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RUSSELL ADAM BURNHAM PA-C
NPI 1700179199
Physician Assistant in Fort Drum, NY

Active since May 18, 2011
P-10506 EUPHRATES RIVER VALLEY RD, 1-89 CAV, 2BCT, 10TH MTN DIV, FORT DRUM, NY 13602(315) 774-0024 Get Directions Write a Review

NPPES record last updated: August 30, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Russell Adam Burnham Pa-c NPPES

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

RUSSELL ADAM BURNHAM PA-C (NPI 1700179199) is an individual physician assistant in Fort Drum, New York and active in the NPI registry since May 2011.

NPPES Registry Identity

NPI1700179199
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameRUSSELL ADAM BURNHAMCredential: PA-C
Location AddressP-10506 EUPHRATES RIVER VALLEY RD, 1-89 CAV, 2BCT, 10TH MTN DIVFort Drum, NY 13602-5438
Mailing AddressP-10506 Euphrates River Valley Road, 1-89 CavFort Drum, NY 13601 · (315) 774-0024 · Fax (315) 772-6788
Phone(315) 774-0024
Sole ProprietorNo
Enumeration DateMay 18, 2011
Last NPPES UpdateAugust 30, 2012
✔ NPI 1700179199 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
P-10506 EUPHRATES RIVER VALLEY RD, Fort Drum, NY 13602
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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 Burnham's NPI number?

The NPI number for Russell Burnham is 1700179199. It was assigned to this individual provider in the NPPES registry on May 18, 2011.

Where is Russell Burnham located?

Russell Burnham practices at P-10506 Euphrates River Valley Rd 1-89 Cav, 2bct, 10th Mtn Div, Fort Drum, NY 13602. The listed phone number is (315) 774-0024.

What is Russell Burnham's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Russell Burnham was last updated on August 30, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.