National Provider Identifier Database

GEORGE H RUSSELL, MD – NPI #1366423154
Pediatric Gastroenterology

A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs.


Contact Information

GEORGE H RUSSELL, MD
887 CONGRESS ST
SUITE 320
PORTLAND, ME04102-3100
Phone: 207-662-5522
Fax: 207-662-5227
Website:
Specialty Taxonomy Code
* Pediatric Gastroenterology 2080P0206X
Pediatrics 208000000X

* Indicates primary specialty

NPI Profile & details for GEORGE H RUSSELL

NPI Number 1366423154
Credentials MD
Entity Individual
Enumeration date 11/08/2005
Last updated 08/18/2016 - About 10 years ago
Sole proprietor1 No
Identifiers
  • MA License #: 213288
  • ME License #: MD20882
  • MA Medicaid: 0192830
  • MA Other: J24704 BCBS MA
  • MA Other: 460383 TUFTS HEALTH PLAN
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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