Dusti Jon Russell (NPI# 1164980926, PAC ID# 8820338148) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1164980926 |
| PAC ID by PECOS | 8820338148 |
| Professional Enrollment ID | I20190325001675 |
| Full Name | Dusti Jon Russell |
| Organization Legal Name | AFFILIATED HEALTH CLINICS |
| Address |
3600 Central Ave St Petersburg FL 33711-1345 |
| Phone Number | 7273224227 |
| Gender | F |
| Graduation Year | 2018 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 6305129693 |
| Number of Group Practice Members | 6 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100075 | ST JOSEPHS HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 3600 Central Ave, St Petersburg, FL 33711-1345 | 7273224227 | AFFILIATED HEALTH CLINICS |
| 900 Carillon Pkwy, Suite 301, St Petersburg, FL 33716-1115 | 7273224227 | AFFILIATED HEALTH CLINICS |
| Organization Legal Name | AFFILIATED HEALTH CLINICS |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Giovanni Baula | Internal Medicine | Affiliated Health Clinics | 3600 Central Ave, St Petersburg, FL 33711-1345 |
| Tej Kumar K Atluri | Internal Medicine | Affiliated Health Clinics | 3600 Central Ave, St Petersburg, FL 33711-1345 |
| Jeffrey Marcus Alent | Internal Medicine | Affiliated Health Clinics | 3600 Central Ave, St Petersburg, FL 33711-1345 |
| Jessica Louise Ray | Physician Assistant | Affiliated Health Clinics | 3600 Central Ave, St Petersburg, FL 33711-1345 |
| Street Address |
3600 CENTRAL AVE |
| City | ST PETERSBURG |
| State | FL |
| Zip | 33711-1345 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Giovanni Baula | Internal Medicine | Affiliated Health Clinics | 3600 Central Ave, St Petersburg, FL 33711-1345 |
| Tej Kumar K Atluri | Internal Medicine | Affiliated Health Clinics | 3600 Central Ave, St Petersburg, FL 33711-1345 |
| Jeffrey Marcus Alent | Internal Medicine | Affiliated Health Clinics | 3600 Central Ave, St Petersburg, FL 33711-1345 |
| Jessica Louise Ray | Physician Assistant | Affiliated Health Clinics | 3600 Central Ave, St Petersburg, FL 33711-1345 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Felix J Hernandez | Cardiovascular Disease (cardiology) | 4500 Central Ave, St Petersburg, FL 33711-1041 | |
| Paul E Mcrae | Internal Medicine | 4210 Central Ave, St. Petersburg, FL 33711-1140 | |
| Darall J Moore | Podiatry | 4200 Central Ave, Saint Petersburg, FL 33711-1140 | |
| Nasser Moukaddem | Internal Medicine | Nasser Moukaddem, M.d., P.a. | 4226 Central Ave, St. Petersburg, FL 33711-1140 |
| Marina Barkov | Internal Medicine | Nasser Moukaddem, M.d., P.a. | 4226 Central Ave, St. Petersburg, FL 33711-1140 |
| Steven Myles Cohen | Ophthalmology | Pautler Cohen Findlay and Eichenbaum Mds Pa | 4344 Central Ave, Saint Petersburg, FL 33711-1141 |
| John F Kirk | Dermatology | 4444 Central Ave, Saint Petersburg, FL 33711-1142 | |
| Martin K Blankenship | Chiropractic | 3862 Central Ave, St Petersburg, FL 33711-1202 | |
| Brenda Fikry | Registered Dietitian Or Nutrition Professional | 3862 Central Ave, Suite A, Saint Petersburg, FL 33711-1202 | |
| Colleen Canete | Clinical Social Worker | Suncoast Center, Inc. | 4010 Central Ave, Saint Petersburg, FL 33711-1239 |
| Find all physicians in zip 33711 | |||
| City | ST PETERSBURG |
| Zip Code | 33711 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | ST PETERSBURG + NURSE PRACTITIONER |
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| 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.