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

Individual provider Medical Physician Assistant · NPI 1811416597

Vincent Robert Russell, PA-C is a Physician Assistant in Newark, Delaware. Qualified in 2017, 9 years ago. Practices with Newark Emergency Center, a 29-clinician group and accepts Medicare assignment. Licensed in Delaware.

Years since qualifying
9
Licensed in
DE
In the registry since
2017
Specialties on file
3
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

4755 Ogletown Stanton Rd
Newark, DE 19718-2200
Phone: (302) 733-1848
Fax: (302) 733-1633
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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 C5-0001166 (DE)
Medical Physician Assistant Taxonomy 363AM0700X · Licence C5-0001166 (DE)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence C5-0001166 (DE)

Record details

NPI number1811416597
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 14, 2017
Last updated in NPPESSeptember 14, 2017

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Newark Emergency Center — 29 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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