DR. RUSSELL MARC ELMER (NPI# 1871539122) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871539122 |
| Entity Type | Individual |
| Full Name | DR. RUSSELL MARC ELMER |
| Credential | MD |
| Practice Address |
15000 Arnold Drive Sonoma CA 95431-1493 |
| Mailing Address |
1600 9th Street Room 205 Mailstop 2-3 Sacramento CA 95814-6414 |
| Practice Telephone | 7079386556 |
| Mailing Telephone | 9166542431 |
| Mailing Fax Number | 9166543186 |
| Enumeration Date | 2006-06-22 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QA0505X |
Family Medicine Specialization: Adult Medicine |
C37670 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
15000 ARNOLD DRIVE |
| City | SONOMA |
| State | CA |
| Zip Code | 95431-1493 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528141587 | Anne Margaret French | Family Medicine | 15000 Arnold Drive, Sonoma, CA 95431-1493 | 2006-10-23 |
| 1770687352 | James Basil Haddad | Surgery | 15000 Arnold Drive, Sonoma, CA 95431-1493 | 2006-09-12 |
| 1497781553 | Ronald Frederick Miller | Dentist | 15000 Arnold Drive, Sonoma, CA 95431-1493 | 2006-06-23 |
| 1760418826 | Robert A Pack | Dentist | 15000 Arnold Drive, Sonoma, CA 95431-1493 | 2006-06-23 |
| 1679509731 | David Francis Kosnick | General Practice | 15000 Arnold Drive, Sonoma, CA 95431-1493 | 2006-06-23 |
| 1588604821 | Robert Martin Rosenblatt | Pediatrics | 15000 Arnold Drive, Sonoma, CA 95431-1493 | 2006-06-07 |
| 1487606281 | Michael B Lash | Family Medicine | 15000 Arnold Drive, Sonoma, CA 95431-1493 | 2006-05-17 |
| 1104878909 | Carol Anne Castillo | Family Medicine | 15000 Arnold Drive, Sonoma, CA 95431-1493 | 2006-05-17 |
| 1013969815 | Gerald Joseph Camarata | Family Medicine | 15000 Arnold Drive, Sonoma, CA 95431-1493 | 2006-05-17 |
| 1083666861 | David Sheridan Gray | Family Medicine | 15000 Arnold Drive, Sonoma, CA 95431-1493 | 2006-05-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215043369 | Janet E Young | Pediatrics | 1500 Arnold Drive, Sonoma, CA 95431-1493 | 2006-08-22 |
| 1447244405 | Timothy Wallace Kaczmar | Family Medicine | 15000 Arnold Dr, Eldridge, CA 95431-8900 | 2005-09-07 |
| 1982656724 | Mary Broderick Christensen | Family Medicine | 15000 Arnold Dr, Eldridge, CA 95431-8900 | 2006-05-17 |
| Taxonomy Code | 207QA0505X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Adult Medicine |
| Definition to come. |
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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.