Active NPI
George William Russell, D.O.
- Family Medicine Physician
- Sulphur, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 6245
- 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
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 | 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
Practice addresses (Care Compare)
2011 W Broadway Ave
Sulphur, OK 73086-4221
Phone (580) 622-2161
Hospital & facility affiliations
- Arbuckle Home Health, Inc.
- Elara Caring Xxiii
- Good Shepherd Hospice of Ardmore, LLC
- Arbuckle Memorial Hospital Authority
- Mercy Hospital Ardmore, Inc
- Norman Regional
- Arbuckle Memorial Hospital Authority
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arbuckle Memorial Hospital | Current | Accepting new patients | |
| Arbuckle Memorial Hospital | Current | Accepting new patients | |
| Oklahoma Emergency Physician Partners PLLC | Current | Accepting new patients | |
| Arbuckle Memorial Hospital | Current | 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.
-
- Rural Health Clinic/Center
- Davis, OK
- NPI 1821972076
-
- Emergency Medicine Physician
- Durant, OK
- NPI 1891039764
-
- General Acute Care Hospital
- Edmond, OK
- NPI 1356574560
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Sulphur, OK
- NPI 1861736969
-
- Community Based Hospice Care Agency
- Ardmore, OK
- NPI 1194330811
Hospice
-
- Home Health Agency
- Ada, OK
- NPI 1932115722
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2025; 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.