CARLY RUSSO (NPI# 1487953527) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487953527 |
| Entity Type | Individual |
| Full Name | CARLY RUSSO |
| Credential | PA-C |
| Practice Address |
107 Gamma Dr Ste 210 Pittsburgh PA 15238-2936 |
| Mailing Address |
520 Jefferson Ave Jeannette PA 15644-2538 |
| Practice Telephone | 4129636677 |
| Mailing Telephone | 7245278060 |
| Mailing Fax Number | 7245224002 |
| Enumeration Date | 2011-03-15 |
| Last Update Date | 2017-01-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
MA054790 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316402894 | Carly Elizabeth Russo | Physical Therapist | 2425 Victory Ave Apt 264, Dallas, TX 75219-7720 | 2019-02-08 |
| Street Address |
107 GAMMA DR STE 210 |
| City | PITTSBURGH |
| State | PA |
| Zip Code | 15238-2936 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104466358 | Urology Consultants, LLC | Urology | 107 Gamma Dr Ste 210, Pittsburgh, PA 15238-2936 | 2020-01-15 |
| 1861042913 | Kristy Desomma | Nurse Practitioner | 107 Gamma Dr Ste 210, Pittsburgh, PA 15238-2936 | 2019-09-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962979971 | James Anthony Paone | Pharmacist | Rite Aid Pharmacy District Office, 629 Alpha Drive, Pittsburgh, PA 15238 | 2018-10-29 |
| 1730615931 | David John Mcfarlane | Orthotist | 300 Alpha Drive, De La Torre O @ P, Pittsburgh, PA 15238 | 2017-05-08 |
| 1447708938 | Upmc Senior Communities | In Home Supportive Care | 500 Chapel Harbor Drive, Pittsburgh, PA 15238 | 2016-09-14 |
| 1922454156 | Brooke Lewis | Counselor | 1378 Freeport Rd Ste 2a, Pittsburgh, PA 15238 | 2016-05-06 |
| 1588079214 | Kira O'hare Steele | Physical Therapist | 811 Boyd Ave Bldg 2, Pittsburgh, PA 15238 | 2014-06-20 |
| 1003236985 | Linda Whitby Sampson | Nurse Practitioner | 206 Sweet Gum Road, Pittsburgh, PA 15238 | 2014-04-18 |
| 1184042624 | Francis Bryan Kennedy | Internal Medicine | 476 Old Mill Road, Pittsbrugh, PA 15238 | 2014-04-02 |
| 1952643256 | Yoong Oh Han | Obstetrics & Gynecology | 104 Glenhaven Ln, Pittsburgh, PA 15238 | 2013-03-25 |
| 1588905004 | Kristen Nicole Wickerham | Counselor | 237 6th Street, Pittsburgh, PA 15238 | 2013-03-07 |
| 1063725950 | Michael E Edelstein | Counselor | 464 Walnut Street, Pittsburgh, PA 15238 | 2010-07-20 |
| Find all providers in zip 15238 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013526441 | Kala Ann Cinker | Physician Assistant | 120 Parkhurst St, Pittsburgh, PA 15212-4749 | 2020-07-31 |
| 1215570825 | Douglas Pascal Placais | Physician Assistant | 3400 Forbes Ave Ste 10040, Pittsburgh, PA 15213-3214 | 2019-10-26 |
| 1336781145 | Brooke Scheider | Physician Assistant | 815 Agnew Road, Pittsburgh, PA 15227 | 2019-10-14 |
| 1952942930 | Emily M Rice | Physician Assistant | 310 Rodi Rd Ste 240, Pittsburgh, PA 15235-3318 | 2019-10-01 |
| 1619523024 | Gabrielle M Sibilia | Physician Assistant | 310 Rodi Rd Ste 140, Pittsburgh, PA 15235-3318 | 2019-08-12 |
| 1407409618 | Jacob Birkline | Physician Assistant | 5519 Baum Blvd Apt 2, Pittsburgh, PA 15232-5203 | 2019-07-17 |
| 1568954386 | Kristen Ashley Mcgarity | Physician Assistant | 1130 Perry Hwy Ste 9, Pittsburgh, PA 15237-2132 | 2018-06-06 |
| 1164930855 | Scott Maniglia | Physician Assistant | 1315 Locust St., Suite 105, Pittsburgh, PA 15219 | 2018-01-16 |
| 1548772171 | Kristen Ann Beatrice Jarvis | Physician Assistant | 4401 Penn Ave Fl 8, Pittsburgh, PA 15224-1334 | 2017-11-05 |
| 1831600774 | Audrey A Hayward | Physician Assistant | Department of Otolaryngology, Eye and Ear Institute, 203 Lothrop Street, Suite 300, Pittsburgh, PA 15213-2548 | 2017-10-18 |
| Find all providers in PITTSBURGH | ||||
| City | PITTSBURGH |
| Zip Code | 15238 |
Please comment or provide details below to improve the information on CARLY RUSSO.
| 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.