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

Macy E Russell

Individual provider Physician Assistant · NPI 1174285225

Macy E Russell is a Physician Assistant in Oakwood, Ohio. Practices as a sole proprietor. Licensed in Ohio.

Licensed in
OH
In the registry since
2021

Practice location Address checks out

414 Oakwood Ave
Oakwood, OH 45409-2217
Phone: (937) 548-3063
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 50.007165RX (OH)

Record details

NPI number1174285225
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedOctober 6, 2021
Last updated in NPPESOctober 6, 2021
Certification dateOctober 6, 2021
Mailing addressPo Box 932746, Cleveland, OH 44193-2746

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