Individual provider · Type 1 NPI

Stephanie Jane Russ, DO

Family Medicine Physician · Pendleton, IN

NPI number 1629239355 Active

Practice location

200 Enterprise Dr Ste A
Pendleton, IN 46064-9038

Call (765) 298-4567 Map

Mailing address

6626 E 75th St Ste 500
Indianapolis, IN 46250-2890

Other practice locations

  • 1251 S Huntzinger Blvd, Suite 100, Pendleton, IN 46064 · (765) 298-4567

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician Primary 207Q00000X11014474A (IN)

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

6 other providers at this address

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About NPI 1629239355

Stephanie Jane Russ, DO's National Provider Identifier is 1629239355, issued on Jun 25, 2008. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Pendleton, IN. The record was last updated on Oct 9, 2025.