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

Individual provider Physician Assistant · NPI 1831754308

Garrett Michael Russell, PA-C is a Physician Assistant in Coudersport, Pennsylvania. Qualified in 2019, 7 years ago. Practices with Charles Cole Memorial Hospital, a 68-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
7
Licensed in
PA
In the registry since
2019
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

1001 E 2nd St
Coudersport, PA 16915-8161
Phone: (814) 274-7474
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence MA060807 (PA)

Record details

NPI number1831754308
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMay 9, 2019
Last updated in NPPESApril 2, 2021
Certification dateApril 2, 2021

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Charles Cole Memorial Hospital — 68 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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