DR. ANTHONY RUSSO (NPI# 1366890410) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366890410 |
| Entity Type | Individual |
| Full Name | DR. ANTHONY RUSSO |
| Credential | M.D. |
| Practice Address |
500 Gypsy Lane Youngstown OH 44501 |
| Mailing Address |
130 Oak Tree Dr Canfield OH 44406-9295 |
| Practice Telephone | 3308844250 |
| Practice Fax Number | 3308840651 |
| Enumeration Date | 2016-05-31 |
| Last Update Date | 2019-08-20 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 35.136883 | OH | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| 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 |
| 1144213455 | Anthony Leonard Russo | Emergency Medicine | 5600 14th Ave Nw Ste 1, Seattle, WA 98107-3723 | 2005-08-23 |
| 1730649989 | Anthony Russo | Student in an Organized Health Care Education/Training Program | 99 Beauvoir Ave, Summit, NJ 07901-3533 | 2019-03-22 |
| 1386076644 | Anthony Russo | Behavioral Analyst | 820 Davis St, Evanston, IL 60201-4431 | 2013-08-08 |
| Street Address |
500 GYPSY LANE |
| City | YOUNGSTOWN |
| State | OH |
| Zip Code | 44501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053338723 | Philip B Howren | Personal Emergency Response Attendant | 500 Gypsy Lane, Youngstown, OH 44501 | 2006-07-17 |
| 1114582145 | Love Shaileshkumar Shah | Student in an Organized Health Care Education/Training Program | 500 Gypsy Lane, Youngstown, OH 44504 | 2019-05-06 |
| 1417510827 | Arooj Ahmed | Student in an Organized Health Care Education/Training Program | 500 Gypsy Lane, Youngstown, OH 44504 | 2019-04-22 |
| 1942863519 | Rajvee Patel | Student in an Organized Health Care Education/Training Program | 500 Gypsy Lane, Youngstown, OH 44504-1315 | 2019-04-18 |
| 1730640046 | Ohio North East Health Systems Inc | Dentist | 500 Gypsy Lane, Medical Office Bldg A, Youngstown, OH 44504-1315 | 2019-03-28 |
| 1699236059 | Ohio North East Health Systems Inc | Dentist | 500 Gypsy Lane, Medical Office Bldg A, Youngstown, OH 44504-1315 | 2019-03-28 |
| 1497231914 | Madiha Khurram Ahmed Bhatty | Dentist | 500 Gypsy Lane, Medical Blgd A, Youngstown, OH 44504-2094 | 2018-07-17 |
| 1275022105 | Rishikesh Joshi | Student in an Organized Health Care Education/Training Program | 500 Gypsy Lane, Medical Education Building A, Youngstown, OH 44501 | 2018-05-07 |
| 1801384839 | Vishnu Charan Suresh Kumar | Student in an Organized Health Care Education/Training Program | 500 Gypsy Lane, Youngstown, OH 44501 | 2018-04-25 |
| 1093202491 | Shailesh Bhattarai | Student in an Organized Health Care Education/Training Program | 500 Gypsy Lane, Youngstown, OH 44501 | 2018-04-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316567209 | Maria Veronica De Torres Mirano-de Guzman | Internal Medicine | St. Elizabeth Youngstown Hospital, Department of Medic, 1044 Belmont Ave, Youngstown, OH 44501 | 2020-04-21 |
| 1659900827 | Arrsh Bajaj | Internal Medicine | St. Elizabeth Youngstown Hospital, 1044 Belmont Ave, Youngstown, OH 44501 | 2020-04-08 |
| 1245897289 | Amrita K Dhanoa | Student in an Organized Health Care Education/Training Program | St. Elizabeth Youngstown Hospital., 1053 Belmont Avenue, Youngstown, OH 44501 | 2019-05-24 |
| 1700376050 | Charmaine Clarisse Dequito Abalos | Internal Medicine | 1044 Belmont Avenue., Youngstown, OH 44501 | 2018-05-12 |
| 1104314889 | Anique Mustafa | Student in an Organized Health Care Education/Training Program | 500 Gypsy Lane., Western Reserve Education, Inc., Youngstown, OH 44501 | 2018-04-27 |
| 1043295082 | Yazan K Jadallah | Emergency Medicine | 1044 Belmont Avenue, Youngstown, OH 44501 | 2005-12-13 |
| 1790273977 | Sajana Maharjan | Internal Medicine | 1044 Belmont Ave, Youngstown, OH 44501 | 2018-04-24 |
| 1891282935 | Michael Andrew Dever | Surgery | 1044 Belmont Ave, Youngstown, OH 44501 | 2018-04-14 |
| 1265939581 | Nipun Sharma | Student in an Organized Health Care Education/Training Program | 1044 Belmont Ave, Youngstown, OH 44501 | 2018-04-12 |
| 1194222422 | Trung Pham | Internal Medicine | 1044 Belmont Ave, Youngstown, OH 44501 | 2018-04-12 |
| Find all providers in zip 44501 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316567209 | Maria Veronica De Torres Mirano-de Guzman | Internal Medicine | St. Elizabeth Youngstown Hospital, Department of Medic, 1044 Belmont Ave, Youngstown, OH 44501 | 2020-04-21 |
| 1659900827 | Arrsh Bajaj | Internal Medicine | St. Elizabeth Youngstown Hospital, 1044 Belmont Ave, Youngstown, OH 44501 | 2020-04-08 |
| 1851920656 | Suzanne Elise Maddamma | Internal Medicine | Dept of Medical Education 1044 Belmont Ave, Youngstown, OH 44504-1006 | 2020-04-03 |
| 1700376050 | Charmaine Clarisse Dequito Abalos | Internal Medicine | 1044 Belmont Avenue., Youngstown, OH 44501 | 2018-05-12 |
| 1750889457 | Abolfazl Sodagar | Internal Medicine | 1001 Covington Street, Youngstown, OH 44510 | 2018-01-28 |
| 1174979157 | Hiyam Abdelmagid | Internal Medicine | 1001 Covington Ave., Youngstown, OH 44504 | 2016-05-10 |
| 1144634833 | Venkateswara Kumar Kollipara | Internal Medicine | St. Elizabeth Health Center, 1044 Belmont Ave, Youngstown, OH 44501-1790 | 2014-06-20 |
| 1124469408 | Abhay Sharma | Internal Medicine | 465 Gypsy Ln Apt 503, Youngstown, OH 44504-1366 | 2013-07-15 |
| 1538458583 | Elias Issa | Internal Medicine | 475 Gypsy Ln, Apt#4, Youngstown, OH 44504-1340 | 2011-03-30 |
| 1184943730 | Saurabh Dahiya | Internal Medicine | 465 Gypsy Ln Apt 404, Youngstown, OH 44504-1365 | 2010-05-21 |
| Find all providers in YOUNGSTOWN | ||||
| City | YOUNGSTOWN |
| Zip Code | 44501 |
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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.