DR. FRANK RUSSO (NPI# 1669537155) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669537155 |
| Entity Type | Individual |
| Full Name | DR. FRANK RUSSO |
| Credential | MD |
| Practice Address |
6501 N Sheridan Rd Peoria IL 61614-2932 |
| Practice Telephone | 3096928110 |
| Practice Fax Number | 3096928673 |
| Mailing Telephone | 3096928110 |
| Mailing Fax Number | 3096928673 |
| Enumeration Date | 2006-12-26 |
| Last Update Date | 2010-08-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208100000X | Physical Medicine & Rehabilitation | 036049838 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | RAILROAD MEDICARE | P00243948 | 01 |
| IL | 036049838 | 05 | |
| IL | BC BS OF ILLINOIS | 07215196 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679543862 | Frank M. Russo | Anesthesiology | 5352 Linton Blvd., Delray Beach, FL 33484-6514 | 2006-01-23 |
| 1538161716 | Frank D Russo | Podiatrist | 5 Colony Dr, West Sayville, NY 11796-1610 | 2005-06-01 |
| 1225369648 | Frank David Russo | Internal Medicine | 2301 Erwin Rd, Dumc 3845, Room 7411a, Durham, NC 27705-4699 | 2010-01-25 |
| 1437305786 | Frank Louis Russo IIi | Nurse Practitioner | 257 Biltmore Ave, Asheville, NC 28801-4120 | 2008-08-18 |
| 1417092081 | Frank J Russo | Dentist | 87 Berdan Ave, Wayne, NJ 07470-3210 | 2007-02-21 |
| 1285606962 | Frank H Russo | Podiatrist | 200 E Willow Ave, Wheaton, IL 60187-5463 | 2006-02-06 |
| Street Address |
6501 N SHERIDAN RD |
| City | PEORIA |
| State | IL |
| Zip Code | 61614-2932 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851374557 | Frank K Arnold | Physical Therapist | 6501 N Sheridan Rd, Peoria, IL 61614-2932 | 2005-11-28 |
| 1003377441 | Alexis Sands | Speech-Language Pathologist | 6501 N Sheridan Rd, Peoria, IL 61614-2932 | 2019-03-28 |
| 1134687056 | Brooke Kitts | Physical Therapist | 6501 N Sheridan Rd, Peoria, IL 61614-2932 | 2019-03-10 |
| 1467818393 | Jennifer E Mcgarry | Speech-Language Pathologist | 6501 N Sheridan Rd, Peoria, IL 61614-2932 | 2016-01-07 |
| 1740645910 | Brittan Ashley Rooney | Physical Therapist | 6501 N Sheridan Rd, Peoria, IL 61614-2932 | 2015-12-15 |
| 1295121549 | Jenny Shimon | Specialist | 6501 N Sheridan Rd, Peoria, IL 61614-2932 | 2015-04-14 |
| 1487049995 | Amy Ginzel | Registered Nurse | 6501 N Sheridan Rd, Peoria, IL 61614-2932 | 2015-04-01 |
| 1205224029 | Mary Peifer | Massage Therapist | 6501 N Sheridan Rd, Peoria, IL 61614-2932 | 2014-12-31 |
| 1700284254 | Jacqueline Mccalister | Physical Therapist | 6501 N Sheridan Rd, Peoria, IL 61614-2932 | 2014-12-16 |
| 1194123836 | Jane A. Golowski | Registered Nurse | 6501 N Sheridan Rd, Peoria, IL 61614-2932 | 2014-12-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548818511 | Christine Svoboda | Social Worker | 6919 N Knoxville Ave Ste 100 and 202, Peoria, IL 61614 | 2019-09-03 |
| 1639649007 | Kathy Karouzos Counseling, LLC | Clinic/Center | 330 W. Ivy Ln., Peoria, IL 61614 | 2018-11-28 |
| 1205312790 | Kathleen Marie Hendricks | Nurse Practitioner | 2809 W Willow Knolls Dr, Peoria, IL 61614 | 2018-07-17 |
| 1629563937 | Mary Elizabeth Cunningham | Counselor | 6219 N. Eldorado Dr., Peoria, IL 61614 | 2018-06-28 |
| 1861937955 | Angela Gilles | Social Worker | 6919 N Knoxville Ave Ste 100, Peoria, IL 61614 | 2016-12-27 |
| 1467994897 | Melissa Saxsma | Specialist | 5009 N Executive Dr, Peoria, IL 61614 | 2016-11-16 |
| 1902258874 | Rashid Plastic Surgery, LLC | Plastic Surgery | 804 W Trailcreek Drive, Peoria, IL 61614 | 2016-07-05 |
| 1215313143 | Melissa Lynn Phelan | Nurse Practitioner | 122 E Morningside Dr, Peoria, IL 61614 | 2015-08-03 |
| 1811380165 | All Ways Caring Services, Inc. | In Home Supportive Care | 6919 N Knoxville Ave, Suite 102, Peoria, IL 61614 | 2015-03-11 |
| 1568875920 | Schuler & Arkwell Orthodontic Partnership | Dentist | 2425 Cornerstone Ct. Ste. A, Peoria, IL 61614 | 2014-06-03 |
| Find all providers in zip 61614 | ||||
| Taxonomy Code | 208100000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices. |
| 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 Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. American Osteopathic Board of Physical Medicine and Rehabilitation, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Physical Medicine and Rehabilitation. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669029609 | Jack Joel Little | Physical Medicine & Rehabilitation | 9784 W Yearling Rd Ste 1520, Peoria, AZ 85383-1379 | 2019-08-23 |
| 1710371935 | Realhealth Advanced Care Sc | Physical Medicine & Rehabilitation | 4306 N Sheridan Rd, Peoria, IL 61614-5918 | 2015-03-25 |
| 1750566139 | Alicia Joy Beanblossom | Physical Medicine & Rehabilitation | 6853 W Ironwood Dr, Peoria, AZ 85345-6843 | 2008-01-04 |
| 1518902469 | Omprakash N. Sureka | Physical Medicine & Rehabilitation | 5431 W. Stonebridge Ct., Peoria, IL 61615-2932 | 2006-06-17 |
| 1053366989 | Pain Centers Nationwide, PC | Physical Medicine & Rehabilitation | 8877 W Union Hills Dr Ste 200, Peoria, AZ 85382-3016 | 2006-05-22 |
| 1023062312 | Saint Francis Medical Center | Physical Medicine & Rehabilitation | 100 Ne Randoph Street, Peoria, IL 61606 | 2006-05-20 |
| 1134190028 | Xuan T. Truong | Physical Medicine & Rehabilitation | 5401 N. Knoxville Ave., Peoria, IL 61614-5098 | 2006-01-30 |
| 1053310425 | Richard A Flores | Physical Medicine & Rehabilitation | 6339-a N Big Hollow Rd, Peoria, IL 61615-2907 | 2005-07-19 |
| 1417557703 | Jessica Salim | Physical Medicine & Rehabilitation | 7301 N Knoxville Ave, Peoria, IL 61614-2017 | 2020-10-27 |
| 1841837838 | One Physical Therapy LLC | Physical Medicine & Rehabilitation | 14050 N 83rd Ave Ste 290, Peoria, AZ 85381-5650 | 2019-12-09 |
| Find all providers in PEORIA | ||||
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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.