DR. CHRISTOPHER JOHN RUSSO (NPI# 1639372345) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639372345 |
| Entity Type | Individual |
| Full Name | DR. CHRISTOPHER JOHN RUSSO |
| Credential | M.D. |
| Practice Address |
641 Farmington Ave Bristol CT 06010-3953 |
| Practice Telephone | 8605850000 |
| Mailing Telephone | 8605850000 |
| Enumeration Date | 2007-06-08 |
| Last Update Date | 2015-11-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | 14895 | NH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VT | 1017993 | 05 | |
| CIGNA | 8705025 | 01 | |
| HARVARD PILGRIM | AA183908 | 01 | |
| ANTHEM | 1639372345 | 01 | |
| NH | 30209796 | 05 | |
| AETNA | 9507532 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962050336 | Christopher J Russo | Social Worker | 4 Washington Square Vlg Apt 1p, New York, NY 10012-1901 | 2019-08-29 |
| 1669836623 | Christopher Russo | Student in an Organized Health Care Education/Training Program | 135 Montadale Dr, Princeton, NJ 08540-7675 | 2016-04-06 |
| 1053607705 | Christopher J Russo | Pediatrics | 1001 S George St Ste 130, York, PA 17403-3676 | 2011-06-21 |
| 1619141611 | Christopher John Russo | Dentist | 1979 Longwood Lake Mary Rd, Suite 1013, Longwood, FL 32750-4670 | 2008-04-22 |
| 1992913438 | Christopher Russo | Chiropractor | 655 Park Ave., Freehold, NJ 07728 | 2007-05-18 |
| 1114031291 | Christopher Galileo Russo | Pharmacist | 1001 Ferris Ave, Waxahachie, TX 75165-2557 | 2006-08-18 |
| 1174147524 | Christopher Joseph Russo | Pharmacist | 100 N Portland Ave, Brooklyn, NY 11205-2005 | 2020-06-02 |
| 1427524636 | Christopher Russo | Social Worker | 2600 Sw Holden St, Seattle, WA 98126-3505 | 2018-10-16 |
| 1427433440 | Christopher Russo | Chiropractor | 19 Main St, Farmingdale, NJ 07727-1218 | 2015-07-21 |
| 1326300245 | Christopher Adamo Russo | Internal Medicine | 2505 W Hammer Ln, Stockton, CA 95209-2839 | 2012-06-15 |
| Street Address |
641 FARMINGTON AVE |
| City | BRISTOL |
| State | CT |
| Zip Code | 06010-3953 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093749996 | Steven Hunter | Ophthalmology | 641 Farmington Ave, Bristol, CT 06010-3953 | 2006-07-10 |
| 1871816744 | Steven Hunter Md LLC | Specialist | 641 Farmington Ave, Bristol, CT 06010-3953 | 2010-03-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457991309 | A New Hope Caregiving Alliance LLC | Home Health | 225 North Main Street - Suite 107, Bristol, CT 06010 | 2020-01-08 |
| 1154981777 | Georgianna Sloate Lmft, LLC | Marriage & Family Therapist | 38 Kelley Street, Bristol, CT 06010 | 2019-06-17 |
| 1962062810 | Ariel Morley | Urology | 15 Riverside Avenue, Bristol, CT 06010 | 2019-06-13 |
| 1013439488 | Theresa Rose Manolitsis | Student in an Organized Health Care Education/Training Program | 170 Pondview Lane, Bristol, CT 06010 | 2017-07-07 |
| 1588103600 | Elizabeth Anne Costello | Pharmacist | 747 Pine Street, Bristol, CT 06010 | 2017-02-22 |
| 1992157903 | Aiman Riaz | Internal Medicine | 41 Brewster Rd # 5161, Bristol, CT 06010 | 2016-07-01 |
| 1346609955 | Monika Magdalena Sullivan | Nurse Practitioner | 122 Maple Street, Bristol, CT 06010 | 2016-02-11 |
| 1346660776 | Peter Bellezza | Podiatrist | 15 Riverside Ave, Bristol, CT 06010 | 2014-04-24 |
| 1487088001 | Stephen Alexander Merwin | Social Worker | 32 Laird Drive, Bristol, CT 06010 | 2013-08-30 |
| 1215369574 | In Kyung Lee | Dentist | 1192 Farmington Ave., Bristol, CT 06010 | 2013-08-08 |
| Find all providers in zip 06010 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902291859 | Brent Aebi | Ophthalmology | 3185 W State St Ste 2010, Bristol, TN 37620-1600 | 2015-03-30 |
| 1609969682 | Mountain Empire Eye Physicians Pllc | Ophthalmology | 3185 West State Street, Suite 2010, Bristol, TN 37620 | 2006-10-02 |
| 1447352984 | Paul Edmund Sydlowski | Ophthalmology | 576 Metacom Ave, Unit 11a, Bristol, RI 02809-5100 | 2006-09-04 |
| 1588671879 | Paul C Keenan Jr. | Ophthalmology | 216 Mill St, Bristol, PA 19007-4809 | 2006-08-01 |
| 1336154087 | Century Eye Care Ltd | Ophthalmology | 216 Mill Street, Bristol, PA 19007 | 2006-07-30 |
| 1093749996 | Steven Hunter | Ophthalmology | 641 Farmington Ave, Bristol, CT 06010-3953 | 2006-07-10 |
| 1851545677 | Joshua Aaron Hicks | Ophthalmology | 3185 W State St, Suite 2010, Bristol, TN 37620-1600 | 2008-11-06 |
| 1659560902 | Paul E Sydlowski Md LLC | Ophthalmology | 576 Metacom Ave, Unit 11a, Bristol, RI 02809-5100 | 2007-10-22 |
| 1508052093 | Bristol Eye Associates PC | Ophthalmology | 156 Farmington Ave, Bristol, CT 06010-4218 | 2007-09-19 |
| 1902959844 | The Regional Eye Center, P.C. | Ophthalmology | 249 Midway Medical Park, Suite 102, Bristol, TN 37620-1693 | 2007-01-22 |
| Find all providers in BRISTOL | ||||
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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.