Charles E Russell, MD

Primary specialty

Addiction Medicine (Preventive Medicine) PhysicianTaxonomy code 2083A0300X

License

35050063 Issued in OH

Practice address

2611 Wayne Ave
Dayton, OH 45420-1833

Phone

(937) 256-7801

Fax

(937) 641-8517

NPI assigned

Oct 25, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in OH

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.qualifacts.org/api/fhir/frscounseling/r4/

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.

• Access Behavioral LLC

  • Medical Specialty Clinic/Center
  • Columbus, OH
  • NPI 1437463213
  Medicare reassignment NPD
• Access Ohio, LLC

  • Community/Behavioral Health Agency
  • Columbus, OH
  • NPI 1689763740
  Medicare reassignment NPD
• Oxyclean Ambulatory Opiate Detox Centers LLC

  • Addiction Medicine (Family Medicine) Physician
  • Waynesville, OH
  • NPI 1033624812
  NPD (past) Authorized official
• Access Ohio, LLC

  • Substance Abuse Rehabilitation Facility
  • Dayton, OH
  • NPI 1194179150
  NPD
• FRS Counseling

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Hillsboro, OH
  • NPI 1417917063
  NPD
• Erie Emergency Physicians, Inc.

  • Emergency Medicine Physician
  • Oregon, OH
  • NPI 1831130335
  NPD (past)
• Greene Emergency Medical Services

  • Emergency Medical Services (Emergency Medicine) Physician
  • Xenia, OH
  • NPI 1104814276
  NPD (past)
• McKinley Hall, Inc.

  • Community/Behavioral Health Agency
  • Springfield, OH
  • NPI 1558602243
  NPD (past)
• Professional Emergency Specialists of Southern Ohio

  • Emergency Medicine Physician
  • Wilmington, OH
  • NPI 1356329890
  NPD (past)
• Professional Emergency Specialists of Southern Ohio

  • Emergency Medicine Physician
  • Dayton, OH
  • NPI 1639157175
  NPD (past)
• Springfield Emergency Physicians, Inc.

  • Emergency Medicine Physician
  • Springfield, OH
  • NPI 1407810534
  NPD (past)

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

{
    "created_epoch": "1130198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770595200000",
    "number": "1245220912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3195 DAYTON XENIA RD # 900-162",
            "city": "BEAVERCREEK",
            "state": "OH",
            "postal_code": "454346390",
            "telephone_number": "937-718-7677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2611 WAYNE AVE",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454201833",
            "telephone_number": "937-256-7801",
            "fax_number": "937-641-8517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSELL",
        "first_name": "CHARLES",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-25",
        "last_updated": "2026-02-09",
        "certification_date": "2026-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OH",
            "license": "35050063",
            "primary": false
        },
        {
            "code": "2083A0300X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Addiction Medicine",
            "state": "OH",
            "license": "35050063",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "OH",
            "license": "35050063",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000546225",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0573348",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nathan Rusin
• Brian W. Russ, M.D.
• Emily Russ
• Anne Clinton Russell, R.N.
• Brandy R Russell, MS, LPCC
• Emily Russell
• Geneva Russell
• Gwyneth Russell, RN
• Heather A Russell, CRNA
• Jaizane Alexis Russell

• Addiction Medicine (Preventive Medicine) Physician in Dayton, OH
• Providers in Dayton, OH by specialty
• Addiction Medicine (Preventive Medicine) Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.