Jacqueline Blake Russ (NPI# 1891279584, PAC ID# 0749529980) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1891279584 |
| PAC ID by PECOS | 0749529980 |
| Professional Enrollment ID | I20190305002318 |
| Full Name | Jacqueline Blake Russ |
| Organization Legal Name | EMERGENCY MEDICAL ASSOCIATES, PSC |
| Address |
4001 Dutchmans Ln Louisville KY 40207-4714 |
| Phone Number | 5028954607 |
| Gender | F |
| Graduation Year | 2018 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 7012993116 |
| Number of Group Practice Members | 6 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 4001 Dutchmans Ln, Louisville, KY 40207-4714 | 5028954607 | EMERGENCY MEDICAL ASSOCIATES, PSC |
| Organization Legal Name | EMERGENCY MEDICAL ASSOCIATES, PSC |
| Physicians | 12 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Anne Hayes | Emergency Medicine | Emergency Medical Associates, Psc | 4001 Dutchmans Ln, Louisville, KY 40207-4714 |
| Jessica Henderson | Nurse Practitioner | Emergency Medical Associates, Psc | 4001 Dutchmans Ln, Louisville, KY 40207-4714 |
| Jeffrey Thurman | Emergency Medicine | Emergency Medical Associates, Psc | 4001 Dutchmans Ln, Louisville, KY 40207-4714 |
| Madalyn Straub | Nurse Practitioner | Emergency Medical Associates, Psc | 4001 Dutchmans Ln, Louisville, KY 40207-4714 |
| Bradley S Olds | Emergency Medicine | Emergency Medical Associates, Psc | 4001 Dutchmans Ln, Louisville, KY 40207-4714 |
| Robert P Pringle Jr. | Emergency Medicine | Emergency Medical Associates, Psc | 4001 Dutchmans Ln, Louisville, KY 40207-4714 |
| Stephen Andrew Cawood | Emergency Medicine | Emergency Medical Associates, Psc | 4001 Dutchmans Ln, Louisville, KY 40207-4714 |
| David J Roach | Emergency Medicine | Emergency Medical Associates, Psc | 4001 Dutchmans Ln, Louisville, KY 40207-4714 |
| Christopher L Krieg | Emergency Medicine | Emergency Medical Associates, Psc | 4001 Dutchmans Ln, Louisville, KY 40207-4714 |
| Jillian J Stearman | Emergency Medicine | Emergency Medical Associates, Psc | 4001 Dutchmans Ln, Louisville, KY 40207-4714 |
| Street Address |
4001 DUTCHMANS LN |
| City | LOUISVILLE |
| State | KY |
| Zip | 40207-4714 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Emily R Aragona | Physician Assistant | Diagnostic X-ray Physicians Psc | 4001 Dutchmans Ln, Louisville, KY 40207-4714 |
| Anne Hayes | Emergency Medicine | Emergency Medical Associates, Psc | 4001 Dutchmans Ln, Louisville, KY 40207-4714 |
| Thomas J Spech | Infectious Disease | Commonwealth Infectious Disease Psc | 4001 Dutchmans Ln, Louisville, KY 40207-4714 |
| Eric L Xia | Infectious Disease | Commonwealth Infectious Disease Psc | 4001 Dutchmans Ln, Louisville, KY 40207-4714 |
| Jessica Henderson | Nurse Practitioner | Emergency Medical Associates, Psc | 4001 Dutchmans Ln, Louisville, KY 40207-4714 |
| Jason P Mccubbin | Internal Medicine | 4001 Dutchmans Ln, Louisville, KY 40207-4714 | |
| Jeffrey Thurman | Emergency Medicine | Emergency Medical Associates, Psc | 4001 Dutchmans Ln, Louisville, KY 40207-4714 |
| Sarah A Cawthon | Obstetrics/gynecology | Obhg Kentucky Psc | 4001 Dutchmans Ln, Louisville, KY 40207-4714 |
| Madalyn Straub | Nurse Practitioner | Emergency Medical Associates, Psc | 4001 Dutchmans Ln, Louisville, KY 40207-4714 |
| Bradley S Olds | Emergency Medicine | Emergency Medical Associates, Psc | 4001 Dutchmans Ln, Louisville, KY 40207-4714 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael E Darrow | Clinical Social Worker | 6011 Brownsboro Park Blvd G, Louisville, KY 40207-1292 | |
| Courtney M Campbell | Physical Therapy | Orthopaedic Motion and Sport Physical | 6008 Brownsboro Park Blvd, Suite C, Louisville, KY 40207-1295 |
| Lori Michelle Holt | Physical Therapy | Orthopaedic Motion and Sport Physical | 6008 Brownsboro Park Blvd C, Louisville, KY 40207-1295 |
| Erica Walsh | Physical Therapy | Orthopaedic Motion and Sport Physical | 6008 Brownsboro Park Blvd, Suite C, Louisville, KY 40207-1295 |
| Etta N Rosati | Physical Therapy | Orthopaedic Motion and Sport Physical | 6008 Brownsboro Park Blvd, Suite C, Louisville, KY 40207-1295 |
| Renee N Poirier | Physical Therapy | Orthopaedic Motion and Sport Physical | 6008 Brownsboro Park Blvd, Suite C, Louisville, KY 40207-1295 |
| Bridgid M Mahan | Physical Therapy | Orthopaedic Motion and Sport Physical | 6008 Brownsboro Park Blvd, Suite C, Louisville, KY 40207-1295 |
| Courtney C Wayland | Physical Therapy | Orthopaedic Motion and Sport Physical | 6008 Brownsboro Park Blvd C, Louisville, KY 40207-1295 |
| Thomas D Cummins | Plastic and Reconstructive Surgery | 6002 Brownsboro Park Blvd E, Louisville, KY 40207-1298 | |
| Douglas M Johnson | Optometry | Dr. Mark Lynn and Associates, Pllc | 100 W Market St, Louisville, KY 40207-1332 |
| Find all physicians in zip 40207 | |||
| City | LOUISVILLE |
| Zip Code | 40207 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | LOUISVILLE + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Jacqueline Blake Russ.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.