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

Individual provider Emergency Medicine Physician · NPI 1598884900

Russell Scott Holliday, DO is an Emergency Medicine in Derby, Connecticut. Graduated from Kansas City University of Physicians and Surgeons in 2003, 23 years ago. Practices with St Lukes Clinic LLC, a 310-clinician group and accepts Medicare assignment. Licensed in Connecticut.

Years since qualifying
23
Trained at
Kansas City University of Physicians and Surgeons
Licensed in
CT
In the registry since
2007
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

130 Division St
Derby, CT 06418-1326
Phone: (203) 732-7403
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 043634 (CT)

Record details

NPI number1598884900
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedMarch 28, 2007
Last updated in NPPESJuly 8, 2007
Mailing address130 Division St, Derby, CT 06418-1326

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolKANSAS CITY UNIVERSITY OF PHYSICIANS AND SURGEONS
Graduated 2003 (23 years in practice)
Group practice St Lukes Clinic Llc — 310 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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