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Active NPI 1528046695 Individual Practitioner Female Practitioner

Mary Jo Russell , PA-C

Physician Assistant • Bettendorf, IA

Professional Overview & Biography Verified Profile Summary

Mary Russell, PA-C is a registered healthcare professional specializing in Physician Assistant in Bettendorf, IA. Practice services are available at 2300 53RD AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2300 53rd Ave
Suite 100

Bettendorf, IA 527227564

Telephone 5633220971
Fax 5633240615
Associated Practice Facility / Clinic
🏢 Genortho, Llc Facility NPI 1528142726

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Bettendorf, IA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.2 Yrs
State Avg: 13.7 Yrs
Regional Practice Density
37 Specialists

Practicing in Bettendorf, IA (1543 Statewide)

Telehealth Adoption Rate
2.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License IA 001347

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Olivia Peters , PA-C

Physician Assistant

NPI 1023866654

Physician Assistant (Certified)

Dr. Michael Pyevich , MD

Orthopaedic Surgery

NPI 1043298276

Doctor of Medicine (M.D.)

Dr. Conor Mcbride , MD

Orthopaedic Surgery

NPI 1043770985

Doctor of Medicine (M.D.)

Dr. Matthew Lindaman , DO

Orthopaedic Surgery

NPI 1053390914

Doctor of Osteopathic Medicine (D.O.)

Dr. Sara O'donnell , DPT

Physical Therapist

NPI 1073248381

Doctor of Physical Therapy

Bridget Blunk , PT

Physical Therapist

NPI 1073727418

Physical Therapist

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active November 08, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location November 08, 2013

Registered at 2300 53RD AVE, SUITE 100, BETTENDORF, IA 527227564 (Tel: 5633220971)

📍
Updated Business Mailing Address November 08, 2013

Registered at 2300 53RD AVE, SUITE 100, BETTENDORF, IA 527227564 (Tel: 5633220971)

👤
Provider Name / Credentials Updated November 08, 2013

Recorded as MARY RUSSELL, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 08, 2013

Physician Assistant (License #001347 in IA)

🟢
Initial NPI Registration & Enumeration January 09, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1528046695
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 09, 2006
Last Update: November 08, 2013
Sole Proprietor: No

Mailing Address

2300 53rd Ave, Suite 100

Bettendorf, IA 527227564

Phone: 5633220971

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.