DR. DANIELLE R. RUSSO (NPI# 1346249364) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346249364 |
| Entity Type | Individual |
| Full Name | DR. DANIELLE R. RUSSO |
| Credential | M.D. |
| Practice Address |
207 N Elkhart St Wakarusa IN 46573-9729 |
| Mailing Address |
710 N. Niles Ave South Bend IN 46617-1924 |
| Practice Telephone | 5748522165 |
| Practice Fax Number | 5748624112 |
| Mailing Telephone | 5746471610 |
| Mailing Fax Number | 5742376069 |
| Enumeration Date | 2005-07-20 |
| Last Update Date | 2017-08-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 01057584A | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 200283860 | 05 | |
| IN | ANTHEM BCBS # | 000000281752 | 01 |
| IN | MEDICARE PTAN | 236040035 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689208639 | Danielle Russo | Occupational Therapist | 15022 Inverness St, San Leandro, CA 94579-1645 | 2020-02-28 |
| 1730668781 | Danielle M Russo | Marriage & Family Therapist | 2825 7th St, Tuscaloosa, AL 35401-1807 | 2018-08-10 |
| 1124392519 | Danielle Russo | Social Worker | 134 Bay 11th St, Brooklyn, NY 11228-3703 | 2012-03-01 |
| 1639484041 | Danielle J Russo | Speech-Language Pathologist | 9 Citrus St, West Babylon, NY 11704-8107 | 2010-08-10 |
| 1013936996 | Danielle Russo | Registered Nurse | 1495 Ne 3rd St, Ste. C, Prineville, OR 97754-2905 | 2006-07-19 |
| 1770090979 | Danielle Ann Russo | Behavior Technician | 500 Fairway Dr Ste 102, Deerfield Beach, FL 33441-1817 | 2018-01-09 |
| 1811414634 | Danielle Russo | Speech-Language Pathologist | 520b Bloomingdale Rd, Staten Island, NY 10309-2066 | 2017-08-23 |
| 1114334851 | Danielle Russo | Psychologist | 49 Pavilion Ave, Suite 105, Providence, RI 02905-1534 | 2014-07-15 |
| 1700161312 | Danielle Marie Russo | Physician Assistant | 558 Ashmun St, Sault Sainte Marie, MI 49783-4001 | 2011-10-14 |
| Street Address |
207 N ELKHART ST |
| City | WAKARUSA |
| State | IN |
| Zip Code | 46573-9729 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356770267 | Lana L Evans | Nurse Practitioner | 207 N Elkhart St, Wakarusa, IN 46573-9729 | 2013-11-01 |
| 1912103151 | Reba J Goshert | Nurse Practitioner | 207 N Elkhart St, Wakarusa, IN 46573-9729 | 2007-06-25 |
| 1184641706 | Beacon Medical Group, Inc. | Family Medicine | 207 N Elkhart St, Wakarusa, IN 46573-9729 | 2006-07-17 |
| 1417958976 | Eric J Miller | Family Medicine | 207 N Elkhart St, Wakarusa, IN 46573-9729 | 2005-08-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770684755 | Wakarusa Ambulance Service, Inc. | Ambulance | 301 E Waterford St, Wakarusa, IN 46573 | 2006-09-25 |
| 1932447760 | Kristine Michelle Weldy | Nurse Practitioner | 121 E Waterford St, Wakarusa, IN 46573 | 2013-01-29 |
| 1285868349 | Gma, Inc. | Chiropractor | 117 South Elkhart St, Wakarusa, IN 46573-0509 | 2009-05-05 |
| 1588718373 | Greg Michael Adams | Chiropractor | 117 South Elkhart Street, Wakarusa, IN 46573-0509 | 2007-01-22 |
| 1376685198 | At Home Quality Care Non Medical Svc. | Home Health | 111 N. Elkhart St., Wakarusa, IN 46573-0731 | 2007-02-12 |
| 1194054031 | Wakarusa Volunteer Fire Department | Non-emergency Medical Transport (VAN) | 301 E. Waterford Street, Wakarusa, IN 46573-0812 | 2009-12-23 |
| 1831797372 | Philip James Faroh Jr. | Pharmacist | 100 N. Elkhart, Wakarusa, IN 46573-2006 | 2020-10-16 |
| 1679545271 | Andrew L. Kuhn | Family Medicine | 121 E Waterford St, Wakarusa, IN 46573-2007 | 2006-02-07 |
| 1952551863 | Kuhn Medical Clinic, LLC | Family Medicine | 121 E Waterford St, Wakarusa, IN 46573-2007 | 2008-09-27 |
| 1669017794 | Renay Ann Bemiller | Transportation Broker | 102 Westgate Blvd, Wakarusa, IN 46573-8507 | 2019-11-13 |
| Find all providers in zip 46573 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679545271 | Andrew L. Kuhn | Family Medicine | 121 E Waterford St, Wakarusa, IN 46573-2007 | 2006-02-07 |
| 1952551863 | Kuhn Medical Clinic, LLC | Family Medicine | 121 E Waterford St, Wakarusa, IN 46573-2007 | 2008-09-27 |
| 1184641706 | Beacon Medical Group, Inc. | Family Medicine | 207 N Elkhart St, Wakarusa, IN 46573-9729 | 2006-07-17 |
| 1417958976 | Eric J Miller | Family Medicine | 207 N Elkhart St, Wakarusa, IN 46573-9729 | 2005-08-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417556465 | Neuro Health Indianapolis LLC | Family Medicine | 1553 W Oak St, Zionsville, IN 46077-1840 | 2020-10-21 |
| 1740887298 | Northshore Health Centers, Inc. | Family Medicine | 651 W Morgan Ave Rm F168, Chesterton, IN 46304-2243 | 2020-10-07 |
| 1144836990 | Rachel Leigh Anderson | Family Medicine | 996 Bard Ln, Carmel, IN 46032-1072 | 2020-09-17 |
| 1073125225 | Relymd Medical Group In, LLC | Family Medicine | 9221 Crawfordsville Rd, Indianapolis, IN 46234-1521 | 2020-08-19 |
| 1386252757 | Eventus Wholehealth Midwest Inc | Family Medicine | 2100 Midway St # 3722, Columbus, IN 47201-3722 | 2020-07-21 |
| 1770105801 | My Metabolism | Family Medicine | 14342 W Prevail Dr, Carmel, IN 46033-7004 | 2020-05-12 |
| 1104452200 | Little Company of Mary Hospital of Indiana Inc | Family Medicine | 695 W 2nd St Ste D, Jasper, IN 47546-3240 | 2020-03-20 |
| 1578199345 | Stephanie Anne Dill | Family Medicine | 1101 Michigan Address, Logansport, IN 46947 | 2020-03-12 |
| 1861027641 | Megan Chloe Nonte | Family Medicine | 837 Bellbrook Rd, Loogootee, IN 47553-4612 | 2020-03-11 |
| 1477192151 | Debra Susan Hayes | Family Medicine | 455 W Industrial Dr, Terre Haute, IN 47802-9266 | 2019-12-30 |
| Find all providers with the same taxonomy | ||||
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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.