Russell & Genc Health and Wellness Center Corporation

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

RUSSELL & GENC HEALTH AND WELLNESS CENTER CORPORATION

Practice address

6510 Kenilworth Ave Ste 2500
Riverdale, MD 20737-1346

Phone

(410) 997-1907

NPI assigned

Sep 12, 2018

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Imelda T Russell, CRNP

Title

Partner

Phone

(703) 244-4633

Specialties & licenses 3

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1536710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1538352000000",
    "number": "1386127751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6510 KENILWORTH AVE STE 2500",
            "city": "RIVERDALE",
            "state": "MD",
            "postal_code": "207371346",
            "telephone_number": "410-997-1907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6510 KENILWORTH AVE STE 2500",
            "city": "RIVERDALE",
            "state": "MD",
            "postal_code": "207371346",
            "telephone_number": "410-997-1907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUSSELL & GENC HEALTH AND WELLNESS CENTER CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-12",
        "last_updated": "2018-10-01",
        "status": "A",
        "authorized_official_last_name": "RUSSELL",
        "authorized_official_first_name": "IMELDA",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "703-244-4633",
        "authorized_official_credential": "CRNP"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert C. Hsieh, M.D.,P.a.
• Mariama K Rogers
• Rsood LLC
• Yvonne Nicole Rudder, M.D.
• Carl Ruderman, DDS
• Imelda Tividad Russell, CRNP
• Sakwe William Sakwe
• Blanche Amei Sama
• Timothy Sama
• Jestina Scotland

• Nurse Practitioner in Riverdale, MD
• Providers in Riverdale, MD by specialty
• Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.