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

Amorette D Russell, PA

Individual provider Surgical Physician Assistant · NPI 1225000102

Amorette D Russell, PA is a Surgical Physician Assistant in Saint Louis, Missouri. Licensed in Missouri. Registered with an NPI since 2006.

Licensed in
MO
In the registry since
2006
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Practice location Address checks out

625 S New Ballas Rd Ste R-7040
Saint Louis, MO 63141-8232
Phone: (314) 251-6970
Fax: (314) 251-1053
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 2003025349 (MO)

Record details

NPI number1225000102
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedFebruary 3, 2006
Last updated in NPPESJuly 8, 2007

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