DR. MICHAEL RUSSO (NPI# 1891762837) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891762837 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL RUSSO |
| Credential | DC |
| Practice Address |
400 W Main St Branford CT 06405-3416 |
| Mailing Address |
400 West Main Strret Branford CT 06405-3416 |
| Practice Telephone | 2034837778 |
| Practice Fax Number | 2034810234 |
| Mailing Telephone | 2034837778 |
| Mailing Fax Number | 2034810234 |
| Enumeration Date | 2006-03-08 |
| Last Update Date | 2012-01-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 000561 | CT | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | STATE LICENSE | 000561 | 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 |
| 1700084381 | Michael Anthony Russo | Surgery | 1811 Brookfurst St #5600, Fountain Valley, CA 92708-6728 | 2007-07-05 |
| 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 |
| Street Address |
400 W MAIN ST |
| City | BRANFORD |
| State | CT |
| Zip Code | 06405-3416 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508861212 | Judith S Lynch | Nurse Practitioner | 400 W Main St, Branford, CT 06405-3416 | 2005-06-17 |
| 1376940635 | Lesley Nicole Charles | Nurse Practitioner | 400 W Main St, Branford, CT 06405-3416 | 2014-12-01 |
| 1992055156 | Lauren Calgreen | Nurse Practitioner | 400 W Main St, Branford, CT 06405-3416 | 2012-09-14 |
| 1821344037 | Kristi Maynard | Nurse Practitioner | 400 W Main St, Branford, CT 06405-3416 | 2012-07-25 |
| 1174663520 | Julian B Timoner | Chiropractor | 400 W Main St, Branford, CT 06405-3416 | 2007-02-07 |
| 1689641151 | Jennifer Botwick | Naturopath | 400 W Main St, Branford, CT 06405-3416 | 2006-03-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770119596 | Katarzyna Pavelko | Physical Therapist | Branford Hills, 189 Alps Rd, Branford, CT 06405 | 2020-03-13 |
| 1174027213 | C & M Health Services Branford LLC | Home Health | 625 East Main Street, Branford, CT 06405 | 2018-03-22 |
| 1689181554 | Erin H Mccarthy | Social Worker | 513 Leetes Island Rd, Branford, CT 06405 | 2018-01-02 |
| 1255860516 | Sylcom Angelscare LLC | In Home Supportive Care | 1204 Main Street #241, Branford, CT 06405 | 2017-06-08 |
| 1093266439 | Emmanuel Chery | Physical Therapy Assistant | 153 Austin Ryer Lane, Branford, CT 06405 | 2016-10-20 |
| 1114389681 | Suraj Patel | Pharmacist | 2-6 Short Beach Rd, Branford, CT 06405 | 2016-03-24 |
| 1558753897 | Donald Ray Sirry | Social Worker | 9 Business Park Drive, Unit 1, Branford, CT 06405 | 2015-02-24 |
| 1952679110 | Maria Rivera Heath Lmft, LLC | Marriage & Family Therapist | 388 East Main Street, Suite 19, Branford, CT 06405 | 2011-12-02 |
| 1942587035 | Kathryn Lyn Delia | Pharmacist | 329 East Main St, Branford, CT 06405 | 2011-11-03 |
| 1447554068 | Elizabeth's Home Health Care Agency L.L.C. | Home Health | 127 Cedar Street, Bronford, CT 06405 | 2010-12-23 |
| Find all providers in zip 06405 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356788020 | Mark Francis O'loughlin | Chiropractor | 52 Harrison Ave, 2nd Fl., Branford, CT 06405-3672 | 2013-06-04 |
| 1467553453 | Catherine M. Lomartra | Chiropractor | 470 E Main St, Branford, CT 06405-2943 | 2006-09-25 |
| 1659487049 | Nancy Lee Cooper | Chiropractor | 13159 East Us Hwy 27, Branford, FL 32008-0396 | 2006-08-21 |
| 1174767768 | Andrea Benko | Chiropractor | 400 West Main Street, Branford, CT 06405 | 2009-04-27 |
| 1568657716 | Cooper Chiropractic, Inc. | Chiropractor | 13159 East Us Hwy 27, Branford, FL 32008-0396 | 2007-09-11 |
| 1639290539 | Stony Creek Chiropractic, LLC | Chiropractor | 500 E Main St, Suite 216, Branford, CT 06405-2937 | 2007-04-02 |
| 1174663520 | Julian B Timoner | Chiropractor | 400 W Main St, Branford, CT 06405-3416 | 2007-02-07 |
| 1891857231 | Richard Samoska | Chiropractor | 400 West Main Street, Branford, CT 06485 | 2006-12-14 |
| 1760583751 | William Robert Lordan IIi | Chiropractor | 500 E Main St, Suite 216, Branford, CT 06405-2937 | 2006-09-25 |
| 1396855284 | Nord Scott Isacson | Chiropractor | 118 E Main St, Branford, CT 06405-6700 | 2006-08-30 |
| Find all providers in BRANFORD | ||||
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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.