Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JOHN CALVIN RUSSELL, PA
ActiveJOHN CALVIN RUSSELL, PA is a Physician Assistant healthcare provider located in GRAND ISLAND, Nebraska. NPI 1275584070 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · GRAND ISLAND, NE
Registration Details
- NPI Number
- 1275584070
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 15, 2006 (20.213520530754 yrs)
- Last Updated
- Apr 25, 2017
- License
-
815 (NE)
Practice Information
- Address
-
2201 N BROADWELL AVEGRAND ISLAND, NE, 688032153Browse NE providers · Browse ZIP 68803
- Phone
- 3083823660
- Fax
- 3083953214
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in GRAND ISLAND, NE
| Name | Credential | NPI |
|---|---|---|
| SUSAN K RETZLAFF DEITRICK | PA-C | 1912907981 |
| LAURA A FOX | PA-C | 1023078425 |
| MR. RICHARD K WAGGONER | P.A.-C | 1386698835 |
| MS. JEANNE M ROSS-MUHLBACH | P.A.-C | 1477507986 |
| MR. ALAN BAUMGARDNER | PA-C | 1255377818 |
| JON C MONK | PA | 1760417224 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.