Individual provider · Type 1 NPI

Charles E. Russell, MD

Addiction Medicine (Preventive Medicine) Physician · Dayton, OH

NPI number 1245220912 Active

Practice location

2611 Wayne Ave
Dayton, OH 45420-1833

Call (937) 256-7801 Map

Fax (937) 641-8517

Mailing address

3195 Dayton Xenia Rd # 900-162
Beavercreek, OH 45434-6390

Specialties and licenses

TaxonomyCodeLicense
Emergency Medicine Physician 207P00000X35050063 (OH)
Addiction Medicine (Preventive Medicine) Physician Primary 2083A0300X35050063 (OH)
General Practice Physician 208D00000X35050063 (OH)

Addiction Medicine (Preventive Medicine) Physician: A physician engaged in the subspecialty practice of Addiction Medicine who specializes in the prevention, evaluation, diagnosis, treatment, and recovery of persons with the disease of addiction.

86 other providers at this address

About NPI 1245220912

Charles E. Russell, MD's National Provider Identifier is 1245220912, issued on Oct 25, 2005. The primary taxonomy on file is Addiction Medicine (Preventive Medicine) Physician (2083A0300X), and the practice location is in Dayton, OH. The record was last updated on Feb 9, 2026.