DR. JEFFREY LYNN RUSSELL


Address: Rr 1 Box 34-a, Watonga, OK 73772-9706
Phone: 5806234991

DR. JEFFREY LYNN RUSSELL (NPI# 1942309034) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1942309034
Entity Type Individual
Full Name DR. JEFFREY LYNN RUSSELL
Credential DPM
Practice Address Rr 1 Box 34-a
Watonga
OK 73772-9706
Mailing Address 2001 S Country Club Rd
Apt. #701
El Reno
OK 73036-5689
Practice Telephone 5806234991
Practice Fax Number 5806235490
Mailing Telephone 5806234991
Mailing Fax Number 5806235490
Enumeration Date 2006-09-22
Last Update Date 2007-07-09
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 213E00000X Podiatrist PO2966 FL Podiatric Medicine & Surgery Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
OK 9102966 05

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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
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1295897130 Jeffrey Kent Russell Internal Medicine 750 Alliance Ct, Asheville, NC 28806-2248 2006-12-15
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Office Location

Street Address RR 1 BOX 34-A
City WATONGA
State OK
Zip Code 73772-9706

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1225546815 Sabrina Marie Yoder Case Manager/Care Coordinator 115 East 1st Street, Watonga, Ok, OK 73772 2018-01-17
1285150847 Miriam Vaughan Community Health Worker 115 1/2 E 1st St, Watonga, OK 73772 2017-08-16
1053697649 Marlin R Giles Community/Behavioral Health 403 Clarence Nash, Watonga, OK 73772 2011-10-26
1174811681 Matthew Giles Community/Behavioral Health 1114 Villa Dr., Watonga, OK 73772 2011-07-18
1003127937 Linda Jolane Scott Counselor 115 E. 1st Street, Watonga, OK 73772 2010-06-25
1063686764 Brianna Auge Counselor 214 'a' Street, Watonga, OK 73772 2008-04-15
1770778417 Jaycif A Justice Social Worker 216 W 'a' St., Watonga, OK 73772 2007-09-06
1609938984 Flauryse M Baguidy Dentist Rr 1 Hwy 281 South, Usphs Ihs Watonga Health Center, Watonga, OK 73772 2006-12-14
1437603768 City of Watonga Ambulance 305 W Main, Watonga, OK 73772 2016-08-03
1982976742 Richard Zielinski Md, Pllc Psychiatry & Neurology 712 W 3rd St, Watonga, OK 73772 2012-02-08
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Taxonomy Information

Taxonomy Code 213E00000X
Grouping Podiatric Medicine & Surgery Service Providers
Classification Podiatrist

Taxonomy Definition

A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1184235921 Integrity Diabetic Shoes, Inc Podiatrist 117 N Garfield Ave, Sand Springs, OK 74063-7214 2020-08-14
1760949499 Tushka Corp Podiatrist 2609 Highwood Pl, Claremore, OK 74017-4884 2019-02-28
1619475696 Tulsa Podiatry Clinics LLC Podiatrist 416 W 15th St Ste 500c, Edmond, OK 73013-3672 2018-01-25
1518327089 Mathew James Johnstone Podiatrist 1000 N Lincoln Blvd Ste 3400, Oklahoma City, OK 73104-3252 2016-02-26
1639438237 Jason A. Lashley, D.p.m. Podiatrist 600 W. 15th, Edmond, OK 73013 2012-05-16
1073871265 Benjamin Beecher Harkess Podiatrist 4140 W Memorial Rd Ste 421, Oklahoma City, OK 73120-8300 2012-04-25
1871863258 Oklahoma Senior Podiatry Services, P.C. Podiatrist 3208 Brush Creek Rd., Oklahoma City, OK 73120-1852 2012-01-03
1437488384 Edgar Paul Ledoux Podiatrist 215 E Choctaw, Ste 105, Mcalester, OK 74501 2009-12-23
1629305149 Greater Tulsa Foot & Ankle Center, Pllc Podiatrist 3540 E. 31st Street, Suite 2, Greater Tulsa Foot & Ankle Center, Pllc, Tulsa, OK 74135 2009-11-04
1710154471 Jeremy M Mason Podiatrist 5711 E 71 St, # 115, Tulsa, OK 74136 2008-05-13
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Competitor

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City WATONGA
Zip Code 73772

Improve Information

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Dataset Information

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.

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