Anthony W Russell, MD | |
120 N Ashwood Ave, Ventura, CA 93003 | |
(805) 658-5800 | |
(805) 642-1928 |
Full Name | Anthony W Russell |
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Gender | Male |
Speciality | Pediatrics |
Location | 120 N Ashwood Ave, Ventura, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1912085697 | NPI | - | NPPES |
00A851150 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | A85115 (California) | Primary |
Entity Name | Community Memorial Health System |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1215903018 PECOS PAC ID: 9537155676 Enrollment ID: O20040422001668 |
Mailing Address | Practice Location Address |
---|---|
Anthony W Russell, MD 5855 Olivas Park Dr, Ventura, CA 93003-7672 Ph: (805) 667-2801 | Anthony W Russell, MD 120 N Ashwood Ave, Ventura, CA 93003 Ph: (805) 658-5800 |
Traci A Williams, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 2953 Telegraph Rd, Ventura, CA 93003 Phone: 805-652-5252 Fax: 805-652-0097 | |
Dr. Catherine M Hurley, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 888 S Hill Rd, Ventura, CA 93003 Phone: 805-477-6300 Fax: 805-477-6300 | |
Dr. Valerie Sussman, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2660 E Main St, 204, Ventura, CA 93003 Phone: 805-643-7500 Fax: 805-643-7510 | |
Stephanie Grace West, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 888 S Hill Rd, Ventura, CA 93003 Phone: 833-574-2273 | |
Dr. Danielle Shaw, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 120 N Ashwood Ave, Ventura, CA 93003 Phone: 805-805-6526 | |
Dr. Robert Eldon Ryan Iii, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 5415 Topa Topa Dr, Ventura, CA 93003 Phone: 805-320-5120 | |
Dr. Sally Jean Smith, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2755 Loma Vista Rd, Ventura, CA 93003 Phone: 805-477-9922 Fax: 805-477-9937 |