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

Russell David Mader, MD

Individual provider Dermatology Physician · NPI 1871571182

Russell David Mader, MD is a Dermatology Physician in Kingsport, Tennessee. Licensed in Tennessee. Registered with an NPI since 2006.

Licensed in
TN
In the registry since
2006
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

2300 W Stone Dr
Kingsport, TN 37660-2360
Phone: (423) 246-4961
Fax: (423) 245-3136
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence MD0000030476 (TN)

Record details

NPI number1871571182
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJanuary 6, 2006
Last updated in NPPESOctober 24, 2007
Mailing address2300 W Stone Dr, Kingsport, TN 37660-2360

Other providers in Kingsport