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

Parker Trent Russell, MD

Individual provider Pediatrics Physician · NPI 1770100026

Parker Trent Russell, MD is an Internal Medicine in Osage Beach, Missouri. Graduated from University of Missouri, Columbia School of Medicine in 2020, 6 years ago. Practices with Lake Regional Health System, a 131-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
6
Trained at
University of Missouri, Columbia School of Medicine
Licensed in
MO
In the registry since
2020
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

54 Hospital Dr
Osage Beach, MO 65065-3050
Phone: (573) 348-8000
Fax: (573) 302-2297
Show map & directions

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

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 2024027874 (MO)
Pediatrics Physician Taxonomy 208000000X · Licence 2024027874 (MO)

Record details

NPI number1770100026
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 2, 2020
Last updated in NPPESJanuary 8, 2026
Certification dateJanuary 8, 2026

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolUNIVERSITY OF MISSOURI, COLUMBIA SCHOOL OF MEDICINE
Graduated 2020 (6 years in practice)
Group practice Lake Regional Health System — 131 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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