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DR. LINCOLN DAVID RUSSIN M.D.
NPI 1548308273
Specialist in Jackson, CA

Active since February 02, 2007
200 MISSION BLVD, JACKSON, CA 95642(209) 223-0949(209) 223-0965 Get Directions Write a Review

NPPES record last updated: December 18, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Lincoln David Russin M.d. NPPES

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

DR. LINCOLN DAVID RUSSIN M.D. (NPI 1548308273) is an individual specialist in Jackson, California, licensed in California (G86200) and active in the NPI registry since February 2007.

NPPES Registry Identity

NPI1548308273
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameDR. LINCOLN DAVID RUSSINCredential: M.D.
Location Address200 MISSION BLVDJackson, CA 95642-2564
Mailing AddressPo Box 877Jackson, CA 95642-0877 · (209) 223-0949 · Fax (209) 223-0965
Phone(209) 223-0949
Fax(209) 223-0965
Sole ProprietorNo
Enumeration DateFebruary 2, 2007
Last NPPES UpdateDecember 18, 2007
✔ NPI 1548308273 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in CA · G86200
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
200 MISSION BLVD, Jackson, CA 95642
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Other Identifiers 3

Medicare UPINB97674CA
Medicare PIN00G862000CA
MedicaidGR0043480CA

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.

MARISSA LEE PROVERBS PA-C
Physician Assistant
200 MISSION BLVD
JACKSON, CA 95642
Amador County (209) 223-7500
MOTHER LODE DIAGNOSTIC IMAGING INC
Radiology (Diagnostic Radiology)
200 MISSION BLVD
JACKSON, CA 95642
Amador County (209) 223-0949
MARY MICHELLE VANFOSSAN RD
Dietitian, Registered
200 MISSION BLVD
JACKSON, CA 95642
Amador County (209) 257-7635
HASHIM RAHIM CHAUDHRY DO
Internal Medicine
200 MISSION BLVD
JACKSON, CA 95642
Amador County (916) 733-3777
LATHA SUNIL KUMAR M.D
Internal Medicine
200 MISSION BLVD
JACKSON, CA 95642
Amador County (916) 733-3777
SEAN KELLEY M.D.
Radiology (Diagnostic Radiology)
200 MISSION BLVD
JACKSON, CA 95642
Amador County (209) 223-7500
AMADOR ANESTHESIA MEDICAL GROUP, INC.
Anesthesiology
200 MISSION BLVD
JACKSON, CA 95642
Amador County (209) 223-7500
SOUND INPATIENT PHYSICIANS MEDICAL GROUP
Hospitalist
200 MISSION BLVD
JACKSON, CA 95642
Amador County (209) 223-7500

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 Lincoln Russin's NPI number?

The NPI number for Lincoln Russin is 1548308273. It was assigned to this individual provider in the NPPES registry on February 2, 2007.

Where is Lincoln Russin located?

Lincoln Russin practices at 200 Mission Blvd, Jackson, CA 95642. The listed phone number is (209) 223-0949.

What is Lincoln Russin's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Lincoln Russin was last updated on December 18, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.