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

Samuel J Russell, RPAC

Individual provider Physician Assistant · NPI 1902907892

Samuel J Russell, RPAC is a Physician Assistant in Elmira, New York. Qualified in 2002, 24 years ago. Practices with Arnot Ogden Medical Center, a 217-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
24
Licensed in
NY
In the registry since
2006
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Practice location Address checks out

555 Saint Josephs Blvd Ste M2
Elmira, NY 14901-3223
Phone: (607) 734-7121
Fax: (607) 734-0614
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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 009631 (NY)

Record details

NPI number1902907892
Entity typeIndividual (Type 1)
GenderMale
Credentials RPAC
Sole proprietorNo
NPI enumeratedSeptember 26, 2006
Last updated in NPPESFebruary 17, 2020
Certification dateFebruary 17, 2020

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Group practice Arnot Ogden Medical Center — 217 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Elmira