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MACY E RUSSELL
NPI 1174285225
Physician Assistant in Oakwood, OH

Active since October 06, 2021
414 OAKWOOD AVE, OAKWOOD, OH 45409(937) 548-3063 Get Directions Write a Review

NPPES record last updated: October 6, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Macy E Russell NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MACY E RUSSELL (NPI 1174285225) is an individual physician assistant in Oakwood, Ohio, licensed in Ohio (50.007165RX) and active in the NPI registry since October 2021.

NPPES Registry Identity

NPI1174285225
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMACY E RUSSELL
Location Address414 OAKWOOD AVEOakwood, OH 45409-2217
Mailing AddressPo Box 932746Cleveland, OH 44193-2746 · (937) 548-3063 · Fax (937) 548-1371
Phone(937) 548-3063
Sole ProprietorYes
Enumeration DateOctober 6, 2021
NPPES CertifiedOctober 6, 2021
✔ NPI 1174285225 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in OH · 50.007165RX
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
414 OAKWOOD AVE, Oakwood, OH 45409
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Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. BRENNA MARIE GINGRICH NP
Nurse Practitioner (Family)
414 OAKWOOD AVE
OAKWOOD, OH 45409
Montgomery County (937) 204-4802
METRO GOLDEN MEDICAL, LLC
Specialist
414 OAKWOOD AVE
OAKWOOD, OH 45409
Montgomery County (937) 548-3063
MRS. RACHAEL LYNN JENNINGS CNP
Nurse Practitioner (Family)
414 OAKWOOD AVE
OAKWOOD, OH 45409
Montgomery County (937) 560-2011

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Macy Russell's NPI number?

The NPI number for Macy Russell is 1174285225. It was assigned to this individual provider in the NPPES registry on October 6, 2021.

Where is Macy Russell located?

Macy Russell practices at 414 Oakwood Ave, Oakwood, OH 45409. The listed phone number is (937) 548-3063.

What is Macy Russell's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Macy Russell was last updated on October 6, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.