MATTHEW WILLIAM RUSSELL MD
NPI 1962190074
Student in an Organized Health Care Education/Training Program in Cleveland, OH

Active since April 26, 2023PECOS Enrolled
9500 EUCLID AVE # JJ24, CLEVELAND, OH 44195(216) 444-2200 Get Directions Write a Review

NPPES record last updated: April 26, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Matthew William Russell Md NPPES

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

MATTHEW WILLIAM RUSSELL MD (NPI 1962190074) is an individual student in an organized health care education/training program in Cleveland, Ohio and active in the NPI registry since April 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1962190074
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMATTHEW WILLIAM RUSSELLCredential: MD
Location Address9500 EUCLID AVE # JJ24Cleveland, OH 44195-0001
Mailing Address9500 Euclid Ave # Jj24Cleveland, OH 44195-0001 · (440) 915-7969
Sole ProprietorYes
Enumeration DateApril 26, 2023
NPPES CertifiedApril 26, 2023
NPI 1962190074 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

9500 EUCLID AVE # JJ24, Cleveland, OH 44195

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Matthew William Russell Md 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.

Student in an Organized Health Care Education/Training Program
9500 EUCLID AVE # JJ24
CLEVELAND, OH 44195
Student in an Organized Health Care Education/Training Program
9500 EUCLID AVE # JJ24
CLEVELAND, OH 44195
Student in an Organized Health Care Education/Training Program
9500 EUCLID AVE # JJ24
CLEVELAND, OH 44195
Student in an Organized Health Care Education/Training Program
9500 EUCLID AVE # JJ24
CLEVELAND, OH 44195
Student in an Organized Health Care Education/Training Program
9500 EUCLID AVE # JJ24
CLEVELAND, OH 44195
Student in an Organized Health Care Education/Training Program
9500 EUCLID AVE # JJ24
CLEVELAND, OH 44195
Student in an Organized Health Care Education/Training Program
9500 EUCLID AVE # JJ24
CLEVELAND, OH 44195
Student in an Organized Health Care Education/Training Program
9500 EUCLID AVE # JJ24
CLEVELAND, OH 44195

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1962190074, enumerated as an "individual" on April 26, 2023.

The provider is located at 9500 EUCLID AVE # JJ24 CLEVELAND, OH 44195 and the phone number is (216) 444-2200.

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.