Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Douglas Kendal Russell, PA-C

Individual provider Physician Assistant · NPI 1255842308

Douglas Kendal Russell, PA-C is a Physician Assistant in Morgantown, West Virginia. Qualified in 2017, 9 years ago. Practices with West Virginia University Medical Corporation, a 1,981-clinician group and accepts Medicare assignment.

Years since qualifying
9
In the registry since
2017
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

2000 Mon Health Medical Park Dr Ste 2300
Morgantown, WV 26505-1134
Phone: (304) 599-8802
Fax: (304) 599-5607
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1255842308
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 17, 2017
Last updated in NPPESOctober 17, 2017

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice West Virginia University Medical Corporation — 1981 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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