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NPI Code Detail

MEDICARE: SARAH ANDREA RUSSELL DO

MEDICARE: SARAH ANDREA RUSSELL DO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207V00000XObstetrics & Gynecology Physician34-010611OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1821255993
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARAH ANDREA RUSSELL DO
Provider Business Mailing Address
First Line : 5000 E MAIN ST
Second Line :
City : COLUMBUS
State : OH
Zip : 43213-2440
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5000 E MAIN ST
Second Line :
City : COLUMBUS
State : OH
Zip : 43213-2440
Country : US
Telephone Number : 614-235-5555
Fax Number : 614-536-1994
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/16/2008
Last Update Date : 03/01/2024

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Directions to “ SARAH ANDREA RUSSELL DO” Practice Location

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