SHANE T RUSSELL MD
NPI 1174558803
Specialist in Dayton, OH

Q: What is Shane Russell's NPI number?

The NPI number for Shane Russell is 1174558803. It was assigned to this individual provider in the NPPES registry on July 11, 2006.

Q: What is Shane Russell's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Q: When was this NPI record last updated?

The NPPES record for Shane Russell was last updated on December 3, 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.

Active since July 11, 2006

6780 LOOP RD, DAYTON, OH 45459(937) 434-6344 Get Directions Write a Review

NPPES record last updated: December 3, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Shane T Russell Md NPPES

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

SHANE T RUSSELL MD (NPI 1174558803) is an individual specialist in Dayton, Ohio, licensed in Ohio (35086518) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1174558803

Entity TypeIndividualMale

Primary Taxonomy174400000X

Provider Legal NameSHANE T RUSSELLCredential: MD

Location Address6780 LOOP RDDayton, OH 45459-2161

Mailing Address6780 Loop RdDayton, OH 45459-2161 · (937) 434-6344 · Fax (937) 434-9107

Phone(937) 434-6344

Sole ProprietorYes

Enumeration DateJuly 11, 2006

Last NPPES UpdateDecember 3, 2021

NPPES CertifiedDecember 3, 2021

✔ NPI 1174558803 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in OH · 35086518

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

6780 LOOP RD, Dayton, OH 45459

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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 Shane Russell's NPI number?

The NPI number for Shane Russell is 1174558803. It was assigned to this individual provider in the NPPES registry on July 11, 2006.

Where is Shane Russell located?

Shane Russell practices at 6780 Loop Rd, Dayton, OH 45459. The listed phone number is (937) 434-6344.

What is Shane Russell's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Shane Russell was last updated on December 3, 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.