98034-3099 | 2005-06-13 |
| 1538554506 | Nicolette Wolters | Obstetrics & Gynecology | 12910 Totem Lake Blvd Ne Ste 102, Kirkland, WA 98034-2901 | 2015-04-06 |
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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.