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

Mr. Denver Alan Russell, PA

Individual provider Physician Assistant · NPI 1871967562

Mr. Denver Alan Russell, PA is a Physician Assistant in Galion, Ohio. Qualified in 2015, 11 years ago. Practices with North Central Ohio Family Care Center Inc, a 193-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
11
Licensed in
OH
In the registry since
2015
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Practice location Address checks out

269 Portland Way S
Galion, OH 44833-2312
Phone: (419) 468-4841
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 50.004618RX (OH)

Record details

NPI number1871967562
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedNovember 18, 2015
Last updated in NPPESJanuary 11, 2021
Certification dateJanuary 11, 2021

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice North Central Ohio Family Care Center Inc — 193 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Galion