Laura Russell, MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

04-52688 Issued in KS

Practice address

9300 E 29TH St N Ste 310
Wichita, KS 67226-2160

Phone

(316) 612-1833

Fax

(316) 612-2420

NPI assigned

Mar 26, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Dermatology

Education

University of Missouri, Kansas City, School of Medicine, 2019

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1553558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782950400000",
    "number": "1134680937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9300 E 29TH ST N STE 310",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672262160",
            "telephone_number": "316-612-1833",
            "fax_number": "316-612-2420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9300 E 29TH ST N STE 310",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672262160",
            "telephone_number": "316-612-1833",
            "fax_number": "316-612-2420"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9300 E 29th St N Ste 320",
            "address_purpose": "LOCATION",
            "city": "Wichita",
            "state": "KS",
            "postal_code": "672262184",
            "country_code": "US",
            "telephone_number": "316-500-3231",
            "fax_number": "316-223-4838",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUSSELL",
        "first_name": "LAURA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-26",
        "last_updated": "2026-07-02",
        "certification_date": "2026-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ND0900X",
            "taxonomy_group": "",
            "desc": "Dermatology, Dermatopathology",
            "state": "KS",
            "license": "04-52688",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "KS",
            "license": "04-52688",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexander P Rusanowsky Jr.
• Ashlee Michelle Rusher, RBT
• Peri Russel
• Alan S Russell, OD
• Elissa Russell
• Taylor Russell, MD
• Brenda Rust-Ealey, LPC
• Haley Paige Rust, OT-R
• Haley Renae Rust, LCMFT
• Kermit Russell Rust III, M.D.

• Dermatology Physician in Wichita, KS
• Providers in Wichita, KS by specialty
• Dermatology Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.