MR. DALE EVERETTE RUSSELL PA-C
NPI 1184890519
Physician Assistant in Ann Arbor, MI

Active since May 06, 2008
4200 WHITEHALL DR STE 150, ANN ARBOR, MI 48105(734) 995-0308 Get Directions Write a Review

NPPES record last updated: January 14, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Dale Everette Russell Pa-c NPPES

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

MR. DALE EVERETTE RUSSELL PA-C (NPI 1184890519) is an individual physician assistant in Ann Arbor, Michigan, licensed in Michigan (5601002145) and active in the NPI registry since May 2008.

NPPES Registry Identity

NPI1184890519
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. DALE EVERETTE RUSSELLCredential: PA-C
Location Address4200 WHITEHALL DR STE 150Ann Arbor, MI 48105-9694
Mailing Address24 Frank Lloyd Wright Dr Ste J2000Ann Arbor, MI 48105-9484 · (734) 747-6766
Sole ProprietorNo
Enumeration DateMay 6, 2008
Last NPPES UpdateJanuary 14, 2020
NPI 1184890519 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 MI · 5601002145
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.
4200 WHITEHALL DR STE 150, Ann Arbor, MI 48105

Other Providers at the Same Location NPPES 10

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

Physician Assistant
4200 WHITEHALL DR STE 150
ANN ARBOR, MI 48105
Physician Assistant
4200 WHITEHALL DR STE 150
ANN ARBOR, MI 48105
Physician Assistant (Medical)
4200 WHITEHALL DR STE 150
ANN ARBOR, MI 48105
Physician Assistant
4200 WHITEHALL DR STE 150
ANN ARBOR, MI 48105
Family Medicine
4200 WHITEHALL DR STE 150
ANN ARBOR, MI 48105
Family Medicine
4200 WHITEHALL DR STE 150
ANN ARBOR, MI 48105
Emergency Medicine
4200 WHITEHALL DR STE 150
ANN ARBOR, MI 48105
Preventive Medicine (Occupational Medicine)
4200 WHITEHALL DR STE 150
ANN ARBOR, MI 48105

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 Dale Russell's NPI number?

The NPI number for Dale Russell is 1184890519. It was assigned to this individual provider in the NPPES registry on May 6, 2008.

Where is Dale Russell located?

Dale Russell practices at 4200 Whitehall Dr Ste 150, Ann Arbor, MI 48105. The listed phone number is (734) 995-0308.

What is Dale 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 Dale Russell was last updated on January 14, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.