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JESSICA RUSS CCP
NPI 1174929129
Perfusionist in Phoenix, AZ

Active since November 18, 2014
10930 N TATUM BLVD, STE 103, PHOENIX, AZ 85028(602) 263-7600(602) 212-0365 Get Directions Write a Review

NPPES record last updated: November 18, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jessica Russ Ccp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JESSICA RUSS CCP (NPI 1174929129) is an individual perfusionist provider in Phoenix, Arizona, licensed in Nevada (LP030) and active in the NPI registry since November 2014.

NPPES Registry Identity

NPI1174929129
Entity TypeIndividualFemale
Primary Taxonomy242T00000X
Provider Legal NameJESSICA RUSSCredential: CCP
Location Address10930 N TATUM BLVD, STE 103Phoenix, AZ 85028-6069
Mailing Address10930 N Tatum Blvd, Ste 103Phoenix, AZ 85028-6069 · (602) 263-7600 · Fax (602) 212-0365
Phone(602) 263-7600
Fax(602) 212-0365
Sole ProprietorNo
Enumeration DateNovember 18, 2014
✔ NPI 1174929129 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPerfusionistTechnologists, Technicians & Other Technical Service Providers
Taxonomy Code242T00000X
License✔ Licensed in NV · LP030
Definition
A perfusionist operates extracorporeal circulation and autotransfusion equipment during any medical situation where it is necessary to support or temporarily replace the patient's circulatory or respiratory function. The perfusionist is knowledgeable concerning the variety of equipment available to perform extracorporeal circulation functions and is responsible, in consultation with the physician, for selecting the appropriate equipment and techniques to be used.
10930 N TATUM BLVD, Phoenix, AZ 85028
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Other Providers at the Same Location NPPES 18

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RUSSELL FORNATOR CCP
Specialist
10930 N TATUM BLVD, #103
PHOENIX, AZ 85028
Maricopa County (602) 263-7600
CHARLES P ALTENBERN CCP
Specialist
10930 N TATUM BLVD, #103
PHOENIX, AZ 85028
Maricopa County (602) 263-7600
CARDIAC CONCEPTS, LLC
Specialist
10930 N TATUM BLVD, 103
PHOENIX, AZ 85028
Maricopa County (602) 263-7600
JERRY L DUNKER CCP
Specialist
10930 N TATUM BLVD, #103
PHOENIX, AZ 85028
Maricopa County (602) 263-7600
KELSEY SLUGOCKI PA-C
Physician Assistant
10930 N TATUM BLVD, STE 103
PHOENIX, AZ 85028
Maricopa County (602) 263-7600
MICHAEL P CASKEY MD
Specialist/Technologist Cardiovascular (Vascular Specialist)
10930 N TATUM BLVD, STE 103
PHOENIX, AZ 85028
Maricopa County (602) 263-7600
MALIA GOOZEN-SUOR MS, CCP
Perfusionist
10930 N TATUM BLVD, 103
PHOENIX, AZ 85028
Maricopa County (602) 263-7600
MISS MEGHAN KIRKSEY CCP
Perfusionist
10930 N TATUM BLVD, STE 103
PHOENIX, AZ 85028
Maricopa County (602) 263-7600

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jessica Russ's NPI number?

The NPI number for Jessica Russ is 1174929129. It was assigned to this individual provider in the NPPES registry on November 18, 2014.

Where is Jessica Russ located?

Jessica Russ practices at 10930 N Tatum Blvd Ste 103, Phoenix, AZ 85028. The listed phone number is (602) 263-7600.

What is Jessica Russ's specialty?

The primary specialty registered for this NPI is Perfusionist with taxonomy code 242T00000X.

When was this NPI record last updated?

The NPPES record for Jessica Russ was last updated on November 18, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.