Jacob Robert Russell, DO
Jacob Robert Russell, DO is an Emergency Medicine in Surprise, Arizona. Graduated from Michigan State University College of Osteopathic Medicine in 2016, 10 years ago. Practices with Emergency Group of Arizona Professional Corporation, a 98-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in Arizona and Michigan.
- Years since qualifying
- 10
- Trained at
- Michigan State University College of Osteopathic Medicine
- Licensed in
- AZ, MI
- In the registry since
- 2016
- Specialties on file
- 3
What do these letters mean?
- DO — Doctor of Osteopathic Medicine
- A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.
Practice location Address checks out
16815 W Bell RdSurprise, AZ 85374-2101
Phone: (602) 833-6900
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (3)
- 15855 19 Mile Rd, Clinton Township, MI 48038-3504 — (586) 263-2300
- 620 Skyline Dr, Jackson, TN 38301 — (731) 541-5000
- 294 Summar Dr, Jackson, TN 38301-3915 — (731) 265-8220
Specialties & licences
| Emergency Medicine Physician (primary) | Taxonomy 207P00000X · Licence 008645 (AZ) |
|---|---|
| Emergency Medical Services (Emergency Medicine) Physician | Taxonomy 207PE0004X · Licence 3749 (MI) |
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
Record details
| NPI number | 1417318361 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | DO |
| Sole proprietor | No |
| NPI enumerated | March 18, 2016 |
| Last updated in NPPES | July 8, 2022 |
| Certification date | July 8, 2022 |
| Mailing address | 294 Summar Dr, Jackson, TN 38301-3915 |
Medicare enrollment
| Medicare specialty | EMERGENCY MEDICINE |
|---|---|
| Medical school | MICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE |
| Graduated | 2016 (10 years in practice) |
| Group practice | Emergency Group Of Arizona Professional Corporation — 98 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |