MR. JOSEPH WILLIAM RUSSO (NPI# 1730786104) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730786104 |
| Entity Type | Individual |
| Full Name | MR. JOSEPH WILLIAM RUSSO |
| Credential | DNP, CPNP |
| Practice Address |
22 S Greene St Baltimore MD 21201-1590 |
| Mailing Address |
2422 Eugene Ave Baltimore MD 21219-1907 |
| Practice Telephone | 2037314169 |
| Mailing Telephone | 2037314169 |
| Enumeration Date | 2020-10-07 |
| Last Update Date | 2020-10-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0204X |
Pediatrics Specialization: Pediatric Emergency Medicine |
R196579 | MD | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104215441 | Joseph Russo | Physical Therapist | 41w 470 Silvana Dr., Elgin, IL 60124 | 2015-01-09 |
| 1184946477 | Joseph Russo I | Pharmacist | 741 E Little Creek Rd, Norfolk, VA 23518-3709 | 2010-02-27 |
| 1073770194 | Joseph Abel Russo | Psychiatry & Neurology | 177 Post Rd W, 2nd Floor, Westport, CT 06880-4652 | 2008-05-16 |
| 1104032184 | Joseph Anthony Russo | Dentist | 155 Seashore Dr, Jupiter, FL 33477-9687 | 2007-05-15 |
| 1982823753 | Joseph E. Russo | Physical Therapist | 274 1st Ave, 7 D, New York, NY 10009-1809 | 2007-04-24 |
| 1356443030 | Joseph A. Russo | Chiropractor | 1605 Locust Hill Rd, Suite 101, Greer, SC 29651-6075 | 2006-09-02 |
| 1679528921 | Joseph Patrick Russo | Radiology | 95 Highland Ave Ste 130, Bethlehem, PA 18017-9483 | 2006-05-24 |
| 1053393884 | Joseph Louis Russo | Chiropractor | 500 Park Blvd, Massapequa Park, NY 11762-2742 | 2005-11-17 |
| 1336121334 | Joseph P. Russo | Dentist | 15 W Water St, Wakefield, MA 01880-2914 | 2005-11-16 |
| 1891791786 | Joseph Scott Russo | Family Medicine | 1300 Johnson St, Elkhart, IN 46514-3406 | 2005-06-24 |
| Street Address |
22 S GREENE ST |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21201-1590 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750383063 | Malinda Daniel Duke | Nurse Practitioner | 22 S Greene St, Rm N6w84, Baltimore, MD 21201-1544 | 2005-06-01 |
| 1891396784 | Tamara Wiseman | Nurse Practitioner | 22 S Greene St, Baltimore, MD 21201-1544 | 2020-11-05 |
| 1063012664 | Shawna Marie Hutton | Registered Nurse | 22 S Greene St, Baltimore, MD 21201-1590 | 2020-11-01 |
| 1124625413 | Kerry Ann Lambert | Pharmacist | 22 S Greene St, Baltimore, MD 21201-1590 | 2020-10-08 |
| 1295342327 | Leah Marie Dubose | Nurse Practitioner | 22 S Greene St, Baltimore, MD 21201-1544 | 2020-09-23 |
| 1275147167 | Rosalynn Joy Allen | Registered Nurse | 22 S Greene St, Baltimore, MD 21201-1590 | 2020-09-08 |
| 1174137269 | Keiara Williams | Nurse Practitioner | 22 S Greene St, Baltimore, MD 21201-1544 | 2020-09-04 |
| 1699389858 | Caitlin Lauren Thomas | Nurse Practitioner | 22 S Greene St, Baltimore, MD 21201-1544 | 2020-09-04 |
| 1639782568 | Anna Pfouts | Nurse Practitioner | 22 S Greene St, Baltimore, MD 21201-1544 | 2020-08-29 |
| 1477166965 | Rebekah Hartland | Registered Nurse | 22 S Greene St, Baltimore, MD 21201-1590 | 2020-08-25 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518585470 | Meshref Ayed Alshehri | Student in an Organized Health Care Education/Training Program | 22 S. Greene Street, Room N3e09, Baltimore, MD 21201 | 2020-07-08 |
| 1306462411 | Michael Julian Wong | Student in an Organized Health Care Education/Training Program | University of Maryland, Department of Anesthesiology, 22 S Green St, S11b, Baltimore, MD 21201 | 2020-06-24 |
| 1740817733 | Martha Kaitlyn Coghlan | Student in an Organized Health Care Education/Training Program | Ummc Ob/gyn, 22 S. Greene St., Baltimore, MD 21201 | 2020-03-27 |
| 1629606637 | Taylor Renee Kai | Student in an Organized Health Care Education/Training Program | University of Maryland, 22 S. Greene Street, Room N3e09, Baltimore, MD 21201 | 2020-03-27 |
| 1295362697 | Brittany A Oster | Student in an Organized Health Care Education/Training Program | 110 S. Paca Street 6th Floor, Suite 300, Baltimore, MD 21201 | 2020-03-25 |
| 1346877735 | Kayvon Michael Mobarakeh | Student in an Organized Health Care Education/Training Program | University of Maryland Department of Anesthesiology, 22 S Greene St, S11c, Baltimore, MD 21201 | 2020-03-25 |
| 1598392284 | Zachary Allan Hagen | Student in an Organized Health Care Education/Training Program | 110 S. Paca Street, 6th Flr., Suite 200, Baltimore, MD 21201 | 2020-03-24 |
| 1700430055 | Jaime Semchuk | Student in an Organized Health Care Education/Training Program | 737 West Lombard, Baltimore, MD 21201 | 2019-07-25 |
| 1952861619 | Zachary Daniel Sanford | Student in an Organized Health Care Education/Training Program | 22 S Greene Street S8b12, Baltimore, MD 21201 | 2019-03-20 |
| 1114487840 | Spencer Sykes Lovegrove | Student in an Organized Health Care Education/Training Program | 110 S. Paca Street, Sixth Floor, Suite 200, Baltimore, Sixth Floor, Suite 200, Baltimore, MD 21201 | 2019-03-20 |
| Find all providers in zip 21201 | ||||
| Taxonomy Code | 2080P0204X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Emergency Medicine |
| A pediatrician who has special qualifications to manage emergencies in infants and children. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194771378 | Martha W Stevens | Pediatrics | 1800 Orleans St # G-1509, Hospital Based @ Jhh-bloomberg Children's Center, Baltimore, MD 21287-0010 | 2006-05-26 |
| 1528690864 | Alia Sunderji | Pediatrics | 615 N Wolfe St, Baltimore, MD 21205-2103 | 2020-02-05 |
| 1669947180 | Johns Hopkins University | Pediatrics | 600 N Wolfe St, Baltimore, MD 21287-0005 | 2018-10-11 |
| 1841652070 | Amita Ghuman | Pediatrics | 4940 Eastern Ave Fl 4, Baltimore, MD 21224-2735 | 2016-03-26 |
| 1912167784 | Elizabeth Quaal Hines | Pediatrics | 650 W Lombard St, Baltimore, MD 21201-1513 | 2008-06-14 |
| 1457510356 | Jennifer Elizabeth Guyther | Pediatrics | 650 W Lombard St, Baltimore, MD 21201-1513 | 2008-06-05 |
| 1467647081 | Ronald Sanjuan | Pediatrics | 301 St. Paul Place, Department of Pediatrics, 17th Floor, Baltimore, MD 21202-2165 | 2007-09-06 |
| 1780716167 | Reginald M Brown | Pediatrics | 22 S Greene St, Baltimore, MD 21201-1544 | 2007-03-12 |
| 1215065537 | Julia G Rosselli | Pediatrics | 650 W Lombard St, Baltimore, MD 21201-1513 | 2007-02-28 |
| 1124178876 | Adrienne H Suggs | Pediatrics | 9000 Franklin Square Dr, Dept of Pediatrics, Baltimore, MD 21237-3901 | 2007-01-12 |
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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.