ANN J RUSSELL (NPI# 1881719805) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881719805 |
| Entity Type | Individual |
| Full Name | ANN J RUSSELL |
| Credential | P.A. |
| Practice Address |
1959 S Val Vista Dr Suite 106 Mesa AZ 85204-7356 |
| Mailing Address |
720 Cool Springs Blvd Suite 300 Franklin TN 37067-2626 |
| Practice Telephone | 6157784066 |
| Mailing Telephone | 6157784066 |
| Mailing Fax Number | 6157789114 |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 2815 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366659153 | Ann Marie Russell | Lactation Consultant, Non-RN | 12621 Hedgetree Ct, Poway, CA 92064-6432 | 2007-05-17 |
| 1972696631 | Ann M . Russell | Midwife | 916 Pacific Ave 2nd Floor, Everett, WA 98201 | 2006-10-02 |
| 1689845620 | Ann Carol Russell | Social Worker | 819 Bloomington Rd, Champaign, IL 61820-2101 | 2008-03-18 |
| 1285701243 | Ann B Russell | Pediatrics | 11602 W Center Rd, Suite 150, Omaha, NE 68144-4440 | 2006-11-28 |
| 1619944345 | Ann Russell | Counselor | 380 Copperfield Blvd Ne, Concord, NC 28025-2402 | 2006-03-01 |
| Street Address |
1959 S VAL VISTA DR SUITE 106 |
| City | MESA |
| State | AZ |
| Zip Code | 85204-7356 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720103740 | Timothy T Woehl | Family Medicine | 1959 S Val Vista Dr, Suite 106, Mesa, AZ 85204-7356 | 2007-03-20 |
| 1174951685 | Occupational Heatlh Centers of The Southwest Pa | Clinic/Center | 1959 S Val Vista Dr, Suite 106, Mesa, AZ 85204-7356 | 2013-10-18 |
| 1437450640 | Ashly D Lehman | Physical Therapy Assistant | 1959 S Val Vista Dr, Mesa, AZ 85204-7356 | 2010-11-04 |
| 1023235108 | Orthodontic Centers of Az | Dentist | 1959 S Val Vista Dr, #118, Mesa, AZ 85204-7356 | 2007-04-19 |
| 1457478182 | Cory C Davis | Preventive Medicine | 1959 S Val Vista Dr, Suite 106, Mesa, AZ 85204-7356 | 2007-03-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194374819 | Luminations Healing Center, LLC | Social Worker | 1237 S. Val Vista Dr. #221, Mesa, AZ 85204 | 2019-09-05 |
| 1881160356 | Wanjiru Landers | Student in an Organized Health Care Education/Training Program | 550 S Linda Circle, Mesa, AZ 85204 | 2018-10-22 |
| 1649754235 | Adam Desnous | Specialist/Technologist | 751 S Daley, Mesa, AZ 85204 | 2018-09-19 |
| 1982128187 | Michael Anthony Jones | Counselor | 1107 North Gilbert Rd, Mesa, AZ 85204 | 2017-07-29 |
| 1295287225 | Scottsdale Healthcare Corp | Family Medicine | 2530 W. Southern Ave, Mesa, AZ 85204 | 2016-10-25 |
| 1427504158 | Richard White | Physician Assistant | 2345 E Southern Ave # 101, Mesa, AZ 85204 | 2016-09-01 |
| 1548716780 | Pain Stop Accident Injury LLC | Chiropractor | 425 E 11th Ave, Mesa, AZ 85204 | 2016-08-28 |
| 1154704252 | Glenn Taylor Lesueur | Dentist | 1056 S. Val Vista Dr., Suite 1, Mesa, AZ 85204 | 2015-07-07 |
| 1073932513 | Naomi Devine | Nurse Practitioner | 1840 South Stapley Drive, Suite 101, Mesa, AZ 85204 | 2014-04-14 |
| 1609292531 | John Kamau | Counselor | 1060 S Lobin Ln, Mesa, AZ 85204 | 2014-03-17 |
| Find all providers in zip 85204 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033734686 | Joshua Luke Adams | Physician Assistant | 5264 E Carol Ave, Mesa, AZ 85206-1304 | 2020-06-09 |
| 1508417957 | Joe Panelli | Physician Assistant | 524 S 88th St, Mesa, AZ 85208-8213 | 2019-09-26 |
| 1275183600 | Allie Finney | Physician Assistant | 4135 S Power Rd Ste 129, Mesa, AZ 85212-3627 | 2019-09-17 |
| 1972158459 | Jason Pearce | Physician Assistant | 8334 E Peralta Ave, Mesa, AZ 85212-1677 | 2019-08-01 |
| 1265086409 | Madison Ziser | Physician Assistant | 2604 E Downing Cir, Mesa, AZ 85213-6824 | 2019-07-25 |
| 1790341170 | Mark William Nelms | Physician Assistant | 4839 S Antonio, Mesa, AZ 85212-5191 | 2019-05-11 |
| 1235607292 | Amber Leeann Valenzuela | Physician Assistant | 2345 E Southern Ave Unit 101, Mesa, AZ 85204-5419 | 2018-11-07 |
| 1417423146 | Neda Yasmin Yanch | Physician Assistant | 2505 N Raven Cir, Mesa, AZ 85207-2063 | 2018-10-20 |
| 1336615590 | Nicholas J. Deyoung | Physician Assistant | 5058 E Southern Ave Ste 102, Mesa, AZ 85206-2771 | 2018-10-15 |
| 1417432063 | Jordan Tyler Foulger | Physician Assistant | 3248 E Jacinto Ave, Mesa, AZ 85204-7336 | 2018-09-29 |
| Find all providers in MESA | ||||
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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.