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

Eddie Russell, CRNA

Individual provider Anesthesiology Physician · NPI 1154563336

Eddie Russell, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Philadelphia, Pennsylvania. Qualified in 2008, 18 years ago. Practices with Ultracare Anesthesia Partners LLC, a 78-clinician group and accepts Medicare assignment. Licensed in New Jersey and Pennsylvania.

Years since qualifying
18
Licensed in
NJ, PA
In the registry since
2009
Specialties on file
2
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

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Practice location Address checks out

111 S 11th St Ste 8490
Philadelphia, PA 19107-4824
Phone: (215) 955-6161
Fax: (215) 923-5507
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence RN325270L (PA)
Anesthesiology Physician Taxonomy 207L00000X · Licence 26NR08427000 (NJ)

Record details

NPI number1154563336
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorNo
NPI enumeratedApril 2, 2009
Last updated in NPPESSeptember 30, 2015

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice Ultracare Anesthesia Partners Llc — 78 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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