Mark Russell (NPI# 1609164532, PAC ID# 4284804907) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1609164532 |
| PAC ID by PECOS | 4284804907 |
| Professional Enrollment ID | I20110907000802 |
| Full Name | Mark Russell |
| Organization Legal Name | POUNDS MEDICAL WEIGHT LOSS TRANSFORMATION PC |
| Address |
125 Lasalle Rd Suite 208 West Hartford CT 06107-2311 |
| Phone Number | 8609061289 |
| Gender | M |
| Medical School | UNIVERSITY OF CONNECTICUT SCHOOL OF MEDICINE |
| Graduation Year | 2011 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 5991930661 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 125 Lasalle Rd, Suite 208, West Hartford, CT 06107-2311 | 8609061289 | POUNDS MEDICAL WEIGHT LOSS TRANSFORMATION PC |
| 125 Lasalle Rd, West Hartford, CT 06107-2311 | 8609061289 | POUNDS MEDICAL WEIGHT LOSS TRANSFORMATION PC |
| Organization Legal Name | POUNDS MEDICAL WEIGHT LOSS TRANSFORMATION PC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stephanie Levy | Physician Assistant | Pounds Medical Weight Loss Transformation PC | 125 Lasalle Rd, Suite 208, West Hartford, CT 06107-2311 |
| Michelle L Cavo | Physician Assistant | Pounds Medical Weight Loss Transformation PC | 125 Lasalle Rd, Suite 208, West Hartford, CT 06107-2311 |
| Street Address |
125 LASALLE RD SUITE 208 |
| City | WEST HARTFORD |
| State | CT |
| Zip | 06107-2311 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Charles A Cavo | Obstetrics/gynecology | 125 Lasalle Rd, Suite 208, West Hartford, CT 06107-2311 | |
| Stephanie Levy | Physician Assistant | Pounds Medical Weight Loss Transformation PC | 125 Lasalle Rd, Suite 208, West Hartford, CT 06107-2311 |
| Michelle L Cavo | Physician Assistant | Pounds Medical Weight Loss Transformation PC | 125 Lasalle Rd, Suite 208, West Hartford, CT 06107-2311 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Barry M Rosenkranz | Psychiatry | 10 No Main St, Suite 309, West Hartford, CT 06107 | |
| Robert P Belliveau | Clinical Social Worker | 361 Mountain Rd, West Hartford, CT 06107-1028 | |
| Janet Schaefer | Registered Dietitian Or Nutrition Professional | 59 Cliffmore Rd, West Hartford, CT 06107-1152 | |
| Lawrence J Briggs | Diagnostic Radiology | Virtual Radiologic Professionals LLC | 9 Thicket Ln, West Hartford, CT 06107-1320 |
| Romely M Ritoli Lang | Registered Dietitian Or Nutrition Professional | 10 Dale St, West Hartford, CT 06107-1815 | |
| Murray I Wellner | Internal Medicine | 10 Dale St, West Hartford, CT 06107-1815 | |
| Harvey J Hameroff | Internal Medicine | 10 Dale St, West Hartford, CT 06107-1815 | |
| Jaimie Lynn Burns | Psychologist, Clinical | 16 Brace Rd, West Hartford, CT 06107-1825 | |
| Joan C Miller | Clinical Social Worker | 16 Brace Rd, West Hartford, CT 06107-1825 | |
| Yana Frenkel | Psychiatry | 10 N Main St, Suite 305, West Hartford, CT 06107-1901 | |
| Find all physicians in zip 06107 | |||
| City | WEST HARTFORD |
| Zip Code | 06107 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | WEST HARTFORD + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Mark Russell.
| 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.