Samuel J Russell in Elmira - Physician Assistant
Samuel J Russell - NPI 1902907892
Samuel J Russell is a Physician Assistant in Elmira, New York. Samuel J Russell practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Samuel J Russell is 1902907892. The last update date is 2020-02-17.
Samuel J Russell's current location address is 555 Saint Josephs Blvd Ste M2, Elmira, New York. You can contact this provider via phone number 6077347121 and fax number 6077340614. The mailing address for Samuel J Russell is 555 Saint Josephs Blvd Ste M2, Elmira, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Samuel J Russell |
|---|---|
| Address | 555 Saint Josephs Blvd Ste M2, Elmira, New York |
| Phone Number | 6077347121 |
| Fax Number | 6077340614 |
| Sole Proprietor | N |
| Credentials | RPAC |
NPI Number Detail
| NPI Number | 1902907892 |
|---|---|
| Provider Enumeration Date | 2006-09-26 |
| Last Updated Date | 2020-02-17 |
Provider Mailing Address Detail
| Address | 555 Saint Josephs Blvd Ste M2 |
|---|---|
| City | Elmira |
| State | New York (NY) |
| Post Code | 149013223 |
| Phone Number | 6077347121 |
| Fax Number | 6077340614 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 9631 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 103367933 | PA | -- | |
| 3180370 | NY | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Samuel J Russell by the Centers for Medicare & Medicaid Services?
The Samuel J Russell has been issued the NPI (National Provider Identifier) 1902907892, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Samuel J Russell?
The Samuel J Russell is physically situated at 555 Saint Josephs Blvd Ste M2, in the city of Elmira, state of NY, with the postal code 149013223.
What is the area of specialization for Samuel J Russell, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Samuel J Russell is Physician Assistant, and the corresponding taxonomy code that categorizes this area of expertise is 363A00000X.
On what date was the 1902907892 assigned to Samuel J Russell?
The Samuel J Russell was issued its 1902907892 on 2006-09-26, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Samuel J Russell's details last updated?
The information pertaining to the Samuel J Russell, including its address, specialty, and other details, was most recently updated on 2020-02-17.