DR. KELLY SIPE RUSSO (NPI# 1467466656) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467466656 |
| Entity Type | Individual |
| Full Name | DR. KELLY SIPE RUSSO |
| Credential | M.D., M.P.H. |
| Practice Address |
1 Harry S Truman Pkwy Ms 3102 Annapolis MD 21401-7037 |
| Mailing Address |
1 Harry Truman Parkway Ms 3102 Annapolis MD 21401 |
| Practice Telephone | 4102224114 |
| Mailing Telephone | 4102224114 |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2009-11-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RI0200X |
Internal Medicine Specialization: Infectious Disease |
D0061987 | MD | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487218012 | Kelly Russo | Speech-Language Pathologist | 9047 W Greenfield Ave, West Allis, WI 53214-2800 | 2019-04-29 |
| 1073822409 | Kelly Lynn Russo | Speech-Language Pathologist | 51 St Johns Parkside, Buffalo, NY 14210-2515 | 2010-10-04 |
| 1326362815 | Kelly T Russo | Pharmacist | 11 E Main St, Marcellus, NY 13108-1224 | 2010-03-26 |
| 1770805830 | Kelly White Russo | Pharmacist | 510 E Stoner Ave, Shreveport, LA 71101-4243 | 2010-02-17 |
| 1265664734 | Kelly L Russo | Psychologist | 1767 Village Park Dr, Orangeburg, SC 29118-2475 | 2009-08-18 |
| 1326115841 | Kelly A Russo | Physical Therapist | 414 Paoli Pike, Malvern, PA 19355-3311 | 2006-11-29 |
| Street Address |
1 HARRY S TRUMAN PKWY MS 3102 |
| City | ANNAPOLIS |
| State | MD |
| Zip Code | 21401-7037 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114330446 | Anne Arundel County Department of Health | Case Management | 1 Harry S Truman Pkwy, Annapolis, MD 21401-7037 | 2014-06-04 |
| 1326466947 | Jennifer Ann Schneider | Registered Nurse | 1 Harry S Truman Pkwy, Suite 200, Annapolis, MD 21401-7037 | 2014-04-01 |
| 1588087902 | Vanessa Nadine Sudduth | Licensed Practical Nurse | 1 Harry S Truman Pkwy, Annapolis, MD 21401-7037 | 2014-01-22 |
| 1184045023 | Donna Platner | Registered Nurse | 1 Harry S Truman Pkwy, Annapolis, MD 21401-7037 | 2013-12-19 |
| 1770788416 | Monica Joan Mentzer | Registered Nurse | 1 Harry S Truman Pkwy, Anne Arundel County Dept of Health Suite 231, Annapolis, MD 21401 | 2007-06-20 |
| 1699976480 | Melissa Donnelly Mcnair | Registered Nurse | 1 Harry S Truman Pkwy, Suite 234 Ms 3103, Annapolis, MD 21401-7042 | 2007-05-30 |
| 1346441136 | Anne Elizabeth Burke | Registered Nurse | 1 Harry S Truman Pkwy, Annapolis, MD 21401-7042 | 2007-05-30 |
| 1043411135 | Sharlene Howard | Registered Nurse | 1 Harry S Truman Pkwy, Suite 234, Ms-3103, Annapolis, MD 21401-7042 | 2007-05-29 |
| 1639370885 | Eva Ann Ackerman | Registered Nurse | 1 Harry S Truman Pkwy, Suite 231, Annapolis, MD 21401-7042 | 2007-05-29 |
| 1346451044 | Patti Louise Peters | Case Manager/Care Coordinator | 1 Harry S Truman Pkwy, Suite200, Annapolis, MD 21401-7042 | 2007-05-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497377154 | Michael Khorsandi | Student in an Organized Health Care Education/Training Program | 2001 Medical Parkway, Clatanoff Pavillon, Gmw Office, Annapolis, MD 21401 | 2020-05-15 |
| 1275172033 | Katrice N Nelson | Massage Therapist | Wellsview Cottage Center, 613 Ridgely Avenue, Annapolis, MD 21401 | 2019-12-27 |
| 1548803521 | Victoria Reimnitz | Behavioral Analyst | 2028 Indusrtrial Dr, Ste B&c, Annapolis, MD 21401 | 2019-10-23 |
| 1700438140 | Emily Megan Burke | Nurse Practitioner | 200 Forbes St Annapolis, Md 21401, Suite 200, Annapolis, MD 21401 | 2019-07-16 |
| 1316504848 | Sherina Maryam Shamsa | Counselor | 1830 Forest Drive, Suite H-2, Annapolis, MD 21401 | 2019-05-21 |
| 1497225288 | Jerilyn Deitch | Speech-Language Pathologist | Anne Arundel County Public Schools, 2644 Riva Rd, Annapolis, MD 21401 | 2018-12-05 |
| 1487124038 | Lucinda W Mimms | Speech-Language Pathologist | 2644 Riva Rd., Annapolis, MD 21401 | 2018-11-27 |
| 1487145496 | Michelle Baudean | Behavior Technician | 1919 West St Ste 201, Annapolis, MD 21401 | 2018-05-24 |
| 1730678954 | Stephanie Ruth Streb | Registered Nurse | 130 Admiral Cochrane Dr Ste 103, Annapolis, MD 21401 | 2018-05-02 |
| 1780183947 | Annapolis Sleep Center LLC | Clinic/Center | 2451 Riva Rd, Annapolis, MD 21401 | 2018-02-02 |
| Find all providers in zip 21401 | ||||
| Taxonomy Code | 207RI0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Infectious Disease |
| An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine. |
| 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 |
|---|---|---|---|---|
| 1255533154 | Ryan S. Arnold | Internal Medicine | 49 Old Solomons Island Rd, Suite 104, Annapolis, MD 21401-3861 | 2007-06-03 |
| 1427259654 | Annapolis Infectious Disease Associates LLP | Internal Medicine | 49 Old Solomons Island Rd, Suite 104, Annapolis, MD 21401-3854 | 2007-05-28 |
| 1790829729 | Kambayanda Savitha Chengappa | Internal Medicine | 49 Old Solomons Island Rd, Suite 104, Annapolis, MD 21401-3854 | 2007-02-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427659341 | Horace Preston Holley Jr. | Internal Medicine | 5741 Meyer Ave, New Market, MD 21774-6322 | 2020-11-06 |
| 1205435328 | Daydream Sunshine Initiative | Internal Medicine | 4000 Mitchellville Rd Ste A06, Bowie, MD 20716-3104 | 2020-10-20 |
| 1568089399 | Thomas Laurence Richie | Internal Medicine | 9800 Medical Center Dr Ste A209, Rockville, MD 20850-6395 | 2020-06-27 |
| 1316580582 | Theodore Elliott Nash | Internal Medicine | 9000 Rockville Pike Rm 424, Bethesda, MD 20892-0001 | 2019-10-21 |
| 1942772314 | Richard T Kenney | Internal Medicine | 9917 Conestoga Way, Potomac, MD 20854-4715 | 2018-12-26 |
| 1528541695 | Johns Hopkins Regional Physicians LLC | Internal Medicine | 2850 N Ridge Rd Ste 102, Ellicott City, MD 21043-3396 | 2018-09-13 |
| 1225523376 | Barbara G Matthews | Internal Medicine | 125 Springbrook Dr, Silver Spring, MD 20904-2832 | 2018-06-29 |
| 1700385812 | Michael Johnson | Internal Medicine | 4424 Stanford St, Chevy Chase, MD 20815-5208 | 2018-02-04 |
| 1154847887 | John Gian Md LLC | Internal Medicine | 510 Upper Chesapeake Dr Ste 312, Bel Air, MD 21014-4328 | 2017-08-15 |
| 1740737931 | Catherine Godfrey | Internal Medicine | 5601 Fishers Lane 9e49, Bethesda, MD 20892-0001 | 2016-09-06 |
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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.