DR. NICHOLAS ROY RUSSO (NPI# 1134255672) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134255672 |
| Entity Type | Individual |
| Full Name | DR. NICHOLAS ROY RUSSO |
| Credential | D.D.S. |
| Practice Address |
6754 W Beloit Rd West Allis WI 53219-2068 |
| Practice Telephone | 4143271210 |
| Practice Fax Number | 4143276850 |
| Mailing Telephone | 4143271210 |
| Mailing Fax Number | 4143276850 |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
2838 | WI | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 33440400 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487282695 | Nicholas Anthony Russo | Student in an Organized Health Care Education/Training Program | 77 Goodell Street, Suite 550, Buffalo, NY 14203 | 2020-04-01 |
| 1174151930 | Nicholas Anthony Russo | Student in an Organized Health Care Education/Training Program | 30 Prospect Ave, Hackensack, NJ 07601-1915 | 2020-03-29 |
| 1679005649 | Nicholas John Russo | Student in an Organized Health Care Education/Training Program | 47 New Scotland Ave Dept Of, Albany, NY 12208-3412 | 2017-03-29 |
| 1063811297 | Nicholas Vito Russo | Dentist | 12690 W North Ave, Brookfield, WI 53005-4636 | 2014-08-13 |
| 1407164197 | Nicholas J. Russo | Dentist | 300 Foulk Rd Ste 101, Wilmington, DE 19803-3819 | 2010-09-16 |
| 1295900512 | Nicholas A Russo | Anesthesiology | 9500 Euclid Ave, Cleveland Clinic Foundation, Cleveland, OH 44195-0001 | 2008-04-28 |
| Street Address |
6754 W BELOIT RD |
| City | WEST ALLIS |
| State | WI |
| Zip Code | 53219-2068 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720497308 | New Beginnings Mental Health Clinic LLC. | Clinic/Center | 6754 W Beloit Rd, Ste 10, West Allis, WI 53219-2068 | 2014-08-07 |
| 1275949729 | Rachel M Vohnoutka | Student in an Organized Health Care Education/Training Program | 6754 W Beloit Rd, West Allis, WI 53219-2068 | 2014-07-05 |
| 1134532013 | Ruth A Kohnke | Psychologist | 6754 W Beloit Rd, West Allis, WI 53219-2068 | 2014-06-09 |
| 1417256967 | Danielle Spitzer | Counselor | 6754 W Beloit Rd, West Allis, WI 53219-2068 | 2011-03-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588262323 | Tammi T Wisniewski | Hearing Instrument Specialist | 4847 W. Forest Home Avenue, Greenfield, WI 53219 | 2020-10-14 |
| 1174052344 | Adam Blaha | Physical Therapy Assistant | 2622 South 66th Street, Milwaukee, WI 53219 | 2017-06-09 |
| 1700281920 | Mary Beth Menarek | Counselor | 6574 W. Beloit Road, West Allis, WI 53219 | 2014-10-30 |
| 1780959767 | James Stanley Ziolkowski | Electrodiagnostic Medicine | 9330 W. Lincln Ave, West Allis, WI 53219 | 2012-03-09 |
| 1568752707 | Carey M Kromarek | Social Worker | 5757 W. Oklahoma Ave, Suite 203, Milwaukee, WI 53219 | 2011-04-08 |
| 1275834988 | Debra L Felzer | Registered Nurse | 7123 W Stuth Place, West Allis, WI 53219 | 2010-11-11 |
| 1528290327 | Miguel Angel Bautista | Acupuncturist | 4318 W. Foresthowe Ave., Milwaukee, WI 53219 | 2009-08-13 |
| 1629211487 | Ruth Irene Young | Physical Therapy Assistant | 2027 S. 79th Street, West Allis, WI 53219 | 2009-04-09 |
| 1053591818 | Linda St. Louis | Nurse Practitioner | 6030 W. Oklahoma Avenue, Milwaukee, WI 53219 | 2007-11-09 |
| 1811185812 | John Stuart Lanham | Podiatrist | 5720 W Oklahoma Avenue, Milwaukee, WI 53219 | 2007-10-04 |
| Find all providers in zip 53219 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679710883 | P.s.sidhu & Associates | Dentist | 1417 S 108th St, West Allis, WI 53214-4012 | 2009-01-09 |
| 1649434630 | William Wong | Dentist | 1947 S 60th St, West Allis, WI 53219-1552 | 2008-07-18 |
| 1417119710 | Brian R Teclaw | Dentist | 2301 S 108th St, West Allis, WI 53227-1901 | 2008-06-27 |
| 1003093154 | Michael A. Schwab, D.d.s., S.c. | Dentist | 10401 W Lincoln Ave Ste 205, West Allis, WI 53227-1255 | 2008-01-30 |
| 1134312242 | Doctors' Denture Systems Sc | Dentist | 7500 W Lincoln Ave, West Allis, WI 53219-1828 | 2007-08-22 |
| 1750507356 | Roberto Edgardo Monteagudo | Dentist | 1469 S 70th St, West Allis, WI 53214-4814 | 2007-04-18 |
| 1235354481 | Dennis R Anderson Dds Sc | Dentist | 10701 W Lincoln Ave, West Allis, WI 53227-1242 | 2007-04-14 |
| 1679603484 | Carl Joseph Sibilski Jr. | Dentist | 7234 W Lincoln Ave, West Allis, WI 53219-1819 | 2007-03-07 |
| 1649314782 | Richard John Schabowski | Dentist | 5400 W Lincoln Ave, West Allis, WI 53219-1662 | 2007-02-19 |
| 1194862763 | Paul Chester Mroczkowski | Dentist | 3044 S 92nd St, West Allis, WI 53227-3678 | 2007-01-31 |
| Find all providers in WEST ALLIS | ||||
| City | WEST ALLIS |
| Zip Code | 53219 |
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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.