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MR. RUSSELL MEMHARD PA-C
NPI 1689705014
Physician Assistant - Surgical in Albany, NY

Active since March 08, 2007PECOS Enrolled
600 NORTHERN BLVD, ALBANY, NY 12204(518) 471-3272 Get Directions Write a Review

NPPES record last updated: June 11, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 11, 2021, Mar 17, 2018, Nov 6, 2017 (3 updates tracked since 2017).

About Mr. Russell Memhard Pa-c NPPES

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

MR. RUSSELL MEMHARD PA-C (NPI 1689705014) is an individual surgical provider in Albany, New York, licensed in New York (004263-1) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1689705014
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameMR. RUSSELL MEMHARDCredential: PA-C
Location Address600 NORTHERN BLVDAlbany, NY 12204-1004
Mailing AddressPo Box 14890Albany, NY 12212-4890 · (518) 525-5634
Phone(518) 471-3272
Sole ProprietorNo
Enumeration DateMarch 8, 2007
Last NPPES UpdateJune 11, 20213 updates tracked since enumeration
NPPES CertifiedJune 11, 2021
✔ NPI 1689705014 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in NY · 004263-1
600 NORTHERN BLVD, Albany, NY 12204
Open in Google Maps ↗

Secondary Practice Locations 2

Location 12215 Burdett AveTroy, NY 12180-2466 · Phone (518) 271-3300
Location 2315 S Manning BlvdAlbany, NY 12208-1707 · Phone (518) 525-1550

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Russell Memhard Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

LEAH CAMPBELL
Occupational Therapist
600 NORTHERN BLVD
ALBANY, NY 12204
Albany County (518) 471-3195
MRS. LYNN CAFFREY STALL OTR
Occupational Therapist
600 NORTHERN BLVD
ALBANY, NY 12204
Albany County (518) 427-3373
BENJAMIN S KATZ MD
Emergency Medicine
600 NORTHERN BLVD
ALBANY, NY 12204
Albany County (330) 493-4443
DOMINIC SALVATORE ASCIOTI PA-C
Physician Assistant
600 NORTHERN BLVD
ALBANY, NY 12204
Albany County (518) 471-3221
LAURIE ANNE HARRIS BS RN CDE
Registered Nurse (Diabetes Educator)
600 NORTHERN BLVD
ALBANY, NY 12204
Albany County (518) 447-3500
KATHRINE GEOGHEGAN FNP
Nurse Practitioner (Family)
600 NORTHERN BLVD
ALBANY, NY 12204
Albany County (518) 471-3111
EMERGENCY MEDICINE PHYSICIANS OF ALBANY COUNTY, PLLC
Emergency Medicine
600 NORTHERN BLVD
ALBANY, NY 12204
Albany County (330) 493-4443
MRS. LYNNE LONG R.D., C.D.E.
Dietitian, Registered
600 NORTHERN BLVD
ALBANY, NY 12204
Albany County (518) 447-3500

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 Russell Memhard's NPI number?

The NPI number for Russell Memhard is 1689705014. It was assigned to this individual provider in the NPPES registry on March 8, 2007.

Where is Russell Memhard located?

Russell Memhard practices at 600 Northern Blvd, Albany, NY 12204. The listed phone number is (518) 471-3272.

What is Russell Memhard's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Russell Memhard enrolled in Medicare?

Yes. Russell Memhard is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Russell Memhard was last updated on June 11, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.