DEBORAH L RUSSELL MD PLLC NPI 1962527655

NPI Information

NPI: 1962527655
Provider Name: DEBORAH L RUSSELL MD PLLC

Former Legal Business Name: DEBORAH L RUSSELL MD AND PAUL A MEYER MD PC

Classification: Obstetrics & Gynecology - 207VG0400X
Entity Type: Organization

Specialization: Gynecology

Address:
4177 FASHION SQUARE BLVD.
SUITE # 1
SAGINAW, MI
ZIP 48603
Phone: (989) 791-9100
Get Directions

DEBORAH L RUSSELL MD PLLC is a gynecology obstetrics gynecology in Saginaw, MI. DEBORAH L RUSSELL MD PLLC NPI is 1962527655. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is Deborah L Russell Md And Paul A Meyer Md Pc.

The provider's business location address is:

4177 FASHION SQUARE BLVD.
SUITE # 1
SAGINAW, MI
ZIP 48603-216
Phone: (989) 791-9100
Fax: (989) 791-6746

The provider's authorized official is Deborah Lee Russell .
The authorized official title is Owner and has the following contact phone number (989) 791-9100.

The enumeration date for this NPI number is 3/20/2007 and was last updated on 8/24/2021.

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	207V00000X	Obstetrics & Gynecology		4301053500	MICHIGAN	No
2	363LF0000X	Nurse Practitioner	Family	4704246844	MICHIGAN	No
3	207VG0400X	Obstetrics & Gynecology	Gynecology			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	700G310050	OTHER	MICHIGAN	BCBSM
2	3170069	MEDICAID	MICHIGAN

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: 11/14/2023

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »