Individual provider · Type 1 NPI

Luke Andrew Russell, PA

Physician Assistant · Columbia, SC

NPI number 1407366453 Active

Practice location

14 Richland Medical Park Dr Ste 350
Columbia, SC 29203-6896

Call (803) 434-1663 Map

Fax (803) 434-7092

Mailing address

300 E Mcbee Ave Ste 300
Greenville, SC 29601-2899

Other practice locations

  • 7050 Air Depot Blvd Bldg 1040, Tinker Afb, OK 73145-8716 · (405) 734-2778

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XNone listed
Physician Assistant Primary 363A00000X5749 (SC)

Physician Assistant: 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, orde…

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About NPI 1407366453

Luke Andrew Russell, PA's National Provider Identifier is 1407366453, issued on Oct 4, 2017. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Columbia, SC. The record was last updated on Oct 28, 2025.