MR. PAUL JOHN RUSSO (NPI# 1487668554) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487668554 |
| Entity Type | Individual |
| Full Name | MR. PAUL JOHN RUSSO |
| Credential | D.O. |
| Practice Address |
222 S Monticello St Winamac IN 46996-1543 |
| Mailing Address |
211 W Washington St Culver IN 46511-1541 |
| Practice Telephone | 5749463245 |
| Practice Fax Number | 5749463383 |
| Mailing Telephone | 5748422984 |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2007-12-10 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 02001842A | IN | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568805620 | Paul Russo | Psychologist | 15 Hanover Pl, Brooklyn, NY 11201-5839 | 2013-04-09 |
| 1841450764 | Paul M Russo | Physical Therapy Assistant | 2641 S C St, Oxnard, CA 93033-4502 | 2008-06-13 |
| 1427109859 | Paul Edward Russo Jr. | Emergency Medicine | 1450 Chapel St, New Haven, CT 06511-4405 | 2007-01-14 |
| 1164465753 | Paul Robert Russo | Nurse Practitioner | 34800 Bob Wilson Dr, San Diego, CA 92134-1098 | 2006-06-13 |
| 1164488458 | Paul H Russo | Family Medicine | 305 E 12th St, Kaukauna, WI 54130-2865 | 2006-04-25 |
| 1619946662 | Paul Donnald Russo | Optometrist | 1 Atwell Rd, Cooperstown, NY 13326-1301 | 2006-03-14 |
| 1194799098 | Paul R. Russo | Registered Nurse | 4600 4th Street North, St Petersburg, FL 33703-3802 | 2006-02-15 |
| 1720065105 | Paul Russo | Urology | 1275 York Ave, New York, NY 10021-6007 | 2005-12-28 |
| Street Address |
222 S MONTICELLO ST |
| City | WINAMAC |
| State | IN |
| Zip Code | 46996-1543 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770752099 | Parker Family Medicine, P.C. | Family Medicine | 222 S Monticello St, Winamac, IN 46996-1543 | 2008-02-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568003523 | Stephanie Michelle Parish | Technician | 8111 W 400 S, Winamac, IN 46996 | 2019-10-01 |
| 1376976571 | Ourhealth Physician Group, LLC | Clinic/Center | 144 S. County Road 100 W, Winamac, IN 46996 | 2013-08-12 |
| 1316078520 | Eastern Pulaski Community School Corporation | Local Education Agency (LEA) | 711 School Drive, Winamac, IN 46996 | 2007-03-08 |
| 1649288689 | Goble Heal Chiropractic PC | Chiropractor | 116 E Pearl Street, Winamac, IN 46996 | 2006-08-04 |
| 1841832888 | Safeguard Joy LLC | In Home Supportive Care | 8111 W 400 S, Winamac, IN 46996 | 2019-10-10 |
| 1568958239 | John Paul Wunderlich | Counselor | 118 N Sally Dr, Winamac, IN 46996 | 2018-07-06 |
| 1770839797 | Catherine Dywan | Social Worker | 540 Hospital Dr, Winamac, IN 46996 | 2012-07-27 |
| 1316129695 | Husam Baki | Internal Medicine | 616 E 13th St, Winamac, IN 46996 | 2007-11-29 |
| 1013062686 | Clinton L. Kauffman | Family Medicine | 540 Hospital Dr, Winamac, IN 46996 | 2007-01-24 |
| 1750451811 | Frank A Utes | Family Medicine | 525 E Thirteenth St, Winamac, IN 46996-0186 | 2006-11-08 |
| Find all providers in zip 46996 | ||||
| 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 |
|---|---|---|---|---|
| 1710292289 | Utes Family Practice, Inc. | Family Medicine | 525 E 13th St, Winamac, IN 46996-1144 | 2010-08-09 |
| 1316011976 | Curtis Family Practice Inc | Family Medicine | 2418 N. Curtis Drive, Suite B, Winamac, IN 46996-8818 | 2006-11-17 |
| 1750451811 | Frank A Utes | Family Medicine | 525 E Thirteenth St, Winamac, IN 46996-0186 | 2006-11-08 |
| 1528000395 | Knox-winamac Community Health Centers, Inc. | Family Medicine | 121 E Pearl St, Winamac, IN 46996-1310 | 2006-06-13 |
| 1699773994 | Rex Allen Allman | Family Medicine | 540 Hospital Dr, Winamac, IN 46996-1173 | 2005-07-11 |
| 1023012754 | Brian Alan Johnson | Family Medicine | 613 Terrace Dr, Winamac, IN 46996-1111 | 2005-06-10 |
| 1669475893 | Elizabeth Ann Curtis | Family Medicine | 2418 Curtis Dr, Ste B, Winamac, IN 46996-8818 | 2005-05-23 |
| 1386178861 | Timothy Day | Family Medicine | 540 Hospital Dr, Winamac, IN 46996-1173 | 2017-04-12 |
| 1750738258 | Brogan Edward Bahler | Family Medicine | 540 Hospital Dr, Winamac, IN 46996-1173 | 2016-05-16 |
| 1447546031 | Melissa D Zahrt | Family Medicine | 616 E 13th St, Winamac, IN 46996-1117 | 2011-06-22 |
| Find all providers in WINAMAC | ||||
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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.