Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Alexander S Russell, PA

Individual provider Sports Medicine (Orthopaedic Surgery) Physician · NPI 1659895993

Alexander S Russell, PA is a Physician Assistant in Detroit, Michigan. Qualified in 2016, 10 years ago. Practices with Henry Ford Health System, a 2,540-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Michigan and Ohio.

Years since qualifying
10
Licensed in
MI, OH
In the registry since
2017
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

2799 W Grand Blvd
Detroit, MI 48202
Phone: (313) 874-4696
Fax: (313) 874-4677
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 323 E Town St, Columbus, OH 43215-4753 — (614) 461-8174

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5601008724 (MI)
Sports Medicine (Orthopaedic Surgery) Physician Taxonomy 207XX0005X · Licence 50.005155RX (OH)

Record details

NPI number1659895993
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedJuly 28, 2017
Last updated in NPPESJuly 25, 2018

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Henry Ford Health System — 2540 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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