MRS. JACQUELINE JAUDON RUSSO (NPI# 1316028376) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316028376 |
| Entity Type | Individual |
| Full Name | MRS. JACQUELINE JAUDON RUSSO |
| Credential | M.D. |
| Practice Address |
5427 Sw 75th Ter Gainesville FL 32608-4413 |
| Practice Telephone | 3523730188 |
| Mailing Telephone | 3523730188 |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2011-03-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
ME#106414 | FL | Allopathic & Osteopathic Physicians |
| N | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
10064 | FL | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225558604 | Jacqueline Russo | Dentist | 11676 Dunes Rd, Boynton Beach, FL 33436-5503 | 2017-06-26 |
| 1487121497 | Jacqueline Russo | Psychologist | 351 Manville Rd Ste 104, Pleasantville, NY 10570-2166 | 2018-10-28 |
| 1750860458 | Jacqueline Russo | Physical Therapy Assistant | 120 Seminary Ave, Auburndale, MA 02466-2650 | 2018-08-13 |
| Street Address |
5427 SW 75TH TER |
| City | GAINESVILLE |
| State | FL |
| Zip Code | 32608-4413 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609426758 | Earlene Mae Anderson | Technician | 7770 Sw 47th Lane, Gainesville, FL 32608 | 2019-09-19 |
| 1588214720 | Jimmie Lee Crawford | Technician | 7427 Sw 63rd Terrace, Gainesville, FL 32608 | 2019-09-19 |
| 1306495346 | Lori Turbow | Technician | 2600 Sw Willingston Rd, Apt. 801, Gainesville, FL 32608 | 2019-09-11 |
| 1285281527 | Advance Best Care Medical Services LLC | In Home Supportive Care | 5745 Southwest 76th Street, Suite 250, Gainesville, FL 32608 | 2019-08-21 |
| 1669948097 | Eric Scott Traub | Genetic Counselor, MS | 1699 Sw 16th Avenue, Building A, Cms B2334, Gainesville, FL 32608 | 2018-10-24 |
| 1457834053 | Riverswarmingtouch LLC | Adult Companion | 2220 Sw 34th Street, Apt 125, Gainesville, FL 32608 | 2018-09-10 |
| 1811481252 | Anthony Farmer | Dentist | 3100 Sw 35th Pl Apt 18a, Gainesville, FL 32608 | 2018-06-19 |
| 1184112823 | Zoraida Vazquez | Early Intervention Provider Agency | 7117 Sw Archer Rd Lot 2121, Gainesville, FL 32608 | 2018-04-27 |
| 1942739214 | Brittany R Brown | Homemaker | 2908 Sw 38th Place, Gainesville, FL 32608 | 2017-06-08 |
| 1639605801 | Touch of Care,llc | Home Health | 6040 Sw 63rd Blvd, Gainesville, FL 32608 | 2017-05-10 |
| Find all providers in zip 32608 | ||||
| Taxonomy Code | 207ZP0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Anatomic Pathology & Clinical Pathology |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added, 7/1/2009: definition reformatted] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/ This taxonomy code identifies the combined anatomic pathology & clinical pathology route. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447755137 | Brian Steven Mccarthy I | Pathology | 1719 Nw 23rd Ave Apt 1f, Gainesville, FL 32605-3005 | 2018-03-26 |
| 1437678950 | Thomas William Stewart Jr. | Pathology | 3138 Marthasville Court, Gainesville, GA 30506 | 2017-09-15 |
| 1396979845 | Jennifer Renea Loch | Pathology | 1600 Sw Archer Road, Depart of Pathology, Room 3113 Shands, Gainesville, FL 32610-0275 | 2009-05-13 |
| 1588744387 | Andrew Hamilton Fletcher | Pathology | 1600 Sw Archer Rd, Room 3109, Shands Healthcare - Surgical Pathology, Gainesville, FL 32610 | 2006-10-16 |
| 1487634242 | William F Hamilton | Pathology | 801 Southwest 2nd Ave, Deptartment of Pathology, Gainesville, FL 32601-6210 | 2006-01-18 |
| 1649258930 | Joseph Peter Ray Pelletier | Pathology | 1600 Sw Archer Rd # 100275, Gainesville, FL 32610-5300 | 2006-01-06 |
| 1669834008 | Enoch Kuo | Pathology | 1600 Sw Archer Rd, Gainesville, FL 32610 | 2016-03-24 |
| 1649658626 | Elham Nasri | Pathology | 1600 Sw Archer Rd, Gainesville, FL 32610-3003 | 2015-05-11 |
| 1497196604 | Namrah Aijaz | Pathology | 1600 Sw Archer Rd, Gainesville, FL 32610-3003 | 2013-07-16 |
| 1740620798 | Ashwin Sivappa Akki | Pathology | 1600 Sw Archer Rd # 100275, Gainesville, FL 32610-1447 | 2013-07-03 |
| Find all providers in GAINESVILLE | ||||
| City | GAINESVILLE |
| Zip Code | 32608 |
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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.