NPI
Carissa Leigh Russell
NPI 1568082923
Read from the NPPES registry on October 23, 2026.
Facts
- Status
- Active
- Credential
- ATC
- Type
- Individual
- Enumeration date
- 2020-04-25
- Last updated
- 2020-04-25
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Specialties
Licenses
- License OH
- Number not in the file
Location
- Practice location
- 28080 Lemoyne Rd
- City
- Millbury OH
- Postal code
- 43447-9747
- Phone
- (419) 279-3794
Medicare
- PECOS
- No PECOS enrollment row matched this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Other NPIs in Millbury, OH. 27 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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