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NPI profile

RUSSELL TAGG

NPI record status, taxonomy, official source timestamp, and OIG LEIE screening context.

NPI record foundexcludedNPI API source

Identity

NPI
1558428821
Entity type
NPI-1
Primary taxonomy
111N00000X
NPI source updated
Jul 08, 2007
Enumeration date
Jan 03, 2007
Cache fetched
May 05, 2026

NPI does not validate licensure, credentialing, Medicare enrollment, or current practice authority.

OIG LEIE screening

excludedConfidence: high

Exact OIG exclusion match by NPI.

RUSSELL TAGGExact OIG exclusion match by NPI.

NPI addresses

NPI addresses from the official registry record
PurposeAddressPhone
MAILING5099430695
LOCATION5099430695
Screen a CSVNPI and OIG data notes

FAQ

Practical notes

Does an NPI record validate licensure?

No. NPI data does not validate licensure, credentialing, Medicare enrollment, or current practice authority.