DR. STEPHANIE F RUSSO (NPI# 1811968498) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811968498 |
| Entity Type | Individual |
| Full Name | DR. STEPHANIE F RUSSO |
| Credential | MD |
| Practice Address |
3910 Caughey Rd Suite 170 Erie PA 16506-4096 |
| Practice Telephone | 8148383480 |
| Mailing Telephone | 8148383480 |
| Enumeration Date | 2006-01-31 |
| Last Update Date | 2011-05-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | MD043940L | PA | Allopathic & Osteopathic Physicians |
| 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 |
| 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 |
| 1750794673 | Stephanie Ann Russo | Student in an Organized Health Care Education/Training Program | 201 State St, 201 State Street, Erie, PA 16550-0001 | 2014-06-09 |
| 1114212537 | Stephanie Russo | Audiologist | 18 Westage Business Ctr Dr, Fishkill, NY 12524-2219 | 2011-06-14 |
| Street Address |
3910 CAUGHEY RD SUITE 170 |
| City | ERIE |
| State | PA |
| Zip Code | 16506-4096 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083265508 | Aurelia Jorden | Counselor | 3910 Caughey Rd, Erie, PA 16506-4096 | 2019-09-25 |
| 1477018422 | Matthew G Durney | Counselor | 3910 Caughey Rd, Erie, PA 16506-4096 | 2019-02-04 |
| 1861857534 | Children's Community Care | Pediatrics | 3910 Caughey Rd, Suite 170, Erie, PA 16506-4096 | 2015-12-23 |
| 1932546884 | Meaghan E Johnson | Family Medicine | 3910 Caughey Rd, Suite 150, Erie, PA 16506-4096 | 2013-06-03 |
| 1043446610 | Cunningham Caring and Assoc Inc | In Home Supportive Care | 3910 Caughey Rd, Suite 220, Erie, PA 16506-4096 | 2009-06-09 |
| 1588821987 | Regional Health Services Inc | Clinical Medical Laboratory | 3910 Caughey Rd, Suite 150, Erie, PA 16506-4041 | 2008-05-22 |
| 1336357177 | Holly L Mathe | Physician Assistant | 3910 Caughey Rd, Suite 150, Erie, PA 16506-4096 | 2007-05-17 |
| 1831306695 | Hamot Health Foundation | Non-Pharmacy Dispensing Site | 3910 Caughey Rd, 150, Erie, PA 16506-4096 | 2007-05-17 |
| 1245446558 | Tammy Jo Connell | Psychologist | 3910 Caughey Rd, Suite T-230, Erie, PA 16506-4096 | 2007-05-15 |
| 1871632091 | Fifth Commandment Corp | Homemaker | 3910 Caughey Rd, Ste 220, Erie, PA 16506-4096 | 2007-02-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215582838 | Casey Smith | Behavioral Analyst | 4950 W 23rd Street, Suite 1, Erie, PA 16506 | 2019-08-09 |
| 1962916155 | Joseph Michael Moon | Chiropractor | 2921 W 26th St, Erie, PA 16506 | 2017-11-27 |
| 1053851550 | Lake Erie Music Therapy LLC | Music Therapist | 5672 Culpepper Dr., Erie, PA 16506 | 2017-03-02 |
| 1295152700 | Gabrielle Carr | Counselor | 2420 West 23rd St, Erie, PA 16506 | 2014-03-21 |
| 1407296973 | Carolyn Danner-bliss Pediatric Dietitian Services, LLC | Dietitian, Registered | 5105 Coventry Drive, Erie, PA 16506 | 2013-06-28 |
| 1962847772 | Philip J Dunn | Internal Medicine | 3615 Woodhaven Dr, Erie, PA 16506 | 2013-05-07 |
| 1619236684 | Joseph S. Serafini | Hearing Instrument Specialist | 2930 Mckee Rd, Erie, PA 16506 | 2012-05-11 |
| 1063788313 | Tatiana V Khochay | Registered Nurse | 2801 Burgundy Dr., Erie, PA 16506 | 2012-03-30 |
| 1699051318 | Krystyna Teresa Wozniak | Licensed Practical Nurse | 3912 East Boardwalk Place, Erie, PA 16506 | 2011-10-26 |
| 1033436324 | Alexis Jean Mustin | Social Worker | 3210 West 32nd Street, Erie, PA 16506 | 2010-04-26 |
| Find all providers in zip 16506 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| 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 Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235479882 | Jack Gold | Pediatrics | 4425 Upland Dr, Erie, PA 16509-1654 | 2013-02-19 |
| 1467626283 | Ravi Kumar Chekka | Pediatrics | 1611 Peach St Ste 300, Erie, PA 16501-2122 | 2008-04-14 |
| 1215917166 | Sant Ram | Pediatrics | 2123 W 8th St, Erie, PA 16505-4743 | 2006-01-18 |
| 1124029301 | Lynne M Birkmeyer | Pediatrics | 4022 Zuck Road, Your Pediatric Connection West, Erie, PA 16506-4592 | 2005-08-10 |
| 1780684589 | Andrea Javier Fadrigo | Pediatrics | 4022 Zuck Rd, Erie, PA 16506-4592 | 2005-07-22 |
| 1376549998 | Samuel Allen Fagenholz | Pediatrics | 300 State St Ste 301, Erie, PA 16507-1430 | 2005-06-28 |
| 1093718124 | Joseph C Barber | Pediatrics | 3580 Peach St, Erie, PA 16508-2776 | 2005-05-23 |
| 1487153144 | Pediatric Care Center of Erie, PC | Pediatrics | 1611 Peach St Ste 300, Erie, PA 16501-2122 | 2018-02-08 |
| 1861857534 | Children's Community Care | Pediatrics | 3910 Caughey Rd, Suite 170, Erie, PA 16506-4096 | 2015-12-23 |
| 1700276896 | Sviatlana Sirash | Pediatrics | 201 State St, Erie, PA 16550-0002 | 2015-01-28 |
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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.