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

Russell Wayne Rhoades, DO

Individual provider Internal Medicine Physician · NPI 1164436507

Russell Wayne Rhoades, DO is an Osteopathic Manipulative Medicine in Provo, Utah. Graduated from Kansas City University of Physicians and Surgeons in 2002, 24 years ago. Practices with Revere Health PC, a 410-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Utah.

Years since qualifying
24
Trained at
Kansas City University of Physicians and Surgeons
Licensed in
UT
In the registry since
2006
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.

See every abbreviation used in this directory →

Practice location Address checks out

1034 N 500 W
Provo, UT 84604-3380
Phone: (801) 357-7291
Show map & directions

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

Additional practice locations (1)

  • 1175 E 50 S Ste 241, American Fork, UT 84003-2849 — (801) 492-5999

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 5928040-1204 (UT)

Record details

NPI number1164436507
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedJuly 29, 2006
Last updated in NPPESMay 10, 2022
Certification dateMay 10, 2022
Mailing addressPo Box 27128, Salt Lake City, UT 84127-0128

Medicare enrollment

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

Medicare specialtyOSTEOPATHIC MANIPULATIVE MEDICINE
Also practisesINTERNAL MEDICINE
Medical schoolKANSAS CITY UNIVERSITY OF PHYSICIANS AND SURGEONS
Graduated 2002 (24 years in practice)
Group practice Revere Health Pc — 410 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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