MS. MICHELLE M RUSSELL DO NPI 1366428476

NPI Information

  • NPI: 1366428476
  • Provider Name: MS. MICHELLE M RUSSELL, DO
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 7700 WASHINGTON VILLAGE DR STE 210
    CENTERVILLE, OH
    ZIP 45459
  • Phone: (937) 562-2291

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NPI Details

MS. Michelle M Russell, DO is a family medicine in Centerville, OH with 37 years of experience. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. MS. Michelle M Russell, DO NPI is 1366428476. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: OHIO UNIVERSITY, COLLEGE OF OSTEOPATHIC MEDICINE
Graduation Year:1989

The provider's business location address is:

7700 WASHINGTON VILLAGE DR STE 210
CENTERVILLE, OH
ZIP 45459-094
Phone: (937) 562-2291
Fax: (937) 562-2293

The NPI 1366428476 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 following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
  • Injection, ketorolac tromethamine, per 15 mg (HCPCS:J1885)
  • Annual depression screening, 15 minutes (HCPCS:G0444)
  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Influenza vaccine split virus, preservative free (HCPCS:90662)
  • Automated urinalysis test (HCPCS:81003)
  • Injection of drug or substance under skin or into muscle (HCPCS:96372)
  • Administration of pneumococcal vaccine (HCPCS:G0009)
  • Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use (HCPCS:90677)
  • Hemoglobin a1c level (HCPCS:83036)
  • Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report (HCPCS:93000)
  • Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit (HCPCS:G0438)

The enumeration date for this NPI number is 12/20/2005 and was last updated on 11/24/2020.

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
1207Q00000XFamily Medicine34005033OHIOYes

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
1080191704OTHEROHIORAILROAD MEDICARE
2D0503304OTHEROHIOHUMANA/CHOICECARE
3000000227882OTHEROHIOANTHEM
40120237OTHEROHIOUNITED HEALTH CARE
534005033ROTHERMEDICAL LICENSE
6421534506073OTHEROHIOCARESOURCE
7OC06218OTHEROHIONATIONWIDE
8590581OTHEROHIOAETNA
9000000227882OTHEROHIOUNICARE
100887394MEDICAIDOHIO

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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