DAVID P RUSSELL MD NPI 1477550663

NPI Information

NPI: 1477550663
Provider Name: DAVID P RUSSELL, MD
Classification: Urology - 208800000X
Entity Type: Individual
Address:
1301 PLEASANT VALLEY RD
SUITE 302
OWENSBORO, KY
ZIP 42303
Phone: (270) 417-7880
Get Directions

David P Russell, MD is an urology in Owensboro, KY. The provider is a urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. David P Russell, MD NPI is 1477550663. 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:

1301 PLEASANT VALLEY RD
SUITE 302
OWENSBORO, KY
ZIP 42303-774
Phone: (270) 417-7880
Fax: (270) 417-7888

The enumeration date for this NPI number is 7/1/2005 and was last updated on 6/10/2016.

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	208800000X	Urology		20218	KENTUCKY	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	64-202187	MEDICAID	KENTUCKY
2	K106440	MEDICARE PIN	KENTUCKY
3	000000197830	OTHER		BCBS
4	340001298	OTHER		RAILROAD MEDICARE
5	B58796	MEDICARE UPIN

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: 4/28/2024

NPI Synchronization or Removal

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