DR. JEFFREY ALAN RUSSELL (NPI# 1912072257) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912072257 |
| Entity Type | Individual |
| Full Name | DR. JEFFREY ALAN RUSSELL |
| Credential | PHD, AT |
| Practice Address |
Shape Clinic, Putnam Hall 304 96 E Union St Athens OH 45701 |
| Mailing Address |
School of Ahsw, Grover E182 53 Richland Ave Athens OH 45701 |
| Practice Telephone | 7405931829 |
| Practice Fax Number | 7405930289 |
| Mailing Telephone | 7405934648 |
| Mailing Fax Number | 7405930289 |
| Enumeration Date | 2006-11-22 |
| Last Update Date | 2019-01-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
AT003998 | OH | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
000060285 | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942309034 | Jeffrey Lynn Russell | Podiatrist | Rr 1 Box 34-a, Watonga, OK 73772-9706 | 2006-09-22 |
| 1497799654 | Jeffrey S Russell | Internal Medicine | 327 W Chicago St, Coldwater, MI 49036-2805 | 2006-06-16 |
| 1942858055 | Jeffrey Russell II | Counselor | 1003 S Beacon St, San Pedro, CA 90731-4324 | 2019-09-01 |
| 1518394204 | Jeffrey Dane Russell | Physician Assistant | 900 Caton Ave, Baltimore, MD 21229-5201 | 2013-09-26 |
| 1609193432 | Jeffrey Russell | Counselor | 201 W Springdale Ave, Knoxville, TN 37917-5158 | 2010-05-04 |
| 1073842175 | Jeffrey C. Russell | Nurse Anesthetist, Certified Registered | 9601 Interstate 630 Exit 7, Little Rock, AR 72205-7202 | 2009-12-18 |
| 1043332497 | Jeffrey Wyan Russell | Physician Assistant | 2741 Debarr Rd, Suite C-308, Anchorage, AK 99508-2953 | 2007-04-05 |
| 1578603494 | Jeffrey David Russell | Chiropractor | 302 N Mckinley Ave, Sand Springs, OK 74063-7611 | 2007-02-08 |
| 1295897130 | Jeffrey Kent Russell | Internal Medicine | 750 Alliance Ct, Asheville, NC 28806-2248 | 2006-12-15 |
| 1154482388 | Jeffrey Scott Russell | Counselor | 333 Union St, New Bedford, MA 02740-3665 | 2006-12-12 |
| Street Address |
SHAPE CLINIC, PUTNAM HALL 304 96 E UNION ST |
| City | ATHENS |
| State | OH |
| Zip Code | 45701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912508797 | Vince R Koping | Pharmacist | 929 East State St, Athens, OH 45701 | 2020-11-06 |
| 1164051926 | Rachel Staker | Student in an Organized Health Care Education/Training Program | 86 Circle Drive, Suite 203, Athens, OH 45701 | 2020-04-03 |
| 1932736709 | Maria Augusta Suarez-hamman | Student in an Organized Health Care Education/Training Program | 86 Columbus Circle, Suite 203, Athens, OH 45701 | 2020-03-23 |
| 1831746882 | Justin Joseph Moakler | Specialist/Technologist | Ohio University Athens Training Facility, Grover Center E 187, Athens, OH 45701 | 2019-08-23 |
| 1275186991 | Barry Brady | Psychologist | Hudson Health Center, 3rd Floor 1 Ohio University, Athens, OH 45701 | 2019-07-22 |
| 1821559691 | Mary N Lee | Student in an Organized Health Care Education/Training Program | 1 Ohio Univerisity Dept of Psychology, Porter Hall Room 002, Athens, OH 45701 | 2019-03-26 |
| 1275007692 | Gabrielle Ruth Wesemeyer | Student in an Organized Health Care Education/Training Program | 6 South Congress Street, Athens, OH 45701 | 2019-01-18 |
| 1528551918 | Bradford Thomas Meyers | Psychologist | 1 University Ave, Ohio University, Athens, Oh 45701, Athens, OH 45701 | 2018-06-11 |
| 1912499344 | William Monopoli | Student in an Organized Health Care Education/Training Program | 1 Ohio University Department of Psychology, Porter Hall Room 002, Athens, OH 45701 | 2018-06-01 |
| 1477044113 | 59 Green Ltd. | Taxi | 14 Cook Drive, Athens, OH 45701 | 2018-05-29 |
| Find all providers in zip 45701 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568071421 | Anthony Nguyen | Specialist/Technologist | 828 Carriage Hill Dr, Athens, OH 45701-3235 | 2020-07-27 |
| 1285242529 | Kelley Anne Seekins | Specialist/Technologist | 204 E. College St., Athens, TN 37303 | 2020-07-22 |
| 1184246274 | Linda K Delinsky | Specialist/Technologist | 345 Millstone Cir, Athens, GA 30605-4935 | 2020-05-11 |
| 1417588765 | Yasmin Neve Mosby | Specialist/Technologist | 1000 Vermillion St # C417, Athens, WV 24712-9027 | 2020-01-27 |
| 1265078760 | Troy Scott | Specialist/Technologist | 100 Cardinal St, Athens, TX 75751-3243 | 2019-11-20 |
| 1033760426 | Mariah Lucille Goecker | Specialist/Technologist | 363 Richland Ave Apt 274, Athens, OH 45701-3281 | 2019-09-26 |
| 1831746882 | Justin Joseph Moakler | Specialist/Technologist | Ohio University Athens Training Facility, Grover Center E 187, Athens, OH 45701 | 2019-08-23 |
| 1699322271 | Michael Comeaux Jr. | Specialist/Technologist | 518 Dw Brooks Drive, Athens, GA 30602-0001 | 2019-08-20 |
| 1306499413 | Logan Shane Taylor | Specialist/Technologist | 102 Center Park Ln, Athens, GA 30605-4294 | 2019-07-17 |
| 1215589668 | Samantha Ashley Scott | Specialist/Technologist | 25 S Greenwood Ln, Athens, NY 12015-2706 | 2019-07-15 |
| Find all providers in ATHENS | ||||
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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.