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Export Provider Record NPI 1386859148
Sherilyn Josephine RussellMD
Active
NPI Number1386859148
NPI TypeNPI-1 Individual
SpecialtyInternal Medicine, Endocrinology, Diabetes & Metabolism
Provider Details
NPI1386859148
NPI TypeNPI-1 Individual
StatusActive
Enumeration Date2007-05-14
Last Updated2012-12-18
Mailing Address22201 Moross Rd, Suite 252
Grosse Pointe, MI 48236-2169
United States
Phone: (313) 343-4411 | Fax: (313) 343-4412
📍 View Map
Primary Practice Address22201 Moross Rd, Suite 252
Grosse Pointe, MI 48236-2169
United States
Phone: (313) 343-4411 | Fax: (313) 343-4412
📍 View Map
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
Yes207RE0101X – Internal Medicine, Endocrinology, Diabetes & MetabolismMI4301084057
No207R00000X – Internal MedicineMI4301084057
No208000000X – PediatricsMI4301084057
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About NPI 1386859148

Sherilyn Josephine Russell MD is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1386859148. The primary specialty listed is Internal Medicine, Endocrinology, Diabetes & Metabolism. The provider is located in Grosse Pointe, MI. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2007-05-14. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1386859148?

NPI 1386859148 belongs to Sherilyn Josephine Russell MD, a Internal Medicine, Endocrinology, Diabetes & Metabolism in Grosse Pointe, MI. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.

Is NPI 1386859148 active?

The current status of NPI 1386859148 in the NPPES registry is Active. The record was last updated on 2012-12-18.

What specialty is NPI 1386859148?

NPI 1386859148 is classified under the taxonomy Internal Medicine, Endocrinology, Diabetes & Metabolism. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1386859148?

You can verify NPI 1386859148 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1386859148?

The primary practice address on file for NPI 1386859148 is 22201 Moross Rd, Grosse Pointe, MI 48236-2169. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1386859148 issued?

NPI 1386859148 was first issued (enumerated) on 2007-05-14. The NPPES record was last updated on 2012-12-18.

Practice Location Map

Sherilyn Josephine Russell is located at 22201 Moross Rd, Grosse Pointe, MI. Use the map below to find directions or verify the practice location.

📍 22201 Moross Rd, Grosse Pointe, MI 48236-2169  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as Sherilyn Josephine Russell. All records sourced from the CMS NPPES registry.

License Information

The following state license numbers are on file in the NPPES registry for NPI 1386859148. For license status verification, contact the relevant state licensing board directly.

Specialty / TaxonomyLicense NumberState
Internal Medicine, Endocrinology, Diabetes & Metabolism4301084057MI
Internal Medicine4301084057MI
Pediatrics4301084057MI
Data Verified from CMS NPPES Last synced: 2026-08-22 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162