THOMAS RUSSELL MD NPI 1215346507

NPI Information

  • NPI: 1215346507
  • Provider Name: THOMAS RUSSELL, MD
  • Classification: Internal Medicine - 207RC0000X
  • Specialization: Cardiovascular Disease
  • Entity Type: Individual
  • Address: 12315 OTCHIPWE AVE N
    STILLWATER, MN
    ZIP 55082
  • Phone: (651) 439-9188

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NPI Details

Thomas Russell, MD is a cardiovascular disease internal medicine in Stillwater, MN. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. Thomas Russell, MD NPI is 1215346507. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

12315 OTCHIPWE AVE N
STILLWATER, MN
ZIP 55082-547
Phone: (651) 439-9188

The enumeration date for this NPI number is 8/12/2014 and was last updated on 8/12/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RC0000XInternal MedicineCardiovascular Disease17393MINNESOTAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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