STEPHANIE ANN RUSSO (NPI# 1750794673) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750794673 |
| Entity Type | Individual |
| Full Name | STEPHANIE ANN RUSSO |
| Credential | MD, PHD |
| Practice Address |
201 State St 201 State Street Erie PA 16550-0001 |
| Mailing Address |
201 State St Upmc Hamot Erie PA 16550-0001 |
| Practice Telephone | 8148776257 |
| Enumeration Date | 2014-06-09 |
| Last Update Date | 2014-06-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | MT206844 | PA | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699904730 | Stephanie Russo | Rehabilitation Practitioner | 13950 Milton Ave Ste 306, Westminster, CA 92683-2939 | 2009-07-10 |
| 1689797433 | Stephanie Halliday Russo | Massage Therapist | 2301 Elm Street, Bellingham, WA 98225 | 2007-04-09 |
| 1376671727 | Stephanie Russo | Counselor | 18640 W. Belvidere Road, Grayslake, IL 60030 | 2007-02-28 |
| 1811968498 | Stephanie F Russo | Pediatrics | 3910 Caughey Rd, Suite 170, Erie, PA 16506-4096 | 2006-01-31 |
| 1740250034 | Stephanie M Russo | Psychologist | 1 Davis Rd Suite 235, Valley Forge, PA 19482 | 2006-01-26 |
| 1952843674 | Stephanie Russo | Social Worker | 1715 E Cedar St Ste 115, Olathe, KS 66062-1791 | 2016-11-11 |
| 1114212537 | Stephanie Russo | Audiologist | 18 Westage Business Ctr Dr, Fishkill, NY 12524-2219 | 2011-06-14 |
| Street Address |
201 STATE ST 201 STATE STREET |
| City | ERIE |
| State | PA |
| Zip Code | 16550-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306849757 | Richard S. Kocan | Radiology | 201 State St, Erie, PA 16550-0002 | 2005-05-31 |
| 1417558560 | Taylor Raye Troyan | Nurse Practitioner | 201 State St, Erie, PA 16550-0002 | 2020-11-05 |
| 1952913865 | Danielle Snyder | Occupational Therapist | 201 State St, Erie, PA 16550-0002 | 2020-08-21 |
| 1114545779 | Karly Elizabeth Sweeney | Nurse Practitioner | 201 State St, Erie, PA 16550-0001 | 2020-07-10 |
| 1285259630 | Jenna Roseski | Physician Assistant | 201 State St, Erie, PA 16550-0002 | 2020-06-11 |
| 1013532654 | Megan Leas | Audiologist | 201 State St, Erie, PA 16550-0001 | 2020-06-09 |
| 1992325310 | Daniel Richard Arkwright | Respiratory Therapist, Registered | 201 State St, Erie, PA 16550-0001 | 2020-04-26 |
| 1033748645 | Jacob Cauvel | Student in an Organized Health Care Education/Training Program | 201 State St, Erie, PA 16550-0002 | 2020-04-06 |
| 1568091627 | Brittany Marie Rogerson | Nurse Anesthetist, Certified Registered | 201 State St, Erie, PA 16550-0001 | 2020-04-02 |
| 1265060339 | Benjamin Pfeiffer | Student in an Organized Health Care Education/Training Program | 201 State St, Erie, PA 16550-0002 | 2020-04-01 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396208070 | Jackson Joseph Bell | Student in an Organized Health Care Education/Training Program | Upmc Hamot, 201 State Street, Erie, PA 16550 | 2019-04-10 |
| 1023505005 | Carter Mccance Denne | Student in an Organized Health Care Education/Training Program | Upmc Hamot 201 State Street, Erie, PA 16550 | 2018-04-16 |
| 1790771087 | Claire A Huebner | Nurse Anesthetist, Certified Registered | Upmc Hamot Medical Center 201 State St, Erie, PA 16550 | 2005-09-22 |
| 1063032233 | Anthony Robert Unger | Student in an Organized Health Care Education/Training Program | 201 State Street, Erie, PA 16550 | 2020-04-17 |
| 1245869494 | Michael Knoll | Student in an Organized Health Care Education/Training Program | 201 State Street, Erie, PA 16550 | 2020-04-08 |
| 1326525502 | Leonardo Zingg | Student in an Organized Health Care Education/Training Program | 201 State Street, Erie, PA 16550 | 2018-07-20 |
| 1700332434 | Erica S Racedo | Physician Assistant | 201 State Street, Erie, PA 16550 | 2016-09-01 |
| 1780046953 | Katelyn Fuller | Registered Nurse | 201 State Street, Erie, PA 16550 | 2016-03-25 |
| 1982016663 | Vanessa Alia Emdadi Banks | Emergency Medicine | 201 State Street, Upmc Hamot, Erie, PA 16550 | 2014-05-29 |
| 1114289600 | Eric Robert Wildauer | Anesthesiology | 201 State Street, Hamot Medical Center, Erie, PA 16550 | 2012-06-12 |
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| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952913907 | Alexandria Parker | Student in an Organized Health Care Education/Training Program | 535 Brennan Cir, Erie, CO 80516-7049 | 2020-08-20 |
| 1568087542 | Jason Latsky | Student in an Organized Health Care Education/Training Program | 232 W 25th Street, Erie, PA 16544 | 2020-06-15 |
| 1366071029 | Claire Catherine Kenny | Student in an Organized Health Care Education/Training Program | 232 Seminole Dr, Erie, PA 16505-2422 | 2020-04-05 |
| 1679102321 | Brady Bianco | Student in an Organized Health Care Education/Training Program | 5903 Garries Rd, Erie, PA 16506-4806 | 2020-04-05 |
| 1275198723 | Ram Baboo | Student in an Organized Health Care Education/Training Program | 120 East 2nd Street Upmc Northshore Neurology, 3rd Floor, Erie, PA 16507 | 2019-05-09 |
| 1396208070 | Jackson Joseph Bell | Student in an Organized Health Care Education/Training Program | Upmc Hamot, 201 State Street, Erie, PA 16550 | 2019-04-10 |
| 1346700234 | Mark Fadel | Student in an Organized Health Care Education/Training Program | 1645 W 8th St Ste 200, Erie, PA 16505-5007 | 2019-03-25 |
| 1144712084 | Kathlyn Elise Callenius | Student in an Organized Health Care Education/Training Program | 120 East Second St, 3rd Floor, Erie, PA 16507 | 2018-06-06 |
| 1023505005 | Carter Mccance Denne | Student in an Organized Health Care Education/Training Program | Upmc Hamot 201 State Street, Erie, PA 16550 | 2018-04-16 |
| 1851895858 | Ramandeep Kaur Dhaliwal | Student in an Organized Health Care Education/Training Program | 4427 Hammocks Dr Apt 301, Erie, PA 16506-7421 | 2018-03-23 |
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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.