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

Mr. Russell A Sztukowski, PA

Individual provider Physician Assistant · NPI 1477194447

Mr. Russell A Sztukowski, PA is a Physician Assistant in Saint Louis, Missouri. Graduated from Southern Illinois University School of Medicine in 2019, 7 years ago. Practices with Mercy East Ambulatory Services LLC, a 103-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
7
Trained at
Southern Illinois University School of Medicine
Licensed in
MO
In the registry since
2019
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

621 S New Ballas Rd Ste 560A
Saint Louis, MO 63141-8261
Phone: (314) 251-6440
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 2022034174 (MO)

Record details

NPI number1477194447
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedOctober 1, 2019
Last updated in NPPESJuly 23, 2024
Certification dateJuly 23, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolSOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE
Graduated 2019 (7 years in practice)
Group practice Mercy East Ambulatory Services Llc — 103 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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