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

Jeremy W Russell, DO

Individual provider Orthopaedic Surgery Physician · NPI 1376756924

Jeremy W Russell, DO is an Orthopedic Surgery in Wausau, Wisconsin. Graduated from University of North Texas Hsc, College of Osteopathic Med in 2005, 21 years ago. Practices with Orthopaedic Centers of Wisconsin S C, a 58-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
21
Trained at
University of North Texas Hsc, College of Osteopathic Med
Licensed in
WI
In the registry since
2007
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.

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Practice location Address checks out

3901 Stewart Ave
Wausau, WI 54401-3948
Phone: (715) 907-0900
Fax: (715) 803-6977
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X · Licence 55775 (WI)

Record details

NPI number1376756924
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedMay 8, 2007
Last updated in NPPESFebruary 18, 2026
Certification dateFebruary 18, 2026

Medicare enrollment

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

Medicare specialtyORTHOPEDIC SURGERY
Medical schoolUNIVERSITY OF NORTH TEXAS HSC, COLLEGE OF OSTEOPATHIC MED
Graduated 2005 (21 years in practice)
Group practice Orthopaedic Centers Of Wisconsin S C — 58 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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