MARY JO RUSSELL PA-C
NPI 1528046695
Physician Assistant in Bettendorf, IA

Active since January 09, 2006
2300 53RD AVE, SUITE 100, BETTENDORF, IA 52722(563) 322-0971(563) 324-0615 Get Directions Write a Review

NPPES record last updated: November 8, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mary Jo Russell Pa-c NPPES

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

MARY JO RUSSELL PA-C (NPI 1528046695) is an individual physician assistant in Bettendorf, Iowa, licensed in Iowa (001347) and active in the NPI registry since January 2006.

NPPES Registry Identity

NPI1528046695
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMARY JO RUSSELLCredential: PA-C
Location Address2300 53RD AVE, SUITE 100Bettendorf, IA 52722-7564
Mailing Address2300 53rd Ave, Suite 100Bettendorf, IA 52722-7564 · (563) 322-0971 · Fax (563) 324-0615
Fax(563) 324-0615
Sole ProprietorNo
Enumeration DateJanuary 9, 2006
Last NPPES UpdateNovember 8, 2013
NPI 1528046695 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 IA · 001347
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.
2300 53RD AVE, Bettendorf, IA 52722

Other Names 1

Former Name (1)Mary Jo Farr Pa-c

Other Identifiers 2

Medicare UPINS17157
Medicare PINI6028IA

Other Providers at the Same Location NPPES 16

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

Physical Therapist
2300 53RD AVE, SUITE LL02
BETTENDORF, IA 52722
Physical Therapist
2300 53RD AVE
BETTENDORF, IA 52722
Physician Assistant
2300 53RD AVE, SUITE 100
BETTENDORF, IA 52722
Orthopaedic Surgery
2300 53RD AVE, SUITE 100
BETTENDORF, IA 52722
Clinic/Center (Ambulatory Surgical)
2300 53RD AVE, SUITE 200
BETTENDORF, IA 52722
Physical Therapist
2300 53RD AVE, SUITE LL02
BETTENDORF, IA 52722
Physical Therapist
2300 53RD AVE, LL02
BETTENDORF, IA 52722
Nurse Practitioner (Adult Health)
2300 53RD AVE, SUITE 100
BETTENDORF, IA 52722

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 Mary Russell's NPI number?

The NPI number for Mary Russell is 1528046695. It was assigned to this individual provider in the NPPES registry on January 9, 2006. The provider is also known as Mary Jo Farr Pa-C.

Where is Mary Russell located?

Mary Russell practices at 2300 53rd Ave Suite 100, Bettendorf, IA 52722. The listed phone number is (563) 322-0971.

What is Mary 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 Mary Russell was last updated on November 8, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.