DR. RUSSELL REITZ (NPI# 1902882194) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902882194 |
| Entity Type | Individual |
| Full Name | DR. RUSSELL REITZ |
| Credential | MD |
| Practice Address |
1133 College Ave Bldg E Suite 140 Manhattan KS 66502-2770 |
| Mailing Address |
1020a E Boal Ave Boalsburg PA 16827-1509 |
| Practice Telephone | 7855392500 |
| Mailing Telephone | 8142378627 |
| Mailing Fax Number | 8142380083 |
| Enumeration Date | 2005-12-20 |
| Last Update Date | 2011-01-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
0426214 | KS | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | 100326210B | 05 | |
| KS | BCBS OF KANSAS | 103464 | 01 |
| Street Address |
1133 COLLEGE AVE BLDG E SUITE 140 |
| City | MANHATTAN |
| State | KS |
| Zip Code | 66502-2770 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801899240 | Rosanne C Kreller | Nurse Practitioner | 1133 College Ave, Ste E230, Manhattan, KS 66502-2795 | 2005-05-31 |
| 1922615806 | Christina Guhr | Nurse Practitioner | 1133 College Ave, Manhattan, KS 66502-2770 | 2020-09-25 |
| 1417439977 | Kelli Renae Pettijohn | Physical Therapy Assistant | 1133 College Ave, Manhattan, KS 66502-2770 | 2018-08-31 |
| 1063907376 | Prism Diagnostics, LLC | Clinical Medical Laboratory | 1133 College Ave, Building C, Suite 145, Manhattan, KS 66502-2751 | 2018-06-28 |
| 1396266060 | Stacey L Marti | Physical Therapist | 1133 College Ave, Manhattan, KS 66502-2770 | 2017-07-03 |
| 1457891244 | Gilberto Magallanes | Occupational Therapy Assistant | 1133 College Ave, A213, Manhattan, KS 66502-2770 | 2017-02-28 |
| 1750826632 | Rachel Marie Irwin | Behavior Technician | 1133 College Ave, A213, Manhattan, KS 66503 | 2016-12-30 |
| 1255875852 | Dental Associates of Manhattan LLC | Dentist | 1133 College Ave, Suite D202, Manhattan, KS 66502-2770 | 2016-12-15 |
| 1457802613 | Laura Simons | Behavioral Analyst | 1133 College Ave, Manhattan, KS 66502-2770 | 2016-10-21 |
| 1528517901 | No Stone Unturned Foundation | Clinic/Center | 1133 College Ave, Suite A213, Manhattan, KS 66502-2770 | 2016-09-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184232217 | Rebecca Anne Cherry | Marriage & Family Therapist | 1506 Browning Avenue, Suite 107, Manhattan, KS 66502 | 2020-07-15 |
| 1992334361 | Lorin C Kelly | Counselor | 201 South 4th Street, Suite C5, Manhattan, KS 66502 | 2020-04-07 |
| 1306487947 | Emily Trausch | Specialist/Technologist | 18 Ahearn Fieldhouse, Manhattan, KS 66502 | 2019-10-04 |
| 1730741018 | Jessica Caroline Kostroske | Speech-Language Pathologist | 2031 Poyntz Avenue, Manhattan, KS 66502 | 2019-07-08 |
| 1962968420 | Sarah C Siders | Social Worker | 1506 Browning Avenue #107, Manhattan, KS 66502 | 2019-02-20 |
| 1215408331 | Sara E Gotchey | Registered Nurse | 2100 Claflin Rd, Manhattan, KS 66502 | 2018-12-16 |
| 1306315601 | Gail Elizabeth Webster | Midwife, Lay | 2106 Timber Creek Dr, Manhattan, KS 66502 | 2018-11-15 |
| 1972021525 | Patience Ivy | Student in an Organized Health Care Education/Training Program | 1615 Denison Ave, Apt 211, Manhattan, KS 66502 | 2017-09-05 |
| 1578086252 | Alexa Jean Sharr | Physician Assistant | 1404 Beechwood Ter Ste C and D, Manhattan, KS 66502 | 2017-07-25 |
| 1790226702 | Mackenzie Getz | Student in an Organized Health Care Education/Training Program | 2465 Vaughn Dr, Manhattan, KS 66502 | 2017-03-10 |
| Find all providers in zip 66502 | ||||
| Taxonomy Code | 2085R0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Radiation Oncology |
| A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346610896 | Jmac Radiation Oncology and Diagnostics LLC | Radiology | 1133 College Ave, Bldg. E, Suite 140, Manhattan, KS 66502-2770 | 2015-09-28 |
| 1447316047 | Martin J Bell | Radiology | 1133 College Ave, Central Kansas Cancer Institute, Manhattan, KS 66502 | 2006-12-28 |
| 1285610477 | Central Kansas Cancer Institute Pa | Radiology | 1133 College Ave, Bldg E Suite140, Manhattan, KS 66502-2770 | 2005-12-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851821136 | Wichita Rt Associates LLC | Radiology | 9300 E 29th St N Ste 350, Wichita, KS 67226-2179 | 2017-06-19 |
| 1831501642 | Pro Physicians Clinic Pa | Radiology | 2077 N Webb Rd, Wichita, KS 67206-3411 | 2014-05-28 |
| 1265873905 | Yazan Asad Abuodeh | Radiology | 511 S Santa Fe Ave Ste A, Salina, KS 67401-4145 | 2013-07-10 |
| 1598105603 | Advanced Radiation Center of Kansas City LLC | Radiology | 6427 W 119th St, Suite G 1-4, Overland Park, KS 66209-2734 | 2013-07-03 |
| 1285948810 | Ronny L Rotondo | Radiology | 4001 Rainbow Blvd # Ms 4033, Kansas City, KS 66160-8504 | 2010-08-06 |
| 1215168109 | John Ho Park | Radiology | 3901 Rainbow Blvd # Ms 4033, University of Kansas Medical Center, Kansas City, KS 66103-2937 | 2009-07-27 |
| 1568698561 | Gregory Gan | Radiology | 4001 Rainbow Blvd # Ms 4001, Kansas City, KS 66160-4374 | 2009-06-04 |
| 1063615425 | Richard Allen Morrison | Radiology | 9021 Delmer, Prairie Village, KS 66207 | 2007-06-06 |
| 1780720607 | Kansas University Physicians Inc | Radiology | G006 Radiation Oncology, Mail Stop 4033 3901 Rainbow Blvd, Kansas City, KS 66160 | 2007-01-29 |
| 1265510309 | Ronald C Chen | Radiology | 4001 Rainbow Blvd, Ms 4033, Kansas City, KS 66160-2539 | 2006-11-02 |
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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.