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

Shane T Russell, MD

Individual provider Specialist · NPI 1174558803

Shane T Russell, MD is a Specialist in Dayton, Ohio. Practices as a sole proprietor. Licensed in Ohio.

Licensed in
OH
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

6780 Loop Rd
Dayton, OH 45459-2161
Phone: (937) 434-6344
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 35086518 (OH)

Record details

NPI number1174558803
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJuly 11, 2006
Last updated in NPPESDecember 3, 2021
Certification dateDecember 3, 2021
Mailing address6780 Loop Rd, Dayton, OH 45459-2161

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