Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Russell Wayne Anderson, DO

Individual provider Emergency Medicine Physician · NPI 1114939733

Russell Wayne Anderson, DO is an Emergency Medicine in Tulsa, Oklahoma. Qualified in 2003, 23 years ago. Practices with Creek Nation Hospital and Clinics, a 390-clinician group and accepts Medicare assignment. Licensed in Georgia and Oklahoma.

Years since qualifying
23
Licensed in
GA, OK
In the registry since
2006
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

4500 S Garnett Rd Ste 919
Tulsa, OK 74146-5229
Phone: (918) 728-6145
Fax: (918) 728-6146
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 4498 (OK)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 056948 (GA)

Record details

NPI number1114939733
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedAugust 12, 2006
Last updated in NPPESOctober 30, 2007

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyEMERGENCY MEDICINE
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Group practice Creek Nation Hospital And Clinics — 390 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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