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

Kody Eugene Russelburg

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1902556822

Kody Eugene Russelburg is an Anesthesiology in Gainesville, Florida. Qualified in 2022, 4 years ago. Works from 2 locations. Licensed in Florida.

Years since qualifying
4
Licensed in
FL
In the registry since
2022
Specialties on file
2
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Practice location Address checks out

1600 SW Archer Rd
Gainesville, FL 32610-3003
Phone: (352) 265-8336
Fax: (352) 273-8612
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1431 Sw 1st Ave, Ocala, FL 34471-6500 — (352) 401-8323

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence OS23935 (FL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1902556822
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 24, 2022
Last updated in NPPESJuly 10, 2026
Certification dateJuly 10, 2026
Mailing address1431 Sw 1st Ave, Ocala, FL 34471-6500

Medicare enrollment

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

Medicare specialtyANESTHESIOLOGY
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Accepts Medicare assignment Not indicated

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