Russell Parker (NPI# 1023167947, PAC ID# 5294992228) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OSTEOPATHIC MANIPULATIVE MEDICINE.
| Nation Provider ID (NPI) | 1023167947 |
| PAC ID by PECOS | 5294992228 |
| Professional Enrollment ID | I20170130001471 |
| Full Name | Russell Parker |
| Organization Legal Name | DUERLER, INC |
| Address |
75 -5591 Palani Rd Suite 3002 Kailua Kona HI 96740-3633 |
| Phone Number | 8087695167 |
| Gender | M |
| Medical School | SOUTHEASTERN COLLEGE OF OSTEO MEDICINE |
| Graduation Year | 1988 |
| Primary Specialty | OSTEOPATHIC MANIPULATIVE MEDICINE |
| Group Practice PAC ID | 2062680861 |
| Number of Group Practice Members | 6 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 120028 | NORTH HAWAII COMMUNITY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 75 -5591 Palani Rd, Suite 3002, Kailua Kona, HI 96740-3633 | 8087695167 | DUERLER, INC |
| 64-1032 Mamalahoa Hwy 306, Kamuela, HI 96743-8441 | 8087695010 | DUERLER, INC |
| Organization Legal Name | DUERLER, INC |
| Physicians | 8 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Timothy S Duerler | Family Medicine | Duerler, Inc | 64-1032 Mamalahoa Hwy 306, Kamuela, HI 96743-8441 |
| Amy J Duerler | Nurse Practitioner | Duerler, Inc | 64-1032 Mamalahoa Hwy 306, Kamuela, HI 96743-8441 |
| Joshua Lessard-chaudoin | Nurse Practitioner | Duerler, Inc | 64-1032 Mamalahoa Hwy 306, Kamuela, HI 96743-8441 |
| James Gilley | Podiatry | Duerler, Inc | 64-1032 Mamalahoa Hwy 306, Kamuela, HI 96743-8441 |
| Carly Kaleo Correa | Nurse Practitioner | Duerler, Inc | 64-1032 Mamalahoa Hwy 306, Kamuela, HI 96743-8441 |
| James Robert Brooks I | General Practice | Duerler, Inc | 64-1032 Mamalahoa Hwy 306, Kamuela, HI 96743-8441 |
| Judith A Casarella | Nurse Practitioner | Duerler, Inc | 64-1032 Mamalahoa Hwy 306, Kamuela, HI 96743-8441 |
| Street Address |
75 -5591 PALANI RD SUITE 3002 |
| City | KAILUA KONA |
| State | HI |
| Zip | 96740-3633 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Marie Irene Thomas | Physician Assistant | Hosanna LLC | 75 -5870 Walua Rd, Suite 200, Kailua Kona, HI 96740-1392 |
| Elizabeth A Catanzaro | Family Medicine | Hosanna LLC | 75 -5870 Walua Rd, Suite 200, Kailua Kona, HI 96740-1392 |
| John Littleton | Physician Assistant | Hosanna LLC | 75 -5870 Walua Rd, Suite 200, Kailua Kona, HI 96740-1392 |
| Nathan C King | Internal Medicine | Hosanna LLC | 75 -5870 Walua Rd, Suite 200, Kailua Kona, HI 96740-1392 |
| David Alan Arthurs | Family Medicine | Hosanna LLC | 75 -5870 Walua Rd, Suite 200, Kailua Kona, HI 96740-1392 |
| Jelena Skopinceva | Registered Dietitian Or Nutrition Professional | 75 -5870 Walua Rd, Suite 100, Kailua Kona, HI 96740-1392 | |
| Inna Litvin | Optometry | 75 -1015 Henry St, Suite 700, Kailua Kona, HI 96740-1621 | |
| Brett Carey | Physical Therapy | 75 -5597 Palani Rd, Suite A 1, Kailua Kona, HI 96740-1661 | |
| Amy Hoogs | Physical Therapy | Crossroads Rehab LLC | 75 -1029 Henry St, Suite 101, Kailua Kona, HI 96740-1666 |
| Carlen Koons | Physical Therapy | Crossroads Rehab LLC | 75 -1029 Henry St, Suite 101, Kailua Kona, HI 96740-1666 |
| Find all physicians in zip 96740 | |||
| City | KAILUA KONA |
| Zip Code | 96740 |
| Specialty | OSTEOPATHIC MANIPULATIVE MEDICINE |
| City + Specialty | KAILUA KONA + OSTEOPATHIC MANIPULATIVE MEDICINE |
Please comment or provide details below to improve the information on Russell Parker.
| 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.