LAWRENCE BENIDICT RUSSELL PA-C
NPI 1336148147
Physician Assistant in Fairview, PA

Active since July 14, 2005
7287 W RIDGE RD, FAIRVIEW, PA 16415(814) 877-2360(814) 474-3561 Get Directions Write a Review

NPPES record last updated: April 16, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Lawrence Benidict Russell Pa-c NPPES

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

LAWRENCE BENIDICT RUSSELL PA-C (NPI 1336148147) is an individual physician assistant in Fairview, Pennsylvania, licensed in Pennsylvania (MA000191L) and active in the NPI registry since July 2005.

NPPES Registry Identity

NPI1336148147
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameLAWRENCE BENIDICT RUSSELLCredential: PA-C
Location Address7287 W RIDGE RDFairview, PA 16415-1130
Mailing Address7287 W Ridge RdFairview, PA 16415-1130 · (814) 877-2360 · Fax (814) 474-3561
Fax(814) 474-3561
Sole ProprietorNo
Enumeration DateJuly 14, 2005
Last NPPES UpdateApril 16, 2013
NPI 1336148147 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 PA · MA000191L
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.
7287 W RIDGE RD, Fairview, PA 16415

Other Identifiers 3

OtherP00111403PA · Rr Medicare
Medicare UPINS14124
Medicare PIN080703E7CPA

Other Providers at the Same Location NPPES 11

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

Nurse Practitioner
7287 W RIDGE RD
FAIRVIEW, PA 16415
Non-Pharmacy Dispensing Site
7287 W RIDGE RD
FAIRVIEW, PA 16415
Nurse Practitioner
7287 W RIDGE RD
FAIRVIEW, PA 16415
Family Medicine
7287 W RIDGE RD
FAIRVIEW, PA 16415
Physician Assistant
7287 W RIDGE RD
FAIRVIEW, PA 16415
Family Medicine
7287 W RIDGE RD
FAIRVIEW, PA 16415
Physician Assistant
7287 W RIDGE RD
FAIRVIEW, PA 16415
Nurse Practitioner (Family)
7287 W RIDGE RD
FAIRVIEW, PA 16415

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 Lawrence Russell's NPI number?

The NPI number for Lawrence Russell is 1336148147. It was assigned to this individual provider in the NPPES registry on July 14, 2005.

Where is Lawrence Russell located?

Lawrence Russell practices at 7287 W Ridge Rd, Fairview, PA 16415. The listed phone number is (814) 877-2360.

What is Lawrence 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 Lawrence Russell was last updated on April 16, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.