MICHAEL B RUSSO (NPI# 1477523785) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477523785 |
| Entity Type | Individual |
| Full Name | MICHAEL B RUSSO |
| Credential | M.D. |
| Practice Address |
250 Ward Ave Ste 170 Honolulu HI 96814-4014 |
| Practice Telephone | 8082943332 |
| Practice Fax Number | 8087482920 |
| Mailing Telephone | 8082943332 |
| Mailing Fax Number | 8087482920 |
| Enumeration Date | 2006-01-26 |
| Last Update Date | 2020-05-19 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
MD14968 | HI | Allopathic & Osteopathic Physicians |
| N | 2084S0012X |
Psychiatry & Neurology Specialization: Sleep Medicine |
MD14968 | HI | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205463486 | Michael Russo | Physical Therapist | 29800 Bainbridge Rd # So40, Solon, OH 44139-2202 | 2020-03-26 |
| 1982251427 | Michael Russo | Counselor | 17042 Puntledge Dr, Westfield, IN 46062-6521 | 2019-08-20 |
| 1699947242 | Michael James Russo | Social Worker | 19 Maidstone Ln, Hampton Bays, NY 11946-1670 | 2008-03-24 |
| 1700084381 | Michael Anthony Russo | Surgery | 1811 Brookfurst St #5600, Fountain Valley, CA 92708-6728 | 2007-07-05 |
| 1801824362 | Michael Russo | Chiropractor | 12362 Euclid St, Garden Grove, CA 92840-3308 | 2006-06-30 |
| 1164465571 | Michael Scott Russo | Chiropractor | 100 N Centre Ave, Suite 202, Rockville Centre, NY 11570-3937 | 2006-06-14 |
| 1619948973 | Michael S. Russo | Physical Therapist | 10 Church Towers, Hoboken, NJ 07030 | 2006-01-26 |
| 1558822510 | Michael Jonathan Russo | Student in an Organized Health Care Education/Training Program | 836 W Wellington Ave, Chicago, IL 60657-5147 | 2019-03-30 |
| 1245720523 | Michael Joseph Russo | Emergency Medicine | 1501 N Campbell Ave, Tucson, AZ 85724-0001 | 2018-05-13 |
| 1508214065 | Michael Russo | Anesthesiology | 3700 Kolbe Rd, Lorain, OH 44053-1611 | 2016-05-25 |
| Street Address |
250 WARD AVE STE 170 |
| City | HONOLULU |
| State | HI |
| Zip Code | 96814-4014 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336746478 | Ross Thomas Fujimori Pascual | Pharmacist | 750 Keeaumoku Street, Honolulu, HI 96814 | 2020-10-01 |
| 1336755263 | Hawaikikitelehealth LLC | Counselor | 1108 Auwahi Street, 1506, Honolulu, HI 96814 | 2020-09-16 |
| 1225647324 | Metaphysio Hawaii LLC | Physical Therapist | 1350 South King Street Suite 303, Honolulu, HI 96814 | 2020-07-24 |
| 1114572161 | Alyssa Foster | Social Worker | 1314 S King St Ste 1152, Honolulu, HI 96814 | 2019-08-07 |
| 1871157628 | Ala Moana Walk-in Medical Clinic, Inc | Nurse Practitioner | 410 Atkinson Dr., Level 3, Honolulu, HI 96814 | 2019-04-26 |
| 1528524014 | Regenerative Living Private Duty Inc | Home Health Aide | 1314 South King Street Ste 853, Honolulu, HI 96814 | 2019-02-20 |
| 1295299428 | Kaori Utashiro | Massage Therapist | 1450 Ala Moana Blvd. Suite1227, Honolulu, HI 96814 | 2019-01-22 |
| 1619444569 | Optimized Health LLC | General Practice | 1441 Kapiolani Blvd Ste 1114, #23464, Honolulu, HI 96814 | 2018-10-30 |
| 1356823785 | Tara Yamauchi-lum LLC | Marriage & Family Therapist | 615 Piikoi Street Suite 1109, Honolulu, HI 96814 | 2018-09-01 |
| 1992283980 | Sonia Q. Cosio, D.d.s | Dentist | 1441 Kapiolani Blvd #518, Honolulu, HI 96814 | 2018-08-01 |
| Find all providers in zip 96814 | ||||
| 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 |
|---|---|---|---|---|
| 1407017973 | Victoria San San Wong | Psychiatry & Neurology | 550 S Beretania St Ste 405, Honolulu, HI 96813-2496 | 2008-06-18 |
| 1154502896 | Elizabeth U Blalock | Psychiatry & Neurology | 2465 Ala Wai Blvd, Apt 804, Honolulu, HI 96815-3455 | 2007-11-23 |
| 1073556650 | Jordan S Popper | Psychiatry & Neurology | 320 Ward Ave Ste 101, Honolulu, HI 96814-4016 | 2006-06-13 |
| 1750359709 | Jeffrey Earl Liu | Psychiatry & Neurology | 1380 Lusitana St., Suite 705, Honolulu, HI 96813-2443 | 2006-03-08 |
| 1245690817 | Douglas Valenta Neurology | Psychiatry & Neurology | 438 Hobron Lane, 408, Honolulu, HI 96815 | 2016-02-25 |
| 1699041525 | Rony Salem | Psychiatry & Neurology | 1301 Punchbowl St, Honolulu, HI 96813-2402 | 2012-03-26 |
| 1558598615 | Neurological Services of Hawaii Inc | Psychiatry & Neurology | 1296 Kapiolani Blvd, 4607, Honolulu, HI 96814-2896 | 2009-06-16 |
| 1265693055 | Brandon K. Hirota | Psychiatry & Neurology | 321 N Kuakini St, Suite 810, Honolulu, HI 96817-2364 | 2008-06-24 |
| 1962672220 | James F Pierce Md Inc | Psychiatry & Neurology | 1380 Lusitana St, Suite 705, Honolulu, HI 96813-2449 | 2008-03-03 |
| 1346360302 | Sharin Y S Burton | Psychiatry & Neurology | 3288 Moanalua Rd, Honolulu, HI 96819-1469 | 2007-03-30 |
| Find all providers in HONOLULU | ||||
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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.