ORTHOPAEDIC SPECIALTY GROUP, P.C. (NPI# 1114923893) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114923893 |
| Entity Type | Organization |
| Organization Name | ORTHOPAEDIC SPECIALTY GROUP, P.C. |
| Other Organization Name | ROBERT D. RUSSO, M.D. & ASSOCIATES RADIOLOGY, P.C. |
| Practice Address |
305 Black Rock Tpke Fairfield CT 06825 |
| Mailing Address |
Po Box 6128 Bridgeport CT 06606-0128 |
| Practice Telephone | 2033372600 |
| Mailing Telephone | 2035385233 |
| Mailing Fax Number | 2035385246 |
| Enumeration Date | 2005-06-27 |
| Last Update Date | 2018-12-14 |
| Authorized Official Name | JUDITH ORTIZ (CREDENTIALING COORDINATOR) |
| Authorized Official Telephone | 2035385233 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
016805 | CT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 004107894 | 05 |
| Other Name | Type Code |
|---|---|
| Robert D. Russo, M.D. & Associates Radiology, P.C. | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 305 Black Rock Tpke, Fairfield, CT 06825 | 2033372600 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558313767 | Orthopaedic Specialty Group, P.C. | Physical Medicine & Rehabilitation | 305 Black Rock Tpke, Fairfield, CT 06825-5508 | 2006-05-16 |
| Street Address |
305 BLACK ROCK TPKE |
| City | FAIRFIELD |
| State | CT |
| Zip Code | 06825 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609331008 | Corey Matthew Hoffner | Physical Therapist | 305 Black Rock Tpke, Fairfield, CT 06825-5508 | 2019-02-10 |
| 1134696917 | Alex M Lengyel | Occupational Therapist | 305 Black Rock Tpke, Fairfield, CT 06825-5508 | 2018-10-30 |
| 1851810857 | Andrew Soltish | Physical Therapist | 305 Black Rock Tpke, Fairfield, CT 06825-5508 | 2017-09-12 |
| 1245789544 | Anthony Pastore | Physician Assistant | 305 Black Rock Tpke, Fairfield, CT 06825-5508 | 2016-09-27 |
| 1164867347 | Romulo V Vasquez | Family Medicine | 305 Black Rock Tpke, Fairfield, CT 06825-5508 | 2013-05-01 |
| 1255775623 | Todd Alexander Morrison | Orthopaedic Surgery | 305 Black Rock Tpke, Fairfield, CT 06825-5508 | 2013-04-29 |
| 1588917066 | Tanya Dzubaty | Physician Assistant | 305 Black Rock Tpke, Fairfield, CT 06825-5508 | 2012-10-20 |
| 1831477330 | Rizwan Ahmad | Family Medicine | 305 Black Rock Tpke, Fairfield, CT 06825-5508 | 2011-08-01 |
| 1922331784 | Cullen K Griffith | Orthopaedic Surgery | 305 Black Rock Tpke, Fairfield, CT 06825-5508 | 2009-09-11 |
| 1477706208 | Lynn Stramaglia | Physician Assistant | 305 Black Rock Tpke, Fairfield, CT 06825-5508 | 2008-10-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598376535 | Andrew Kalach | Physical Therapist | 2373 Black Rock Turnpike, Fairfield, CT 06825 | 2020-08-13 |
| 1346871423 | Clarivision-advanced Eye Care | Optometrist | 40 Black Rock Turnpike, Fairfield, CT 06825 | 2020-01-28 |
| 1730720145 | L Burke LLC | Marriage & Family Therapist | 2501 Old Post Rd, 2nd Floor, Fairfield, CT 06825 | 2019-10-07 |
| 1760045066 | Stephen Miguel Pou | Dentist | 2150 Black Rock Tpke Ste 201, Fairfield, CT 06825 | 2019-04-22 |
| 1548716111 | Connecticut Orthopaedic Specialists, PC | Specialist | 425 Boston Post Road, Fairfield, CT 06825 | 2016-09-01 |
| 1497131239 | Alice Z Kelly | Social Worker | 113 Sky Top Drive, Fairfield, CT 06825 | 2015-08-04 |
| 1902218647 | John Feiler | Occupational Therapist | 175 Jefferson St., Fairfield, CT 06825 | 2014-05-29 |
| 1710242870 | Bridge Partnership, LLC | Community/Behavioral Health | 2505 Black Rock Turnpike, 2nd Floor, Fairfield, CT 06825 | 2012-07-05 |
| 1154614543 | Center for The Healing Arts, PC | Internal Medicine | 501 Kings Highway East, Suite 108, C/o Whole Body Medicine, Fairfield, CT 06825 | 2011-05-18 |
| 1538468012 | Barbara Cohen | Occupational Therapist | 175 Jefferson Street, Fairfield, CT 06825 | 2011-03-23 |
| Find all providers in zip 06825 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437700531 | Fairfield Interventional and Vascular Specialists PC | Radiology | 1 Sasco Hill Rd Ste 2, Fairfield, CT 06824-5670 | 2019-09-20 |
| 1689090391 | Solano Diagnostics Imaging Medical Group | Radiology | 4500 Business Center Drive, Fairfield, CA 94534 | 2014-03-06 |
| 1255394227 | Bryson Dale Borg | Radiology | 4357 The Masters Dr, Fairfield, CA 94533-9514 | 2006-04-10 |
| 1336146802 | Gioia Jo Riccio | Radiology | 425 Post Rd, Fairfield, CT 06824-6232 | 2005-06-30 |
| 1114924693 | Robert D. Russo | Radiology | 75 Kings Highway Cutoff, Suite 1a, Fairfield, CT 06824-5340 | 2005-06-30 |
| 1972006534 | Solano Diagnostics Partners, A Calif Limited Partnership | Radiology | 4500 Business Center Dr, Fairfield, CA 94534-6888 | 2018-03-09 |
| 1548769284 | Bay Imaging Consultants Medical Group Inc | Radiology | 1200 B Gale Wilson Blvd, Fairfield, CA 94533-3552 | 2018-02-08 |
| 1649778614 | Rdr Radiology LLC | Radiology | 425 Post Rd, Fairfield, CT 06824-6232 | 2018-01-25 |
| 1427414903 | Solano Diagnostics Partners, A Calif Limited Partnership | Radiology | 4500 Business Center Dr, Fairfield, CA 94534-6888 | 2016-01-13 |
| 1609264498 | Bay Imaging Consultants Medical Group | Radiology | 2700 Low Ct, Fairfield, CA 94534-9715 | 2014-12-31 |
| Find all providers in FAIRFIELD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.