OrganizationActive
George Ray Russell MD PC
NPI 1588865646 · Dermatology Physician · Boulder, CO
George Ray Russell MD PC is a Dermatology Physician organization in Boulder, CO (NPI 1588865646).
Provider details
- NPI number
- 1588865646
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- George Russell, President(303) 444-4864
- License
- 17600 (CO)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(89/100 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
1000 Alpine Ave
#50
Boulder, CO 80304-3409
Phone: (303) 444-4864
Fax: (303) 444-4865
Street-level locationGet directions
Mailing address
Po Box 18058
Boulder, CO 80308-1058
Registry dates
- Enumerated
- 2007-05-29
- Last updated
- 2008-05-07
Frequently asked questions
- What is George Ray Russell MD PC's NPI number?
- George Ray Russell MD PC's National Provider Identifier (NPI) is 1588865646, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is George Ray Russell MD PC?
- George Ray Russell MD PC is classified in the NPPES registry as Dermatology Physician (Allopathic & Osteopathic Physicians).
- Where is George Ray Russell MD PC located?
- George Ray Russell MD PC's practice location on file with NPPES is 1000 Alpine Ave, Boulder, CO 80304-3409.
- What is George Ray Russell MD PC's phone number?
- The practice phone number listed in the NPPES registry for George Ray Russell MD PC is (303) 444-4864.
- Who is the authorized official for George Ray Russell MD PC?
- The authorized official listed on George Ray Russell MD PC's NPPES record is George Russell, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is George Ray Russell MD PC's NPI active?
- Yes — George Ray Russell MD PC's NPI (1588865646) is active in the NPPES registry as of the last update on 2008-05-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.