Russell Thomas Leshinski, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

MA051191 Issued in PA

Practice address

1372 N Susquehanna TRL Ste 170a
Selinsgrove, PA 17870-8975

Phone

(570) 452-9098

NPI assigned

Jul 16, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Rustrial Medical Services, LLC

  • Physician Assistant
  • Selinsgrove, PA
  • NPI 1811749617
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712188800000",
    "number": "1093732067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1372 N SUSQUEHANNA TRL STE 170A",
            "city": "SELINSGROVE",
            "state": "PA",
            "postal_code": "178708975",
            "telephone_number": "570-452-9098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1372 N SUSQUEHANNA TRL STE 170A",
            "city": "SELINSGROVE",
            "state": "PA",
            "postal_code": "178708975",
            "telephone_number": "570-452-9098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LESHINSKI",
        "first_name": "RUSSELL",
        "middle_name": "THOMAS",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-16",
        "last_updated": "2024-04-04",
        "certification_date": "2024-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA051191",
            "primary": true
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "PA",
            "license": "MA051191",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "232809429006",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "50019935",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00194075",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jedidiah Landis, PHARMD
• Chloe Lantz
• Jarret Lebeau, PHARMD
• Margaret Mary Lehr-Devolld, D.C.
• Tammy Jane Lenig
• Linda Locher, PH.D.
• Melissa Logan, RDN
• Luxottica of America Inc.
• Luxottica Retail North America Inc
• Carli Marshall

• Physician Assistant in Selinsgrove, PA
• Providers in Selinsgrove, PA by specialty
• Physician Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.