Active NPI
Michael William Russell, DO
- Family Medicine Physician
- Hamburg, PA
National Provider Identifier
1265377329
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- OT025071
- Practice address
- 700 Hawk Ridge Dr
Hamburg, PA 19526-9219 - Phone
- (610) 562-3066
- Fax
- (610) 562-3125
- NPI assigned
- Apr 23, 2026
- Last updated
- May 27, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | OT025071 | PA | Primary |
Addresses
Primary practice location
700 Hawk Ridge Dr
Hamburg, PA 19526-9219
Mailing address
700 Hawk Ridge Dr
Hamburg, PA 19526-9219
Phone (610) 562-3066
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT025071 | PA | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1776902400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779840000000",
"number": "1265377329",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 HAWK RIDGE DR",
"city": "HAMBURG",
"state": "PA",
"postal_code": "195269219",
"telephone_number": "610-562-3066",
"fax_number": "610-562-3125"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 HAWK RIDGE DR",
"city": "HAMBURG",
"state": "PA",
"postal_code": "195269219",
"telephone_number": "610-562-3066",
"fax_number": "610-562-3125"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUSSELL",
"first_name": "MICHAEL",
"middle_name": "WILLIAM",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-04-23",
"last_updated": "2026-05-27",
"certification_date": "2026-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "PA",
"license": "OT025071",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hamburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 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.