TIMOTHY J. RUSSELL (NPI# 1962418103) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962418103 |
| Entity Type | Individual |
| Full Name | TIMOTHY J. RUSSELL |
| Credential | D.O. |
| Practice Address |
1200 Maple Rd Silver Cross Joliet IL 60432-1439 |
| Mailing Address |
11627 Walnut Ct Burr Ridge IL 60527-8037 |
| Practice Telephone | 8157411100 |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 036-0685741 | IL | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306048491 | Timothy Wade Russell | Chiropractor | 325 E. Hawkeye Ave., Remsen, IA 51050-0086 | 2007-06-01 |
| 1770565087 | Timothy Paul Russell | Family Medicine | Unit 45011 Bldg 704, Attn: Mcja-qm, Usa Meddac-japan, Apo, AP 96338-5011 | 2005-11-14 |
| 1528471083 | Timothy Russell | Radiologic Technologist | 6431 Wade Springs Rd, Murfreesboro, TN 37130-8719 | 2014-06-03 |
| 1073937132 | Timothy Glenn Russell | Radiology | 6600 Van Aalst Blvd, Department of Radiology, Fort Benning, GA 31905-2102 | 2014-02-10 |
| 1013264530 | Timothy A Russell | Physical Therapist | 11482 Okeechobee Blvd, Suite 2, Royal Palm Beach, FL 33411-8735 | 2012-08-15 |
| 1417270786 | Timothy Gage Russell | Physician Assistant | 850 E Harvard Ave Ste 265, Denver, CO 80210-5075 | 2010-03-01 |
| 1487863403 | Timothy Lynn Russell | Massage Therapist | 1100 E 3rd St, Suite G-100, Chattanooga, TN 37403-2201 | 2007-05-22 |
| 1831108463 | Timothy Elmer Russell IIi | Dentist | 2616 Sherwood Hall Lane, Suite 405, Alexandria, VA 22306 | 2006-08-05 |
| Street Address |
1200 MAPLE RD SILVER CROSS |
| City | JOLIET |
| State | IL |
| Zip Code | 60432-1439 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871561621 | Salvador A. Rinella | Radiology | 1200 Maple Rd, Suite 3309, Joliet, IL 60432-1439 | 2006-03-09 |
| 1649632829 | Katherine Niemczura | Nurse Anesthetist, Certified Registered | 1200 Maple Rd, Joliet, IL 60432-1439 | 2016-03-25 |
| 1558722835 | Todd Langellier | Nurse Anesthetist, Certified Registered | 1200 Maple Rd, Joliet, IL 60432-1439 | 2016-03-14 |
| 1114264462 | Jeffrey J. Ryan | Nurse Anesthetist, Certified Registered | 1200 Maple Rd, Joliet, IL 60432-1439 | 2013-01-07 |
| 1053619577 | Shari Marie Jordan | Nurse Anesthetist, Certified Registered | 1200 Maple Rd, Joliet, IL 60432-1439 | 2011-03-08 |
| 1639475569 | Julie Ann Kokenes | Social Worker | 1200 Maple Rd, Joliet, IL 60432-1439 | 2011-02-10 |
| 1629372958 | Jennifer Mary Petraitis | Nurse Anesthetist, Certified Registered | 1200 Maple Rd, Joliet, IL 60432-1439 | 2010-12-30 |
| 1477856466 | Joy C Mckenna | Nurse Practitioner | 1200 Maple Rd, Joliet, IL 60432-1439 | 2010-12-13 |
| 1487979332 | Anthony D Murino | Emergency Medicine | 1200 Maple Rd, Joliet, IL 60432-1439 | 2010-04-05 |
| 1356589691 | Ramana Venkata Yedavalli | Radiology | 1200 Maple Rd, Suite 3309, Joliet, IL 60432-1439 | 2009-01-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053830943 | Abilio Milo | General Practice | 213 East Cass Street, Joliet, IL 60432 | 2017-09-12 |
| 1508284258 | Allison R. Nichols | Social Worker | 62 W. Washington St., Joliet, IL 60432 | 2014-03-31 |
| 1073950044 | Aunt Martha's Youth Service Center, Inc | Clinic/Center | 1200 Eagle Street, Joliet, IL 60432 | 2013-05-30 |
| 1124388624 | Fresenius Medical Care of Plainfield, LLC | Clinic/Center | 721 E Jackson St., Joliet, IL 60432 | 2012-05-18 |
| 1730375833 | Rhonda Denise Posley | Licensed Practical Nurse | 215 Clinton, Suite B, Joliet, IL 60432 | 2007-09-21 |
| 1538385463 | Frank C Bender | Family Medicine | 213 E Cass St, Joliet, IL 60432 | 2007-04-18 |
| 1366501835 | Health Care Delivery Systems | Internal Medicine | 1301 Copperfield Avenue, Suite 202, Joliet, IL 60432 | 2006-12-08 |
| 1134294614 | Mary Lee Johnson | Counselor | 62 West Washington Street, Joliet, IL 60432 | 2006-11-21 |
| 1609953223 | Catholic Charities of The Diocese of Joliet | Community/Behavioral Health | 58 E Clinton St Ste 200, Joliet, IL 60432 | 2006-11-01 |
| 1487740932 | Carlla Duster Franklin | Dentist | 2241 Theodore Street, Crest Hill, IL 60432 | 2006-10-04 |
| Find all providers in zip 60432 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841429479 | Daniel John Bartgen | Emergency Medicine | 333 N. Madison Street, Joliet, IL 60435-8200 | 2009-07-02 |
| 1013944263 | Susan Demick | Emergency Medicine | Silver Cross Hospital, 1200 Maple Road, Joliet, IL 60432 | 2006-06-26 |
| 1144269093 | Wael Mctabi | Emergency Medicine | 1719 Glenwood Ave, Joliet, IL 60435-5835 | 2006-06-06 |
| 1689675811 | Timothy Fendon | Emergency Medicine | 2100 Glenwood Ave, Joliet, IL 60435-5487 | 2005-08-10 |
| 1497753917 | Prairie Emergency Services, Sc | Emergency Medicine | 333 Madison St, Joliet, IL 60435-8200 | 2005-07-08 |
| 1134644164 | Cepamerica Illinois LLP | Emergency Medicine | 333 Madison St, Joliet, IL 60435-8200 | 2017-08-10 |
| 1962852327 | Melvin Thomas | Emergency Medicine | 333 Madison St, Joliet, IL 60435 | 2016-06-16 |
| 1639527138 | Daewon Kim | Emergency Medicine | 333 N Madison St, Emergency Department, Joliet, IL 60435-8200 | 2016-05-25 |
| 1417343575 | Jessica Bode | Emergency Medicine | 333 Madison St, Joliet, IL 60435-8200 | 2015-04-15 |
| 1447699368 | John Paik | Emergency Medicine | 333 Madison St, Joliet, IL 60435-8200 | 2013-06-25 |
| Find all providers in JOLIET | ||||
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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.