Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Timothy Gage Russell, PA-C

Individual provider Physician Assistant · NPI 1417270786

Timothy Gage Russell, PA-C is a Physician Assistant in Denver, Colorado. Qualified in 2009, 17 years ago. Practices with Denver Health and Hospital Authority, a 829-clinician group and accepts Medicare assignment. Licensed in Colorado and South Dakota.

Years since qualifying
17
Licensed in
CO, SD
In the registry since
2010
Specialties on file
2
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

850 E Harvard Ave Ste 265
Denver, CO 80210-5075
Phone: (303) 896-2274
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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 3856 (CO)
Physician Assistant Taxonomy 363A00000X · Licence 0739 (SD)

Record details

NPI number1417270786
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMarch 1, 2010
Last updated in NPPESNovember 8, 2013

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Denver Health And Hospital Authority — 829 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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