DR. CHARLES E RUSSELL MD NPI 1245220912

NPI Information

NPI: 1245220912
Provider Name: DR. CHARLES E RUSSELL, MD
Classification: Preventive Medicine - 2083A0300X
Specialization: Addiction Medicine
Entity Type: Individual
PECOS Registration: Yes
Address: 415 S MAIN ST
WAYNESVILLE, OH
ZIP 45068
Phone: (513) 897-7162

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NPI Details

DR. Charles E Russell, MD is an addiction medicine preventive medicine in Waynesville, OH. The provider is a physician engaged in the subspecialty practice of Addiction Medicine who specializes in the prevention, evaluation, diagnosis, treatment, and recovery of persons with the disease of addiction. DR. Charles E Russell, MD NPI is 1245220912. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

415 S MAIN ST
WAYNESVILLE, OH
ZIP 45068-553
Phone: (513) 897-7162

The NPI 1245220912 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/25/2005 and was last updated on 7/23/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2083A0300X	Preventive Medicine	Addiction Medicine	35050063	OHIO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	000000546225	OTHER	OHIO	ANTHEM
2	0573348	MEDICAID	OHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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