NOAH RUSSELL DO
NPI 1619611407
Student in an Organized Health Care Education/Training Program in Tupelo, MS
About Noah Russell Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NOAH RUSSELL DO (NPI 1619611407) is an individual student in an organized health care education/training program in Tupelo, Mississippi and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Noah Russell Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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.
TUPELO, MS 38801
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 Noah Russell's NPI number?
The NPI number for Noah Russell is 1619611407. It was assigned to this individual provider in the NPPES registry on April 26, 2022.
Where is Noah Russell located?
Noah Russell practices at 830 S Gloster St, Tupelo, MS 38801. The listed phone number is (662) 377-6652.
What is Noah Russell's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Noah Russell enrolled in Medicare?
Yes. Noah Russell is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Noah Russell was last updated on April 26, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Noah Russell, DO · NPI 1619611407
Student in an Organized Health Care Education/Training Program provider in Tupelo, Mississippi. Individual provider, active in the CMS NPPES registry since April 26, 2022.
## Identity
- **NPI:** 1619611407 (Entity type: Individual)
- **Enumerated:** April 26, 2022
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 830 S GLOSTER ST, Tupelo, MS 38801-4996
- **Phone:** (662) 377-6652
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** April 26, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1619611407) · Data from the CMS NPPES public registry.