Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACOB ROBERT RUSSELL, DO
ActiveJACOB ROBERT RUSSELL, DO is a Emergency Medicine healthcare provider located in SURPRISE, Arizona. NPI 1417318361 is currently active in the NPPES registry. Verify at CMS.
Emergency Medicine · SURPRISE, AZ
Registration Details
- NPI Number
- 1417318361
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 18, 2016 (10.364607714762 yrs)
- Last Updated
- Jul 8, 2022
- Licenses
-
3749 (MI)008645 (AZ)
Practice Information
- Address
-
16815 W BELL RDSURPRISE, AZ, 853742101Browse AZ providers · Browse ZIP 85374
- Phone
- 6028336900
- Primary Specialty
-
Emergency Medicine
207P00000X
- Additional Specialty
- Student (Health Education/Training)
- Additional Specialty
- Emergency Medicine
Other Emergency Medicine Providers in SURPRISE, AZ
| Name | Credential | NPI |
|---|---|---|
| DR. MARIE A. DOWLING | MD | 1073717732 |
| CARL W OTTE | D.O. | 1114253010 |
| PRACHI HEETEN MEHTA | — | 1689254344 |
| MIKALI NICOLE FRANS | FNP-C | 1598441503 |
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.