Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

GARY D. RUSSELL P.A.-C
NPI 1437103306
Physician Assistant in Phoenix, AZ

Active since May 22, 2006
2525 E ROOSEVELT ST, PHOENIX, AZ 85008(602) 344-5651(602) 344-5578 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Gary D. Russell P.a.-c NPPES

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

GARY D. RUSSELL P.A.-C (NPI 1437103306) is an individual physician assistant in Phoenix, Arizona, licensed in Arizona (1136) and active in the NPI registry since May 2006.

NPPES Registry Identity

NPI1437103306
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameGARY D. RUSSELLCredential: P.A.-C
Location Address2525 E ROOSEVELT STPhoenix, AZ 85008-4948
Mailing AddressPo Box 5177Phoenix, AZ 85010-5177 · (602) 344-5651 · Fax (602) 344-5578
Fax(602) 344-5578
Sole ProprietorNo
Enumeration DateMay 22, 2006
Last NPPES UpdateJuly 13, 2026
NPI 1437103306 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 AZ · 1136
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.
2525 E ROOSEVELT ST, Phoenix, AZ 85008

Other Providers at the Same Location NPPES 20

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

Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
2525 E ROOSEVELT ST
PHOENIX, AZ 85008
Pediatrics
2525 E ROOSEVELT ST
PHOENIX, AZ 85008
Internal Medicine (Rheumatology)
2525 E ROOSEVELT ST
PHOENIX, AZ 85008
Surgery
2525 E ROOSEVELT ST
PHOENIX, AZ 85008
Internal Medicine
2525 E ROOSEVELT ST
PHOENIX, AZ 85008
Nurse Practitioner (Family)
2525 E ROOSEVELT ST
PHOENIX, AZ 85008
Pediatrics
2525 E ROOSEVELT ST
PHOENIX, AZ 85008
Surgery (Vascular Surgery)
2525 E ROOSEVELT ST
PHOENIX, AZ 85008

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 Gary Russell's NPI number?

The NPI number for Gary Russell is 1437103306. It was assigned to this individual provider in the NPPES registry on May 22, 2006.

Where is Gary Russell located?

Gary Russell practices at 2525 E Roosevelt St, Phoenix, AZ 85008. The listed phone number is (602) 344-5651.

What is Gary 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 Gary Russell was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 24 days 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.