Anthony W. Russell
M.D. | Pediatrics | Male
Anthony W. Russell, M.D. is a Ventura, California based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Anthony W. Russell is
120 N Ashwood Ave, Ventura, California - 93003. He can be contacted on phone at
805-658-5800 and fax number 805-642-1928.
Anthony W. Russell is a sole proprietor of his business.
NPI number (Unique professional ID) for Anthony W. Russell is
1912085697 which was assigned by NPPES on 01 Nov, 2006 and it was last updated on 28 Sep, 2018.
Anthony W. Russell license number is
A85115 for Pediatrics (208000000X) in California.
Anthony W. Russell is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Anthony W. Russell basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Anthony W. Russell |
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| Credential : | M.D. |
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| Gender : | Male |
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Business Address:
Anthony W. Russell address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 120 N Ashwood Ave
Ventura, CA, 93003
United States |
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| Phone Number : | 805-658-5800 |
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| Fax Number : | 805-642-1928 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1912085697 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 01 Nov, 2006 |
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| Last Updated On : | 28 Sep, 2018 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Anthony W. Russell are as mentioned. Primary taxonomy code for Anthony W. Russell, M.D. is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | A85115 | CA |
Legacy Identifiers:
Other legacy medical identifiers of Anthony W. Russell such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 00A851150 | MEDICAID | CA | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 5855 Olivas Park Dr
Ventura, CA, 93003-7672
United States |
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| Phone Number : | 805-667-2801 |
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| Fax Number : | 805-667-2865 |
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Business Location:
Patients can refer following map for directions to
Anthony W. Russell practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.