MICHAEL ANTHONY RUSSO (NPI# 1700084381) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700084381 |
| Entity Type | Individual |
| Full Name | MICHAEL ANTHONY RUSSO |
| Credential | MD |
| Practice Address |
1811 Brookfurst St #5600 Fountain Valley CA 92708-6728 |
| Practice Telephone | 7148614666 |
| Practice Fax Number | 7148614682 |
| Mailing Telephone | 7148614666 |
| Mailing Fax Number | 7148614682 |
| Enumeration Date | 2007-07-05 |
| Last Update Date | 2018-11-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208600000X | Surgery | Q1013 | TX | Allopathic & Osteopathic Physicians |
| Y | 208600000X | Surgery | A125016 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NV | NV MEDICAL LICENSE | LL1802 | 01 |
| NV | NV BOARD OF PHARM | ASO2532199374 | 01 |
| DEA | ASO2532199374 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205463486 | Michael Russo | Physical Therapist | 29800 Bainbridge Rd # So40, Solon, OH 44139-2202 | 2020-03-26 |
| 1982251427 | Michael Russo | Counselor | 17042 Puntledge Dr, Westfield, IN 46062-6521 | 2019-08-20 |
| 1699947242 | Michael James Russo | Social Worker | 19 Maidstone Ln, Hampton Bays, NY 11946-1670 | 2008-03-24 |
| 1801824362 | Michael Russo | Chiropractor | 12362 Euclid St, Garden Grove, CA 92840-3308 | 2006-06-30 |
| 1164465571 | Michael Scott Russo | Chiropractor | 100 N Centre Ave, Suite 202, Rockville Centre, NY 11570-3937 | 2006-06-14 |
| 1619948973 | Michael S. Russo | Physical Therapist | 10 Church Towers, Hoboken, NJ 07030 | 2006-01-26 |
| 1477523785 | Michael B Russo | Psychiatry & Neurology | 250 Ward Ave Ste 170, Honolulu, HI 96814-4014 | 2006-01-26 |
| 1558822510 | Michael Jonathan Russo | Student in an Organized Health Care Education/Training Program | 836 W Wellington Ave, Chicago, IL 60657-5147 | 2019-03-30 |
| 1245720523 | Michael Joseph Russo | Emergency Medicine | 1501 N Campbell Ave, Tucson, AZ 85724-0001 | 2018-05-13 |
| 1508214065 | Michael Russo | Anesthesiology | 3700 Kolbe Rd, Lorain, OH 44053-1611 | 2016-05-25 |
| Street Address |
1811 BROOKFURST ST #5600 |
| City | FOUNTAIN VALLEY |
| State | CA |
| Zip Code | 92708-6728 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932716222 | Changing Directions Psychological Corporation | Psychologist | 17280 Newhope Street, Suite 4, Fountain Valley, CA 92708 | 2020-09-30 |
| 1124632757 | Neck & Back Pain Specialists, A Balta Chiropractic Corporation | Chiropractor | 10231 Slater Ave. #113, Fountain Valley, CA 92708 | 2020-09-01 |
| 1295205425 | Alexander Nee Dds Inc | Dentist | 337 S Rancho Santa Fe Rd, San Marcos, CA 92708 | 2018-11-30 |
| 1093293052 | Claudia Raquel Santos | Physical Therapist | 18384 Brookhurst Street, Fountain Valley, CA 92708 | 2018-08-01 |
| 1659864338 | Orange County Respiratory Physicians Corp | Internal Medicine | 18111 Brookhurst St Ste 4600, Fountain Valley, CA 92708 | 2018-06-07 |
| 1992297881 | Ereny Abdelmalak Metry | Pharmacist | 9064 Daffodil Ave, Fountain Valley, CA 92708 | 2018-06-06 |
| 1144746348 | Goose Pharma, LLC | Pharmacy | 18049 Magnolia Street, Fountain Valley, CA 92708 | 2017-08-18 |
| 1932622347 | Mayra Alejandra Guerra | Social Worker | 18350 Mt Langley St, Suite 200, Fountain Valley, CA 92708 | 2017-07-18 |
| 1942722129 | Graph Surgery Inc | Plastic Surgery | 10760 Warner Ave, Ste 201, Fountain Valley, CA 92708 | 2017-07-10 |
| 1871022277 | Cathy A Castagna-petersen | Counselor | 10529 Slater Avenue, Fountain Valley, CA 92708 | 2017-06-08 |
| Find all providers in zip 92708 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| 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 Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073762274 | Quy V Le | Surgery | 18225 Brookhurst St Ste 6, Fountain Valley, CA 92708-6719 | 2008-09-11 |
| 1669592473 | Atif Iqbal | Surgery | 18225 Brookhurst St Ste 5, Fountain Valley, CA 92708-6719 | 2007-03-29 |
| 1891715835 | Richard Allen Guerrero Jr. | Surgery | 11100 Warner Ave Ste 266, Fountain Valley, CA 92708-7512 | 2006-07-20 |
| 1427531649 | Quy V. Le, Md, Inc. | Surgery | 18225 Brookhurst St Ste 6, Fountain Valley, CA 92708-6719 | 2018-09-13 |
| 1376922021 | Stewart Elvis Rendon, M.d., Inc. | Surgery | 11100 Warner Ave, Suite 258, Fountain Valley, CA 92708-7506 | 2015-05-28 |
| 1528480753 | Iqbal Surgical Associates,inc. | Surgery | 18225 Brookhurst St Ste 5, Fountain Valley, CA 92708-6719 | 2014-01-07 |
| 1740622562 | Quy V. Le, Md Inc. | Surgery | 18111 Brookhurst St, 2600, Fountain Valley, CA 92708-6728 | 2013-07-22 |
| 1518112382 | Richard A Guerrero Jr Md A Medical Corporation | Surgery | 11100 Warner Ave Ste 266, Fountain Valley, CA 92708-7512 | 2008-11-20 |
| 1275780207 | Parin Patel | Surgery | 18111 Brookhurst St, Fountain Valley, CA 92708-6728 | 2008-08-21 |
| 1487853792 | Joel A Berman, Md Inc | Surgery | 11100 Warner Ave, Suite 108, Fountain Valley, CA 92708-7506 | 2007-07-16 |
| Find all providers in FOUNTAIN VALLEY | ||||
| City | FOUNTAIN VALLEY |
| Zip Code | 92708 |
Please comment or provide details below to improve the information on MICHAEL ANTHONY 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.