DR. ANTHONY LEONARD RUSSO (NPI# 1144213455) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1144213455 |
Entity Type | Individual |
Full Name | DR. ANTHONY LEONARD RUSSO |
Credential | MD |
Practice Address |
5600 14th Ave Nw Ste 1 Seattle WA 98107-3723 |
Practice Telephone | 2069190175 |
Practice Fax Number | 2065679797 |
Mailing Telephone | 2069190175 |
Mailing Fax Number | 2065679797 |
Enumeration Date | 2005-08-23 |
Last Update Date | 2020-08-13 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207P00000X | Emergency Medicine | M-8310 | ID | Allopathic & Osteopathic Physicians |
Y | 208D00000X | General Practice | MD61084253 | WA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WA | 2106800 | 05 | |
ID | BLUE CROSS | HBMO1 | 01 |
ID | 1144213455 | 05 |
Address | Telephone Number | Fax Number |
---|---|---|
315 W Dalton Ave Ste A, Coeur D Alene, ID 838158600 | 2082092060 | 2082092070 |
750 N Syringa St Ste 100, Post Falls, ID 838545275 | 2082622600 | 2082622700 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912523648 | Anthony Russo | Radiologic Technologist | 163 Quarterdeck Pl, Rochester, NY 14612-1432 | 2020-06-18 |
1861990657 | Anthony J Russo | Physical Therapy Assistant | 2300 Park Ave Ste 203, Orange Park, FL 32073-5573 | 2018-01-26 |
1730228040 | Anthony Joseph Russo | Dentist | 9 Sandborn St, Staten Island, NY 10312-5410 | 2007-02-05 |
1689710881 | Anthony F Russo | Psychiatry & Neurology | 591 Stonehenge Drive, Lititz, PA 17543 | 2007-01-29 |
1063574622 | Anthony Daniel Russo | Dentist | 4514 Parsons Blvd, Flushing, NY 11355-2217 | 2006-12-13 |
1629148580 | Anthony F Russo | Dentist | 1426 Fowler St, Richland, WA 99352-4717 | 2006-11-08 |
1700860400 | Anthony Russo | General Practice | 2401 W Pecan St, #103, Pflugerville, TX 78660-3200 | 2005-12-06 |
1730649989 | Anthony Russo | Student in an Organized Health Care Education/Training Program | 99 Beauvoir Ave, Summit, NJ 07901-3533 | 2019-03-22 |
1366890410 | Anthony Russo | Internal Medicine | 500 Gypsy Lane, Youngstown, OH 44501 | 2016-05-31 |
1386076644 | Anthony Russo | Behavioral Analyst | 820 Davis St, Evanston, IL 60201-4431 | 2013-08-08 |
Street Address |
5600 14TH AVE NW STE 1 |
City | SEATTLE |
State | WA |
Zip Code | 98107-3723 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215214390 | Christina Pike | Nurse Practitioner | 5600 14th Ave Nw Ste 1, Seattle, WA 98107-3723 | 2011-11-03 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447897707 | Kaiser Foundation Health Plan of Washington | Pharmacy | 1401 Nw 46th Street, 5th Floor, Seattle, WA 98107 | 2019-12-05 |
1619519493 | Charles Aljon Corpuz Agabin | Pharmacist | 1448 Nw Market Street, Suite 100, Seattle, WA 98107 | 2019-10-12 |
1427610682 | Dalillah Bernal Nord | Advanced Practice Midwife | 5300 Tallman Ave Nw Ste 420, Seattle, WA 98107 | 2019-07-08 |
1740849660 | Harmonic Healing LLC | Acupuncturist | 1551 Nw 54th Street Suite 204, Seattle, WA 98107 | 2019-06-13 |
1275198285 | Hsu Tsuchikawa and Wong Pllc | Clinic/Center | 1453 Nw 54th Street, Suite A, Seattle, WA 98107 | 2019-05-06 |
1801363502 | Bianca Marie Maggio | Physical Therapist | 5300 Tallman Ave, Outpatient Rehab Services 1-south, Seattle, WA 98107 | 2018-10-31 |
1831690726 | Sara Blackmur | Social Worker | 1417 Nw 54th St Ste 324, Seattle, WA 98107 | 2018-02-26 |
1225553159 | Jennifer Chain | Psychologist | 5306 Ballard Ave Nw Ste 212, Seattle, WA 98107 | 2017-08-11 |
1184148413 | John Julian Heal | Occupational Therapy Assistant | 5440 Leary Ave Nw, Unit 321, Seattle, WA 98107 | 2017-07-28 |
1710416169 | Heather Tracey Marie Osias | Social Worker | 2251 Nw 60th Street Apt B, Seattle, WA 98107 | 2017-06-08 |
Find all providers in zip 98107 |
Taxonomy Code | 208D00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | General Practice |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740635887 | Peter Chulhi Kang | General Practice | 1425 Spring St Apt 802, Seattle, WA 98104-1635 | 2016-04-26 |
1295114395 | Kavita Pandit | General Practice | U Washington Dept of Surgery 1959 Ne Pacific St, Box 356410, Seattle, WA 98195-6410 | 2015-05-21 |
1124438015 | Lauren Scovel | General Practice | 1321 Minor Ave Apt B602, Seattle, WA 98101-2884 | 2014-05-01 |
1023355427 | Johanna H Vanbelle | General Practice | 2150 N 122nd St, Seattle, WA 98133-8524 | 2013-01-07 |
1144567587 | Eric O. Feigl | General Practice | Physiology 357290 Health Sci Bldg G424, University of Washington, Seattle, WA 98195-7290 | 2013-01-04 |
1790031573 | David Hagin | General Practice | 850 Republican St, Brotman 254, Seattle, WA 98109-4725 | 2012-07-30 |
1053698084 | Chs Washington State Medical, P.C. | General Practice | 651 N 34th St, Seattle, WA 98103-8846 | 2011-11-04 |
1003134941 | Leandro Pasos | General Practice | 12707 30th Ave Ne, Seattle, WA 98125-4403 | 2010-05-15 |
1336463959 | Anthony Norman | General Practice | 12333 28th Ave Ne, #a, Seattle, WA 98125-5464 | 2010-03-25 |
1114102118 | Jeffrey Alan Robertson | General Practice | 1800 9th Ave # 1606, Seattle, WA 98101-1358 | 2008-01-08 |
Find all providers in SEATTLE |
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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.