- Practice location
- 22 Bramhall St, Portland, ME 04102-3134
- Phone
- 207-662-0111
- Fax
- —
- Last updated
- January 7, 2022
Russell Scott Kizor is an Anesthesiology based in Portland, ME. Russell Scott Kizor practices in Portland, ME and has the professional credentials of MD. The NPI Number for Russell Scott Kizor is 1548792344 and holds a License No. MD24888 (ME). The current practice location address for Russell Scott Kizor is 22 Bramhall St, Portland, ME 04102-3134 and can be reached out via phone at 207-662-0111.
Provider Profile Details
- NPI Number
- 1548792344
- Provider Name
- Russell Scott Kizor
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 22 Bramhall St, Portland, ME 04102-3134
- Phone Number
- 207-662-0111
- Primary Taxonomy
- Anesthesiology · 207L00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- March 30, 2017
- Last Update Date
- January 7, 2022
- Certification Date
- January 7, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 22 Bramhall St
Portland, ME 04102-3134 - City
- Portland
- State
- Maine
- Zip
- 04102-3134
- Phone Number
- 207-662-0111
Provider Business Mailing Address Details
- Address
- 6 Glen Cove Dr
Rockport, ME 04856-4272 - City
- Rockport
- State
- ME
- Zip
- 04856-4272
- Phone Number
- 207-301-8000
License Information
- Taxonomy (1)
- Student in an Organized Health Care Education/Training Program · 390200000X
- License Number (2)
- MD24888
- License State (2)
- ME
- Taxonomy (2)
- Anesthesiology · 207L00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Dr. Russell S Kizor, MD?
The NPI number of Dr. Russell S Kizor, MD is 1548792344. It was assigned on March 30, 2017 and is currently active in the NPPES registry.
What is the specialty of Dr. Russell S Kizor, MD?
Dr. Russell S Kizor, MD is registered under the primary taxonomy Anesthesiology (code 207L00000X), licensed in ME under license number MD24888.
Where does Dr. Russell S Kizor, MD practice?
The practice location is 22 Bramhall St, Portland, ME 04102-3134. The office can be reached at 207-662-0111 (phone).
What is an NPI number?
A National Provider Identifier (NPI) 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). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1548792344 directly on the NPPES registry website.