STEPHANIE M RUSSELL (NPI# 1982684726) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982684726 |
| Entity Type | Individual |
| Full Name | STEPHANIE M RUSSELL |
| Credential | MD |
| Practice Address |
10639 Meeting Street Suite 101 Louisville KY 40059-7544 |
| Practice Telephone | 5024257827 |
| Practice Fax Number | 5024123979 |
| Mailing Telephone | 5024257827 |
| Mailing Fax Number | 5024123979 |
| Enumeration Date | 2006-01-18 |
| Last Update Date | 2008-04-02 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 33992 | KY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 64012016 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629598370 | Stephanie Nicole Russell | Nurse Practitioner | 2977 Westinghouse Rd Ste 3, Horseheads, NY 14845-8120 | 2017-06-23 |
| 1376926493 | Stephanie Russell | Behavioral Analyst | 21505 N 78th Ave, 125, Peoria, AZ 85382-3356 | 2015-07-07 |
| 1235559303 | Stephanie Russell | Nurse Practitioner | 24831 Blane Dr, Katy, TX 77493-2712 | 2014-04-16 |
| 1568070316 | Stephanie Michelle Russell | Counselor | 1211 Stewart Ave Ste 100, Bethpage, NY 11714-1601 | 2020-07-17 |
| 1396224333 | Stephanie Russell | Registered Nurse | 1200 Summit Ave Ste 880, Fort Worth, TX 76102-4429 | 2018-08-10 |
| 1154815652 | Stephanie Russell | Community Health Worker | 11 Graham Dr, Athens, OH 45701-1430 | 2018-06-18 |
| 1417321860 | Stephanie Russell | Registered Nurse | 698 Howard St, Spartanburg, SC 29303-2964 | 2015-11-23 |
| 1033517644 | Stephanie Russell | Social Worker | 415 N Jackson St, Americus, GA 31709-3015 | 2014-12-12 |
| 1437553195 | Stephanie Russell | Massage Therapist | 6441 Sw Canyon Ct, Suite 102, Portland, OR 97221-1458 | 2014-10-09 |
| 1710231014 | Stephanie A. Russell | Developmental Therapist | 6 Southside Rd, Danvers, MA 01923-1409 | 2012-11-08 |
| Street Address |
10639 MEETING STREET SUITE 101 |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40059-7544 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932744919 | Cheryl L Young | Counselor | 1703 Victory Court, Prospect, KY 40059 | 2019-11-13 |
| 1790276806 | Harrods Creek Vol Fire Dept Inc | Ambulance | 8905 Us Highway 42, Prospect, KY 40059 | 2018-05-24 |
| 1952754475 | Prospect Pharmacy LLC | Pharmacy | 9549-b Us Highway 42, Prospect, KY 40059 | 2016-07-20 |
| 1972959740 | Raina Chandiramani | Dentist | 11838 Lakestone Way, Prospect, KY 40059 | 2016-05-10 |
| 1750629416 | Sanford Simon | Family Medicine | 6805 Hunter Run Place, Prospect, KY 40059 | 2013-01-30 |
| 1568707743 | Zorre Zeno Kimura | Physical Therapist | 10211 Worthington Lane, Prospect, KY 40059 | 2012-11-29 |
| 1487806634 | Jaclyn Engelsher | Acupuncturist | 10605 Meeting Street, Suite 102, Prospect, KY 40059 | 2008-10-21 |
| 1740454289 | Emily J. Baskin | Massage Therapist | 9509 Us Hwy 42, Suite 207, Prospect, KY 40059 | 2008-04-16 |
| 1942304647 | Paul Thomas Lavelle | Dentist | 13104 Us Hwy 42, Prospect, KY 40059 | 2006-09-12 |
| 1710924055 | Nasir Gardezi | Internal Medicine | 9500 Hayden Creek Court, Prospect, KY 40059 | 2006-06-02 |
| Find all providers in zip 40059 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| 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 Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306316989 | Jacquee L Mcnear | Pediatrics | 801 Barret Avenue Suite 314, Louisville, KY 40204-1701 | 2018-11-27 |
| 1902292857 | Hayley Redmond | Pediatrics | 571 S Floyd St Ste 332, Louisville, KY 40202 | 2015-04-07 |
| 1770978512 | Michael Bricken | Pediatrics | 760 S Hancock St # B100, Louisville, KY 40203 | 2015-03-30 |
| 1114332236 | Amanda Brian Rogers | Pediatrics | 411 E Chestnut St # Street6, Louisville, KY 40202-1713 | 2014-06-26 |
| 1770900144 | Kathryn Thorne | Pediatrics | 9710 Park Plaza Ave Unit 107, Louisville, KY 40241-2292 | 2014-03-24 |
| 1669717690 | Surjeet Singh Dhanjal | Pediatrics | 1506 Thackeray Dr, Louisville, KY 40205-2410 | 2012-12-03 |
| 1164656443 | Betty Sue Spivack | Pediatrics | 8804 Nottingham Pkwy, Louisville, KY 40222-5217 | 2009-05-14 |
| 1821238528 | James Grant Mumford | Pediatrics | 5100 Commerce Crossings Dr, Louisville, KY 40229-2128 | 2009-02-20 |
| 1033371216 | Jonathan R Malowitz | Pediatrics | 4123 Dutchmans Lane Suite 301, Suburban Medical Plaza 3, Louisville, KY 40207 | 2008-06-27 |
| 1356509954 | Julia Lane Mitchell | Pediatrics | 760 S. Hancock St, B100, Louisville, KY 40203 | 2008-05-30 |
| Find all providers in LOUISVILLE | ||||
| City | LOUISVILLE |
| Zip Code | 40059 |
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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.