Craig William Russel, MD

Primary specialty

SpecialistTaxonomy code 174400000X

Practice address

841 N 2ND Ave Unit 106
Phoenix, AZ 85003-1465

Phone

(833) 559-4517

Fax

(833) 559-4517

NPI assigned

Jun 14, 2024

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1718323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718323200000",
    "number": "1770326118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "841 N 2ND AVE UNIT 106",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850031465",
            "telephone_number": "833-559-4517",
            "fax_number": "833-559-4517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "841 N 2ND AVE UNIT 106",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850031465",
            "telephone_number": "833-559-4517",
            "fax_number": "833-559-4517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSEL",
        "first_name": "CRAIG",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-06-14",
        "last_updated": "2024-06-14",
        "certification_date": "2024-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Annette Heywood Ruskin, MSW, LCSW
• Narita M Rusling, COUNSELOR
• Brittani Rusnak, RN
• Casey Russ, M.ED. BCBA LBA
• Jessica Russ, CCP
• Russell Hays
• Russell T Taylor PLLC
• Adrian Anita Russell, LASAC
• Alison Russell
• Ann C Russell, MA, CCC-SLP

• Specialist in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Specialist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.