RUSSELL MITESH CEREJO (NPI# 1265750715) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265750715 |
| Entity Type | Individual |
| Full Name | RUSSELL MITESH CEREJO |
| Credential | M.D. |
| Practice Address |
320 E North Ave Ste 208 Pittsburgh PA 15212-4756 |
| Practice Telephone | 4123598850 |
| Practice Fax Number | 4123598878 |
| Mailing Telephone | 4123598850 |
| Mailing Fax Number | 4123598878 |
| Enumeration Date | 2010-05-08 |
| Last Update Date | 2020-09-30 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
MD462463 | PA | Allopathic & Osteopathic Physicians |
| N | 2084V0102X |
Psychiatry & Neurology Specialization: Vascular Neurology |
MD462463 | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CAQH | 14050329 | 01 |
| Street Address |
320 E NORTH AVE STE 208 |
| City | PITTSBURGH |
| State | PA |
| Zip Code | 15212-4756 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366441792 | Andrew Ku | Radiology | 320 E North Ave Ste 208, Pittsburgh, PA 15212-4756 | 2005-07-19 |
| 1558915595 | Jessica Meerdo | Nurse Practitioner | 320 E North Ave Ste 208, Pittsburgh, PA 15212-4756 | 2019-07-29 |
| 1023596566 | Julia Anne Balandiat | Physician Assistant | 320 E North Ave Ste 208, Pittsburgh, PA 15212-4756 | 2018-08-06 |
| 1235640434 | Amitabh Gupta | Neurological Surgery | 320 E North Ave Ste 208, Pittsburgh, PA 15212 | 2017-10-16 |
| 1386001683 | Katherine H Jones | Physician Assistant | 320 E North Ave Ste 208, Pittsburgh, PA 15212-4756 | 2016-01-19 |
| 1417354713 | Stephanie Lynn Krotz | Physician Assistant | 320 E North Ave Ste 208, Pittsburgh, PA 15212-4756 | 2014-12-02 |
| 1477997971 | Jonathan Robert Pace | Neurological Surgery | 320 E North Ave Ste 208, Pittsburgh, PA 15212-4756 | 2013-04-26 |
| 1457612038 | Alexander K Yu | Neurological Surgery | 320 E North Ave Ste 208, Pittsburgh, PA 15212-4756 | 2012-05-31 |
| 1356627350 | Alejandro Daniel Castellvi | Neurological Surgery | 320 E North Ave Ste 208, Pittsburgh, PA 15212-4756 | 2011-10-23 |
| 1972890879 | Philip S Lee | Neurological Surgery | 320 E North Ave Ste 208, Pittsburgh, PA 15212-4756 | 2011-06-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770182347 | Kimberly Marie Pacy | Pharmacist | 623-625 East Ohio Street, Pittsburgh, PA 15212 | 2020-10-23 |
| 1649884990 | Genafie Mcknight | Social Worker | 322 North Shore Drive North Shore, Building 1b Suite 200, Pittsburgh, PA 15212 | 2020-09-03 |
| 1942818703 | Abraham Attah | Internal Medicine | 307 Federal Street, Suite B300, Pittsburgh, PA 15212 | 2020-07-17 |
| 1639705742 | Regi Jithesh | Nurse Practitioner | 314 E. North Avenue, Level One, Pittsburgh, PA 15212 | 2020-03-20 |
| 1598309262 | Anna Michaela Carter | Music Therapist | 322 North Shore Drive, Building 1b, Suite 200, Office 203, Pittsburgh, PA 15212 | 2019-11-05 |
| 1477196194 | Home Recovery Care, LLC | Case Management | 320 E. North Avenue, Cancer Institute Rm 203, Pittsburgh, PA 15212 | 2019-10-25 |
| 1558842997 | Maggie Yuhas | Occupational Therapist | 1411 Porterfield St, Pittsburgh, PA 15212 | 2018-08-23 |
| 1518464932 | Chloe Williams | Student in an Organized Health Care Education/Training Program | Allegheny General Hospital, 320 East North Ave, Pittsburgh, PA 15212 | 2018-04-11 |
| 1598261729 | Martha Conley Harrison | Student in an Organized Health Care Education/Training Program | West Penn Hospital, 4800 Friendship Ave, Pittsburgh, PA 15212 | 2018-04-05 |
| 1487155271 | Northside Dental | Dentist | 814 Cedar Avenue, Pittsburgh, PA 15212 | 2018-02-27 |
| Find all providers in zip 15212 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437562980 | Jaydevsinh Dolia | Psychiatry & Neurology | 1350 Locust St Ste 105, Pittsburgh, PA 15219-4738 | 2014-06-03 |
| 1396185823 | Cigdem Isitan | Psychiatry & Neurology | Upmc Magee Women's Hospital, 300 Halket Street, Suite 4500, Pittsburgh, PA 15213 | 2013-06-28 |
| 1114363918 | Guy Robert Corsello | Psychiatry & Neurology | 2342 Golfview Dr, Pittsburgh, PA 15241-3308 | 2013-05-20 |
| 1669768230 | Jigyasa Tewari | Psychiatry & Neurology | 5590 Hampton St, Apt 12, Pittsburgh, PA 15206-1453 | 2011-06-22 |
| 1043500614 | Merritt Weaver Brown IIi | Psychiatry & Neurology | 200 Lothrop St # C-400, Pittsburgh, PA 15213-2536 | 2011-04-15 |
| 1023246840 | Amber D. Van Laar | Psychiatry & Neurology | 3501 5th Ave, Department of Neurology, 7045 Bst 3, Pittsburgh, PA 15213-3301 | 2009-07-01 |
| 1609030824 | Houman Homayoun | Psychiatry & Neurology | 3471 5th Ave Ste 810, Upmc, Pittsburgh, PA 15213-3206 | 2008-07-16 |
| 1376706424 | Ahmed Mohamed Attia Eldokla | Psychiatry & Neurology | 3471 5th Ave Ste 800, Pittsburgh, PA 15213-3232 | 2008-07-09 |
| 1962672238 | Lana Chahine | Psychiatry & Neurology | 3471 5th Ave Bldg Suite111, Pittsburgh, PA 15213-3215 | 2008-03-03 |
| 1467650788 | Jullie W Pan | Psychiatry & Neurology | 3471 5th Ave Ste 811, University of Pittsburgh, Pittsburgh, PA 15213-3232 | 2007-07-09 |
| Find all providers in PITTSBURGH | ||||
| City | PITTSBURGH |
| Zip Code | 15212 |
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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.