Russell William Bauer
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Sayre, PA
NPI 1104769231 · NPPES record last updated Apr 13, 2026
Key facts
- NPI
- 1104769231
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 1 Guthrie SQ
Sayre, PA 18840-1625 - Phone
- (570) 888-6666
- NPI assigned
- Apr 13, 2026
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | PA | Yes |
Addresses
Primary practice location
1 Guthrie SQ
Sayre, PA 18840-1625
Mailing address
1 Guthrie SQ
Sayre, PA 18840-1625
Phone (570) 888-6666
Other providers in Sayre, PA
- Matthew R Barrett
- Kuldeep Kumar Bassi
- Jodi L Bates
- Meenu Batra
- Jennifer L. Bau
- William O. Bauman
- Jessica Foster Beall
- Nicole Beavers
- Lauren Louise Beck
- Madeline Margaret Rose Becks
All providers in Sayre, PA · Student in an Organized Health Care Education/Training Program in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 13, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.