IndividualActive
Shane Russell, MD
NPI 1174558803 · Specialist · Dayton, OH
Provider details
- NPI number
- 1174558803
- Entity type
- Individual
- Primary specialty
- SpecialistOther Service Providers
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- License
- 35086518 (OH)
Specialties & taxonomies
Other Service Providers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
6780 Loop Rd
Dayton, OH 45459-2161
Phone: (937) 434-6344
Street-level locationGet directions
Mailing address
6780 Loop Rd
Dayton, OH 45459-2161
Registry dates
- Enumerated
- 2006-07-11
- Last updated
- 2021-12-03
- Certified
- 2021-12-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.