Russell D Woo, M.D., a Professional Corporation

Primary specialty

SpecialistTaxonomy code 174400000X

License

C33104 Issued in CA

Legal business name

RUSSELL D WOO, M.D., A PROFESSIONAL CORPORATION

Practice address

2100 Webster St
Suite 520
San Francisco, CA 94115-2382

Phone

(415) 923-3004

Fax

(415) 982-0629

NPI assigned

Dec 14, 2006

Organization subpart

No

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

Authorized official

Name

Russell D Woo

Title

President

Phone

(415) 923-3004

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184630400000",
    "number": "1699837120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 WEBSTER ST",
            "address_2": "SUITE 520",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941152382",
            "telephone_number": "415-923-3004",
            "fax_number": "415-982-0629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 WEBSTER ST",
            "address_2": "SUITE 520",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941152382",
            "telephone_number": "415-923-3004",
            "fax_number": "415-982-0629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUSSELL D WOO, M.D., A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-14",
        "last_updated": "2007-07-17",
        "status": "A",
        "authorized_official_last_name": "WOO",
        "authorized_official_first_name": "RUSSELL",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "415-923-3004"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "C33104",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8276517",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Julie L Ruskin, PHD
• Russ Sharkey Psychotherapy, a Marriage and Family Therapy Corporation
• Dana L. Russ, NP MSN
• Jeffrey Brian Russ, PH.D.
• Paul Thomas Russ
• Hannah Russell Laws
• Aubrey Russell-Swetek, CPNP
• Alex Russell
• Byron James Russell, LAC
• Courtney Anne Russell

• Specialist in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2007; 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.