Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Russell Memhard, PA-C

Individual provider Surgical Physician Assistant · NPI 1689705014

Mr. Russell Memhard, PA-C is a Surgical Physician Assistant in Albany, New York. Works from 3 locations. Licensed in New York.

Licensed in
NY
In the registry since
2007
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

600 Northern Blvd
Albany, NY 12204-1004
Phone: (518) 471-3272
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 315 S Manning Blvd, Albany, NY 12208-1707 — (518) 525-1550
  • 2215 Burdett Ave, Troy, NY 12180-2466 — (518) 271-3300

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 004263-1 (NY)

Record details

NPI number1689705014
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMarch 8, 2007
Last updated in NPPESJune 11, 2021
Certification dateJune 11, 2021

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