DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SHANNON RUSSELL, QMHS/CDCA

Active

SHANNON RUSSELL, QMHS/CDCA is a Foot & Ankle Surgery healthcare provider located in DAYTON, Ohio. NPI 1790250504 is currently active in the NPPES registry. Verify at CMS.

Foot & Ankle Surgery · DAYTON, OH

Registration Details

NPI Number
1790250504
Provider Type
Individual
Gender
Female
NPI Issued
Oct 8, 2018 (7.6662942746073 yrs)
Last Updated
Jul 25, 2024
License
CDCA.165915 (OH)

Practice Information

Address
5244 W 2ND ST
DAYTON, OH, 454179044
Browse OH providers · Browse ZIP 45417
Phone
9373699916
Primary Specialty
Foot & Ankle Surgery
3747P1801X
Additional Specialty
Foot & Ankle Surgery

Other Foot & Ankle Surgery Providers in DAYTON, OH

Name Credential NPI
HELEN LOUISE VISLOSKY PTA 1376864116
DARONA N EDMONDS INDEPENDENT PROVIDER 1699088435
MRS. BONNIE I NORTH 1477954030
JEREESE ARMSTRONG 1932587672
KACI BROOKS 1053797407
CASANDRA RAMBO 1578934766
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.