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DR. NATHAN E RUSSELL MD
NPI 1205360237
Family Medicine in San Tan Valley, AZ

Active since April 17, 2017
37100 N GANTZEL RD STE 201A, SAN TAN VALLEY, AZ 85140(480) 394-4469 Get Directions Write a Review

NPPES record last updated: January 26, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 26, 2021, Apr 17, 2017 (2 updates tracked since 2017).

About Dr. Nathan E Russell Md NPPES

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

DR. NATHAN E RUSSELL MD (NPI 1205360237) is an individual family medicine provider in San Tan Valley, Arizona, licensed in Arizona (59940) and active in the NPI registry since April 2017. He maintains 3 additional practice locations.

NPPES Registry Identity

NPI1205360237
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. NATHAN E RUSSELLCredential: MD
Location Address37100 N GANTZEL RD STE 201ASan Tan Valley, AZ 85140-7352
Mailing Address37100 N Gantzel Rd Ste 201aSan Tan Valley, AZ 85140-7352 · (480) 394-4469 · Fax (480) 394-4520
Phone(480) 394-4469
Sole ProprietorNo
Enumeration DateApril 17, 2017
Last NPPES UpdateJanuary 26, 20212 updates tracked since enumeration
NPPES CertifiedJanuary 25, 2021
✔ NPI 1205360237 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in AZ · 59940
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedHospitalistTaxonomy 208M00000X · License 59940 (AZ)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
37100 N GANTZEL RD STE 201A, San Tan Valley, AZ 85140
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Secondary Practice Locations 3

Location 1527 Medical Park Dr, Suite 500Bridgeport, WV 26330-9008 · Phone (681) 342-3600 · Fax (681) 342-3625
Location 237000 N Gantzel RdSan Tan Valley, AZ 85140-7303 · Phone (480) 394-4000
Location 36644 E Baywood AveMesa, AZ 85206-1797 · Phone (480) 321-2000

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
51 services46 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
31 services27 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
15 services15 patients

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 Nathan Russell's NPI number?

The NPI number for Nathan Russell is 1205360237. It was assigned to this individual provider in the NPPES registry on April 17, 2017.

Where is Nathan Russell located?

Nathan Russell practices at 37100 N Gantzel Rd Ste 201A, San Tan Valley, AZ 85140. The listed phone number is (480) 394-4469.

What is Nathan Russell's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Nathan Russell was last updated on January 26, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.