DR. TIMOTHY PAUL RUSSELL M.D. NPI 1770565087

NPI Information

  • NPI: 1770565087
  • Provider Name: DR. TIMOTHY PAUL RUSSELL, M.D.
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Individual
  • Address: UNIT 45011 BLDG 704, ATTN: MCJA-QM
    USA MEDDAC-JAPAN
    APO, AP
    ZIP 96338
  • Phone: 011813117

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NPI Details

DR. Timothy Paul Russell, M.D. is a family medicine in Apo, AP. 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. DR. Timothy Paul Russell, M.D. NPI is 1770565087. 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:

UNIT 45011 BLDG 704, ATTN: MCJA-QM
USA MEDDAC-JAPAN
APO, AP
ZIP 96338-011
Phone: 011813117
Fax: 4127

The enumeration date for this NPI number is 11/14/2005 and was last updated on 7/21/2022.

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 Medicine21584-020WISCONSINYes

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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