Individual provider Active NPI

George William Russell, D.O.

  • Family Medicine Physician
  • Sulphur, OK
National Provider Identifier
1508307448
Registry record updated Sep 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
6245 Issued in OK
Practice address
2011 W Broadway Ave
Sulphur, OK 73086-4221
Phone
(580) 622-4482
NPI assigned
Mar 11, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 6245 OK Primary

Addresses

Primary practice location

2011 W Broadway Ave
Sulphur, OK 73086-4221

Mailing address

PO Box 1109
Sulphur, OK 73086-8109
Phone (580) 622-4482

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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

Enrollment IDStateProvider typePAC IDDetails
I20171006000867 OK Practitioner - Family Practice 6800168766 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Oklahoma State University College of Osteopathic Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arbuckle Memorial Hospital 9 clinicians

Practice addresses (Care Compare)

2011 W Broadway Ave
Sulphur, OK 73086-4221
Phone (580) 622-2161

Hospital & facility affiliations

  • Arbuckle Home Health, Inc. Home health agency, Sulphur, OK, CCN 377771
  • Elara Caring Xxiii Home health agency, Ada, OK, CCN 377568
  • Good Shepherd Hospice of Ardmore, LLC Hospice, Ardmore, OK, CCN 371726
  • Arbuckle Memorial Hospital Authority Hospital, Sulphur, OK, CCN 371328
  • Mercy Hospital Ardmore, Inc Hospital, Ardmore, OK, CCN 370047
  • Norman Regional Hospital, Norman, OK, CCN 370008
  • Arbuckle Memorial Hospital Authority Nursing home, CCN 37Z328

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Arbuckle Memorial Hospital Current Accepting new patients
Arbuckle Memorial Hospital CurrentSince Sep 16, 2019 Accepting new patients
Oklahoma Emergency Physician Partners PLLC Current Accepting new patients
Arbuckle Memorial Hospital CurrentSince Sep 16, 2019 Accepting new patients
Summit Medical Center Past Accepting new patients

Locations

1800 W University Blvd
Durant, OK 74701
Phone (580) 924-3080

2011 W Broadway Ave
Sulphur, OK 73086
Phone (580) 622-2161

Organizations & group practices 5

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1489190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757635200000",
    "number": "1508307448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1109",
            "city": "SULPHUR",
            "state": "OK",
            "postal_code": "730868109",
            "telephone_number": "580-622-4482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2011 W BROADWAY AVE",
            "city": "SULPHUR",
            "state": "OK",
            "postal_code": "730864221",
            "telephone_number": "580-622-4482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSELL",
        "first_name": "GEORGE",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-11",
        "last_updated": "2025-09-12",
        "certification_date": "2025-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "6245",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sulphur, OK

Sources for this page

Verify at the official NPI Registry.