MISS DANIELLE MARIE RUSSO (NPI# 1700161312) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700161312 |
| Entity Type | Individual |
| Full Name | MISS DANIELLE MARIE RUSSO |
| Credential | PA-C |
| Practice Address |
558 Ashmun St Sault Sainte Marie MI 49783-4001 |
| Mailing Address |
550 Osborn Blvd Sault Sainte Marie MI 49783-1899 |
| Practice Telephone | 9066359090 |
| Practice Fax Number | 9066359091 |
| Mailing Telephone | 9066354460 |
| Enumeration Date | 2011-10-14 |
| Last Update Date | 2018-04-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 5601006193 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689208639 | Danielle Russo | Occupational Therapist | 15022 Inverness St, San Leandro, CA 94579-1645 | 2020-02-28 |
| 1730668781 | Danielle M Russo | Marriage & Family Therapist | 2825 7th St, Tuscaloosa, AL 35401-1807 | 2018-08-10 |
| 1124392519 | Danielle Russo | Social Worker | 134 Bay 11th St, Brooklyn, NY 11228-3703 | 2012-03-01 |
| 1639484041 | Danielle J Russo | Speech-Language Pathologist | 9 Citrus St, West Babylon, NY 11704-8107 | 2010-08-10 |
| 1013936996 | Danielle Russo | Registered Nurse | 1495 Ne 3rd St, Ste. C, Prineville, OR 97754-2905 | 2006-07-19 |
| 1346249364 | Danielle R. Russo | Family Medicine | 207 N Elkhart St, Wakarusa, IN 46573-9729 | 2005-07-20 |
| 1770090979 | Danielle Ann Russo | Behavior Technician | 500 Fairway Dr Ste 102, Deerfield Beach, FL 33441-1817 | 2018-01-09 |
| 1811414634 | Danielle Russo | Speech-Language Pathologist | 520b Bloomingdale Rd, Staten Island, NY 10309-2066 | 2017-08-23 |
| 1114334851 | Danielle Russo | Psychologist | 49 Pavilion Ave, Suite 105, Providence, RI 02905-1534 | 2014-07-15 |
| Street Address |
558 ASHMUN ST |
| City | SAULT SAINTE MARIE |
| State | MI |
| Zip Code | 49783-4001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679667687 | Lakeview Internal Medicine,p.c | Internal Medicine | 558 Ashmun St, Sault Sainte Marie, MI 49783-4001 | 2006-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215541305 | Kevin P Cooper Dds PC | Dentist | 202 Brady Street, Sault Sainte Marie, MI 49783 | 2020-09-04 |
| 1033767512 | Louis William Bergman | Pharmacist | 3763 75 Business Spur, Sault Ste Marie, MI 49783 | 2019-08-28 |
| 1972076818 | Phyllis Mary Robertson | Speech-Language Pathologist | 2472 Ashmun Street, War Memorial Hospital Rehabilitation Centre, Sault Sainte Marie, MI 49783 | 2019-01-03 |
| 1831611748 | Thomas Matthew Choponis | Optometrist | 128 W Spruce St Ste 1, Sault Sainte Marie, MI 49783 | 2017-07-12 |
| 1730633223 | Holly D Statt | Dental Hygienist | 905 Marquette Ave, Sault Sainte Marie, MI 49783 | 2016-08-12 |
| 1316306590 | Debra Joyce Peake | Social Worker | 3865 South Mackinac Trail, Sault Ste Marie, MI 49783 | 2016-02-17 |
| 1629465935 | Jodi Johnson | Occupational Therapy Assistant | 1011 Merridian St, Sault Saint Marie, MI 49783 | 2015-04-24 |
| 1972885606 | Elizabeth Hayes | Social Worker | 3865 S Mackinac Trail, Sault Ste Marie, MI 49783 | 2011-09-20 |
| 1922252618 | Denise L. Montgomery | Registered Nurse | 500 Osborn Blvd., Sault Ste Marie, MI 49783 | 2008-11-08 |
| 1487829826 | Melanie A Cook | Eyewear Supplier (Equipment, not the service) | 1908 Ashman Street, Sault Ste Marie, MI 49783 | 2008-04-28 |
| Find all providers in zip 49783 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619486321 | Emily Marie Conner | Physician Assistant | 600 W Spruce St Apt 1, Sault Sainte Marie, MI 49783-1530 | 2017-09-26 |
| 1376009324 | Hannah Patience Eves | Physician Assistant | 500 Osborn Blvd, Sault Sainte Marie, MI 49783-1884 | 2019-02-14 |
| 1104365014 | Nicole Wolf | Physician Assistant | 500 Osborn Blvd, Sault Sainte Marie, MI 49783-1822 | 2017-02-13 |
| 1750833513 | Alissa Steele | Physician Assistant | 500 Osborn Blvd, Sault Sainte Marie, MI 49783-1822 | 2016-10-27 |
| 1699199547 | Erin Meehan-amo | Physician Assistant | 650 W Easterday Ave, Sault Sainte Marie, MI 49783 | 2014-02-13 |
| 1922105113 | Northern Michigan Emergenc Physicians, LLP | Physician Assistant | 500 Osborn Blvd, Sault Sainte Marie, MI 49783-1822 | 2006-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164022331 | Anna Lynn Shrift | Physician Assistant | 849 Black Hill Ln, Traverse City, MI 49696-8674 | 2020-10-27 |
| 1972102556 | Aaron Buckley | Physician Assistant | 567 Saint Louis St, Ferndale, MI 48220-2436 | 2020-10-23 |
| 1013516194 | Rebecca Mary Cronin | Physician Assistant | 4311 Kingsbrook Dr, Kalamazoo, MI 49006-3909 | 2020-10-20 |
| 1801495023 | Keriah Khairi Abd | Physician Assistant | 42836 Bloomingdale Dr, Sterling Heights, MI 48314-2843 | 2020-10-19 |
| 1154929016 | Angela Varghese | Physician Assistant | 461 Tanner Dr, Troy, MI 48085-4714 | 2020-10-13 |
| 1861090730 | Maloree Blayke Perkins | Physician Assistant | 20717 Coventry St, Clinton Twp, MI 48035-1603 | 2020-10-13 |
| 1801494000 | Sarah Puchala Lucero | Physician Assistant | 25614 Wilson Dr, Dearborn Heights, MI 48127-3427 | 2020-10-12 |
| 1871191007 | Julia Marie Tucker | Physician Assistant | 12250 E Ridge Dr, Bruce Twp, MI 48065-2011 | 2020-10-10 |
| 1164020301 | Sara Whitneyann Vandeman | Physician Assistant | 7901 S 12th St Ste 101, Portage, MI 49024-3831 | 2020-10-10 |
| 1831796267 | Jowharh Zindani | Physician Assistant | 12020 Mitchell St, Hamtramck, MI 48212-2722 | 2020-10-08 |
| Find all providers with the same taxonomy | ||||
| City | SAULT SAINTE MARIE |
| Zip Code | 49783 |
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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.