P Praxis·MD
● Active Type 1 · Individual

Daric J Russell, DO

Anesthesiology·Idaho Falls, ID· NPI 1154681633 · Enumerated 2012 · 14 years on NPI
Russell is 1 of 9 anesthesiology providers in Idaho Falls and 1 of 29 in Idaho.
NPI age
14 years
Enumerated 2012-05-18
Primary specialty
Anesthesiology
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2020-01-06
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 29 active anesthesiology providers in Idaho.

NPI age
14 years
↓ 2 yr below median (16 yr)
State licenses
1 state
27% of peers hold multiple states
Subspecialties
0
58% of peers hold subspecialties

NPI lifetime · 2012 → 2026

2012-05Enumerated in NPPES
2012 2026

Where they practice

Practice location
3385 Potomac Way
Idaho Falls, ID 834044978
📞 2085227246fax 2085292620
Mailing address
3385 Potomac Way
Idaho Falls, ID 834044978
📞 2085227246fax 2085292620

Specialties

  • Anesthesiology Primary
    An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs...
    ID license #0-1036 taxonomy 207LP2900X

Practice context

Part of a multi-provider practice. 5 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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