SARAH BRICE RUSSO (NPI# 1548758907) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548758907 |
| Entity Type | Individual |
| Full Name | SARAH BRICE RUSSO |
| Credential | MD, PHD |
| Practice Address |
169 Ashley Avenue Room 202 Main Hospital Msc 333 Charleston SC 29425 |
| Practice Telephone | 8437923273 |
| Practice Fax Number | 8438767111 |
| Mailing Telephone | 8437923273 |
| Mailing Fax Number | 8438767111 |
| Enumeration Date | 2018-05-01 |
| Last Update Date | 2019-05-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
LL52723 | SC | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649434622 | Sarah A Russo | Speech-Language Pathologist | 4315 Sw 82nd Ter, Gainesville, FL 32608-4202 | 2008-07-18 |
| 1790280071 | Sarah Louise Russo | Occupational Therapist | 3981 Wellington Pkwy, Palm Harbor, FL 34685-1172 | 2018-03-28 |
| 1396114120 | Sarah Elizabeth Russo | Nurse Practitioner | 1800 Orleans St, Baltimore, MD 21287-0010 | 2015-09-23 |
| Street Address |
169 ASHLEY AVENUE ROOM 202 MAIN HOSPITAL MSC 333 |
| City | CHARLESTON |
| State | SC |
| Zip Code | 29425 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770779308 | Jaime Elizabeth Snape | Physical Therapist | 169 Ashley Avenue, Rm 396 3sw Wing, Charleston, SC 29425 | 2007-09-18 |
| 1861019630 | Cecilia Allain Hernandez | Surgery | 169 Ashley Avenue, Msc333 Room 202 Main Hospital, Charleston, SC 29425 | 2020-06-28 |
| 1770109761 | John Ryan Gedney | Surgery | 169 Ashley Avenue, Room 202 Main Hospital, Msc333, Charleston, SC 29425 | 2020-06-25 |
| 1548886344 | Mary Margaret Jordan | Surgery | 169 Ashley Avenue, Room 202 Main Hospital, Msc333, Charleston, SC 29425 | 2020-06-18 |
| 1568088235 | Gabriel Gregory Gaweda | Surgery | 169 Ashley Avenue, Room 202 Main Hospital, Msc333, Charleston, SC 29425 | 2020-06-18 |
| 1306462189 | Nimit Nitin Desai | Psychiatry & Neurology | 169 Ashley Avenue, Room 202 Main Hospital, Msc 333, Charleston, SC 29425 | 2020-06-17 |
| 1487279501 | Ian Daniel Coate | Urology | 169 Ashley Avenue, Room 202 Main Hospital Msc333, Charleston, SC 29425-8905 | 2020-06-15 |
| 1437774676 | Lauren Leslie Yacobucci | Obstetrics & Gynecology | 169 Ashley Avenue, Room 202 Main Hospital Msc333, Charleston, SC 29425 | 2020-06-13 |
| 1073138301 | Andres Felipe Ospina | Internal Medicine | 169 Ashley Avenue, Rm 202, Main Hospital, Charleston, SC 29425 | 2020-06-12 |
| 1902421233 | Benjamin Bortner | Internal Medicine | 169 Ashley Avenue, Room 202 Main Hospital, Msc333, Charleston, SC 29425 | 2020-06-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922607217 | Krishna Bhandari | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 10 Mcclennan Banks Drive, 2190-r, Msc 918, Charleston, SC 29425 | 2020-10-19 |
| 1649892456 | Mary Macrae Lynch | Social Worker | 179 Ashley Avenue, Charleston, SC 29425 | 2020-05-14 |
| 1528600053 | Amanda Watts | Physician Assistant | 135 Rutledge Ave. Msc 561, Charleston, SC 29425 | 2019-10-16 |
| 1851945497 | Kacy Wonder | Dentist | 173 Ashley Avenue Room 453 Msc 507, Charleston, SC 29425 | 2019-08-01 |
| 1477114569 | Justin Robert Silverman | Surgery | 169 Ashley Avenue, Room 202 Muh, Msc 333, Charleston, SC 29425 | 2019-06-28 |
| 1740840024 | Tyler Buckley | Surgery | 169 Ashley Ave, Room 202 Main Hospital, Msc333, Charleston, SC 29425 | 2019-06-18 |
| 1366001760 | Rayphael Sebastian Hardy | Internal Medicine | 169 Ashley Avenue Room 202 Main Hospital Msc333, Charleston, SC 29425 | 2019-06-10 |
| 1437718889 | Samar Medani | Internal Medicine | Division of Nephrology, Medical Univ of South Carolina, 96 Jonathan Lucas Street, Room 822, Msc 629, Charleston, SC 29425 | 2019-06-10 |
| 1427617950 | Emily Suzanne Nyers | Internal Medicine | 169 Ashley Ave., Room 202 Main Hospital, Msc 333, Charleston, SC 29425 | 2019-06-09 |
| 1790343564 | Alan Cowei Peh | Psychiatry & Neurology | 169 Ashley Avenue Rm 202, Main Hospital Msc 333, Charleston, SC 29425 | 2019-06-05 |
| Find all providers in zip 29425 | ||||
| Taxonomy Code | 2085R0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Radiation Oncology |
| A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609873421 | Clinton Amos Medbery IIi | Radiology | 535 Wampler Dr, Charleston, SC 29412-9176 | 2005-07-07 |
| 1992117493 | Charlotte Ivey Rivers | Radiology | 171 Ashley Ave, Charleston, SC 29425-3021 | 2014-06-02 |
| 1043473739 | Graham Warren | Radiology | 171 Ashley Ave, Charleston, SC 29425-8908 | 2008-07-03 |
| 1881863389 | Laurie Ray Harrell | Radiology | 316 Calhoun St, Charleston, SC 29401-1113 | 2008-02-28 |
| 1275684227 | University Medical Associates | Radiology | 171 Ashley Ave, Charleston, SC 29425-8908 | 2007-01-16 |
| 1710080957 | Lloyd Joseph Farinash | Radiology | 3415 Maccorkle Ave Se, Charleston, WV 25304-1334 | 2006-09-06 |
| 1942227558 | University Medical Associates | Radiology | 171 Ashley Ave, Charleston, SC 29425-8908 | 2006-07-17 |
| 1790725695 | Jennifer L Harper | Radiology | 171 Ashley Ave, Charleston, SC 29425-0001 | 2006-06-08 |
| 1457308678 | Eric G Aguero | Radiology | 171 Ashley Ave, Charleston, SC 29425-0001 | 2006-05-31 |
| 1861449688 | Lowcountry Radiation Oncology, Pa | Radiology | 316 Calhoun St, Charleston, SC 29401-1113 | 2006-05-27 |
| Find all providers in CHARLESTON | ||||
| City | CHARLESTON |
| Zip Code | 29425 |
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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.