PAUL A RUSSELL NPI 1811911688

NPI Information

NPI: 1811911688
Provider Name: PAUL A RUSSELL
Classification: Specialist - 174400000X
Entity Type: Individual
Address:
2278 ALBERT PIKE RD STE B
HOT SPRINGS, AR
ZIP 71913
Phone: (501) 767-0808
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Paul A Russell is a specialist in Hot Springs, AR. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. Paul A Russell NPI is 1811911688. 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:

2278 ALBERT PIKE RD STE B
HOT SPRINGS, AR
ZIP 71913-157
Phone: (501) 767-0808

The enumeration date for this NPI number is 7/26/2006 and was last updated on 7/8/2007.

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	174400000X	Specialist		AT325	ARKANSAS	No
2	174400000X	Specialist		PTA 1269	ARKANSAS	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	5U837	MEDICARE ID-TYPE UNSPECIFIED	ARKANSAS

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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