JEFFREY HAROLD RUSSUM MD
NPI 1659345346
Internal Medicine in Saint Paul, MN

Q: What is Jeffrey Russum's NPI number?

The NPI number for Jeffrey Russum is 1659345346. It was assigned to this individual provider in the NPPES registry on February 17, 2006. The provider is also known as Jeffrey H Russum.

Q: What is Jeffrey Russum's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Jeffrey Russum was last updated on November 5, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.

Active since February 17, 2006

640 JACKSON ST, SAINT PAUL, MN 55101(651) 254-3456(651) 254-9673 Get Directions Write a Review

NPPES record last updated: November 5, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Jeffrey Harold Russum Md NPPES

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

JEFFREY HAROLD RUSSUM MD (NPI 1659345346) is an individual internal medicine provider in Saint Paul, Minnesota, licensed in Minnesota (34942) and active in the NPI registry since February 2006.

NPPES Registry Identity

NPI1659345346

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameJEFFREY HAROLD RUSSUMCredential: MD

Location Address640 JACKSON STSaint Paul, MN 55101-2502

Mailing Address8170 33rd Ave S, Ms 21110qBloomington, MN 55425-4516 · (651) 254-3456 · Fax (651) 254-9673

Phone(651) 254-3456

Fax(651) 254-9673

Sole ProprietorNo

Enumeration DateFebruary 17, 2006

Last NPPES UpdateNovember 5, 2015

✔ NPI 1659345346 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in MN · 34942

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

640 JACKSON ST, Saint Paul, MN 55101

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Other Names 1

Other Name (5)Jeffrey H Russum

Other Identifiers 2

Medicaid826590900MN

Medicare UPINF15029

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.Insurance ›

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.

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Internal Medicine