PEGGY M RUSSELL D.O.
NPI 1679598718
Internal Medicine - Geriatric Medicine in Austin, TX

Q: What is Peggy Russell's NPI number?

The NPI number for Peggy Russell is 1679598718. It was assigned to this individual provider in the NPPES registry on July 12, 2006.

Q: What is Peggy Russell's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Geriatric Medicine, with taxonomy code 207RG0300X.

Q: When was this NPI record last updated?

The NPPES record for Peggy Russell was last updated on May 5, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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 July 12, 2006

1108 LAVACA ST, 110-320, AUSTIN, TX 78701(512) 477-4088 Get Directions Write a Review

NPPES record last updated: May 5, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Peggy M Russell D.o. NPPES

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

PEGGY M RUSSELL D.O. (NPI 1679598718) is an individual geriatric medicine provider in Austin, Texas, licensed in Texas (F4461) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1679598718

Entity TypeIndividualFemale

Primary Taxonomy207RG0300X

Provider Legal NamePEGGY M RUSSELLCredential: D.O.

Location Address1108 LAVACA ST, 110-320Austin, TX 78701-2172

Mailing Address1108 Lavaca St, 110-320Austin, TX 78701-2172 · (512) 477-4088

Phone(512) 477-4088

Sole ProprietorNo

Enumeration DateJuly 12, 2006

Last NPPES UpdateMay 5, 2011

✔ NPI 1679598718 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207RG0300X

License✔ Licensed in TX · F4461

Definition

An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.

1108 LAVACA ST, Austin, TX 78701

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Other Identifiers 5

Medicare UPINA67592

Medicaid097796902TX

Other82020JTX · Bcbs Texas

Medicare ID-Type Unspecified82020JTX

Other110180474TX · Medicare Railroad

Other Providers at the Same Location NPPES 12

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

MICHELLE COFFEY ACNS-BC

Clinical Nurse Specialist (Adult Health)

1108 LAVACA ST, SUITE 110-320
AUSTIN, TX 78701

Travis County (512) 477-4088

MRS. MEENA V. RHODES M.D.

Internal Medicine

1108 LAVACA ST, SUITE 110-320
AUSTIN, TX 78701

Travis County (512) 477-4088

MRS. HAIYAN LIU CNS

Clinical Nurse Specialist

1108 LAVACA ST, SUITE 110-320
AUSTIN, TX 78701

Travis County (512) 477-4088

MARY NEUSCH MANN GNP

Nurse Practitioner (Gerontology)

1108 LAVACA ST, SUITE 110-320
AUSTIN, TX 78701

Travis County (512) 477-4088

LISA MARIE PHELPS

Registered Nurse (General Practice)

1108 LAVACA ST
AUSTIN, TX 78701

Travis County (512) 477-4088

MELINDA GUNADI DANIEL AHCNS

Clinical Nurse Specialist (Adult Health)

1108 LAVACA ST, SUITE 110-320
AUSTIN, TX 78701

Travis County (512) 477-4088

JORDAN SONDGEROTH ACNS

Clinical Nurse Specialist (Adult Health)

1108 LAVACA ST, SUITE 110-320
AUSTIN, TX 78701

Travis County (512) 477-4088

PRITI P GOPAL

Nurse Practitioner (Acute Care)

1108 LAVACA ST
AUSTIN, TX 78701

Travis County (512) 477-4088

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 Peggy Russell's NPI number?

The NPI number for Peggy Russell is 1679598718. It was assigned to this individual provider in the NPPES registry on July 12, 2006.

Where is Peggy Russell located?

Peggy Russell practices at 1108 Lavaca St 110-320, Austin, TX 78701. The listed phone number is (512) 477-4088.

What is Peggy Russell's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Geriatric Medicine, with taxonomy code 207RG0300X.

When was this NPI record last updated?

The NPPES record for Peggy Russell was last updated on May 5, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.