Tiffany E Russell (NPI# 1124254123, PAC ID# 8921241308) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1124254123 |
| PAC ID by PECOS | 8921241308 |
| Professional Enrollment ID | I20130904000515 |
| Full Name | Tiffany E Russell |
| Organization Legal Name | COMMUNITY DENTAL CLINIC, INC. |
| Address |
87 Merchant Dr Montrose CO 81401-3015 |
| Phone Number | 9702528896 |
| Gender | F |
| Medical School | UNIVERSITY OF PITTSBURGH SCHOOL OF MEDICINE |
| Graduation Year | 2009 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 3971872540 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 060006 | MONTROSE MEMORIAL HOSPITAL |
| 060071 | DELTA COUNTY MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 87 Merchant Dr, Montrose, CO 81401-3015 | 9702528896 | COMMUNITY DENTAL CLINIC, INC. |
| Organization Legal Name | COMMUNITY DENTAL CLINIC, INC. |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lacey R Estes | Physician Assistant | Community Dental Clinic, Inc. | 87 Merchant Dr, Montrose, CO 81401-3015 |
| Theresa C Frick | Certified Nurse Midwife (cnm) | Community Dental Clinic, Inc. | 87 Merchant Dr, Montrose, CO 81401-3015 |
| Mary V Mebane | Family Medicine | Community Dental Clinic, Inc. | 87 Merchant Dr, Montrose, CO 81401-3015 |
| Deborah Ls Westervelt | Clinical Social Worker | Community Dental Clinic, Inc. | 87 Merchant Dr, Montrose, CO 81401-3015 |
| Eric G Boschen | Optometry | Community Dental Clinic, Inc. | 87 Merchant Dr, Montrose, CO 81401-3015 |
| Street Address |
87 MERCHANT DR |
| City | MONTROSE |
| State | CO |
| Zip | 81401-3015 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lacey R Estes | Physician Assistant | Community Dental Clinic, Inc. | 87 Merchant Dr, Montrose, CO 81401-3015 |
| Theresa C Frick | Certified Nurse Midwife (cnm) | Community Dental Clinic, Inc. | 87 Merchant Dr, Montrose, CO 81401-3015 |
| Mary V Mebane | Family Medicine | Community Dental Clinic, Inc. | 87 Merchant Dr, Montrose, CO 81401-3015 |
| Deborah Ls Westervelt | Clinical Social Worker | Community Dental Clinic, Inc. | 87 Merchant Dr, Montrose, CO 81401-3015 |
| Eric G Boschen | Optometry | Community Dental Clinic, Inc. | 87 Merchant Dr, Montrose, CO 81401-3015 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John T Unger | Chiropractic | 201 S 3rd St, Montrose, CO 81401-3617 | |
| Keith A Lundberg | Chiropractic | 140 S 5th St, Montrose, CO 81401-3663 | |
| Sean Isaac May | Chiropractic | 164 Colorado Ave, Suite A, Montrose, CO 81401-3672 | |
| Nichole L Moorman | Clinical Social Worker | 419 N 1st St, Unit E, Montrose, CO 81401-3703 | |
| Pamela Benson | Physical Therapy | 646 N 1st St, Montrose, CO 81401-3707 | |
| Jack E Bradley | Chiropractic | Good News Chiropractic, PC | 101 N Uncompahgre, Suite 1, Montrose, CO 81401-3763 |
| Christopher A Buchanan | Optometry | 1871 E Main St, Montrose, CO 81401-3824 | |
| Charles C Barnhart | Psychiatry | Midwestern Colorado Mental Health Center Inc | 2130 E Main St, Montrose, CO 81401-3834 |
| Kathryn S Hunt | Clinical Social Worker | Midwestern Colorado Mental Health Center Inc | 2130 E Main St, Montrose, CO 81401-3834 |
| Nicolas T Taylor | Psychologist, Clinical | Midwestern Colorado Mental Health Center Inc | 2130 E Main St, Montrose, CO 81401-3834 |
| Find all physicians in zip 81401 | |||
| City | MONTROSE |
| Zip Code | 81401 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | MONTROSE + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Tiffany E 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.