Douglas Blane Russell, PA
Douglas Blane Russell, PA is a Physician Assistant in Yanceyville, North Carolina. Qualified in 2001, 25 years ago. Practices with Vidant Medical Group LLC, a 974-clinician group and accepts Medicare assignment. Licensed in North Carolina.
- Years since qualifying
- 25
- Licensed in
- NC
- 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.
Practice location Address checks out
439 US Hwy 158 WYanceyville, NC 27379
Phone: (336) 694-1181
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X · Licence 103359 (NC) |
|---|
Record details
| NPI number | 1487617619 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | PA |
| Sole proprietor | No |
| NPI enumerated | April 10, 2006 |
| Last updated in NPPES | October 5, 2022 |
| Certification date | October 5, 2022 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2001 (25 years in practice) |
| Group practice | Vidant Medical Group Llc — 974 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 9 on file with Medicare |
Other providers in Yanceyville
-
Mrs. Elin Jeannine Armeau-Claggett, PA-C
439 US Highway 158 W, Yanceyville, NC 27379-8304 · (336) 694-9331