Dr. Trent K Russell

M.D. | Pediatrics | Male

Dr. Trent K Russell, M.D. is a Osage Beach, Missouri based Pediatric doctor with medical specialization in General Pediatrics. Current practice location of Dr. Trent K Russell is 1057 Medical Park Dr, Suite A, Osage Beach, Missouri - 65065-3050. He can be contacted on phone at 573-348-2745 and fax number 573-348-8279. Dr. Trent K Russell is a sole proprietor of his business.
NPI number (Unique professional ID) for Dr. Trent K Russell is 1134115744 which was assigned by NPPES on 20 Sep, 2005 and it was last updated on 05 May, 2008. Dr. Trent K Russell license number is 107627 for Pediatrics (208000000X) in Missouri.
Dr. Trent K Russell is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Dr. Trent K Russell basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
Specialization :Pediatrics
Provider Name :Dr. Trent K Russell
Credential :M.D.
Gender :Male
Business Address:
Dr. Trent K Russell address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
Primary Address :1057 Medical Park Dr, Suite A
Osage Beach, MO, 65065-3050
United States
Phone Number :573-348-2745
Fax Number :573-348-8279
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
NPI Number : 1134115744
NPI Entity Type : Individual
First Enrolment Date : 20 Sep, 2005
Last Updated On : 05 May, 2008
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Trent K Russell are as mentioned. Primary taxonomy code for Dr. Trent K Russell, M.D. is 208000000X (Pediatrics).
Taxonomy Code SpecialityPrimaryLicense No.State
208000000XPediatricsYes107627MO
Legacy Identifiers:
Other legacy medical identifiers of Dr. Trent K Russell such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
IdentifierIdentifier TypeStateIssuer
370013633OtherMORAILROAD MEDICARE
208072900MEDICAIDMO
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
Mailing Address :54 Hospital Dr
Osage Beach, MO, 65065-3050
United States
Business Location:
Patients can refer following map for directions to Dr. Trent K Russell practice address. Don't forget to take prior appointment before visiting.

** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.