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

Russell Eide, PA-C

Individual provider Physician Assistant · NPI 1366096729

Russell Eide, PA-C is a Physician Assistant in Minneapolis, Minnesota. Qualified in 2019, 7 years ago. Practices with North Memorial Health Care, a 506-clinician group and accepts Medicare assignment.

Years since qualifying
7
In the registry since
2019
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

3300 Oakdale Ave N
Minneapolis, MN 55422-2926
Phone: (763) 520-5200
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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 1164184

Record details

NPI number1366096729
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJuly 24, 2019
Last updated in NPPESJuly 24, 2019
Mailing address2986 S Superior St, Milwaukee, WI 53207-2544

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice North Memorial Health Care — 506 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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