Joseph S Russo (NPI# 1891791786, PAC ID# 2365426376) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is HOSPITALIST.
| Nation Provider ID (NPI) | 1891791786 |
| PAC ID by PECOS | 2365426376 |
| Professional Enrollment ID | I20080920000005 |
| Full Name | Joseph S Russo |
| Organization Legal Name | GREAT RIVER PHYSICIANS AND CLINICS INC |
| Address |
1221 S Gear Ave West Burlington IA 52655-1679 |
| Gender | M |
| Credential | DO |
| Graduation Year | 1993 |
| Primary Specialty | HOSPITALIST |
| Secondary Specialties | FAMILY MEDICINE |
| Group Practice PAC ID | 6204739675 |
| Number of Group Practice Members | 138 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 160083 | MERCY MEDICAL CENTER-DES MOINES |
| 160057 | GREAT RIVER MEDICAL CENTER |
| 160064 | MERCY MEDICAL CENTER-NORTH IOWA |
| Address | Phone | Organization |
|---|---|---|
| 800 E 1st St, Ankeny, IA 50021-2077 | MERCY CLINICS INC | |
| 1111 6th Ave, Des Moines, IA 50314-2610 | MERCY CLINICS INC | |
| 1111 6th Ave - Emergency Dept, Mercy Emergency Physicians, Des Moines, IA 50314-2610 | 5152474445 | MERCY CLINICS INC |
| 1111 6th Ave B1 E Tower, Mercyone Des Moines Neuropsychology, Des Moines, IA 50314-2610 | 5153580060 | MERCY CLINICS INC |
| 1111 6th Ave E Tower, Des Moines, IA 50314-2610 | MERCY CLINICS INC | |
| 330 Laurel St, Suite 1200, Des Moines, IA 50314-3044 | 5156435454 | MERCY CLINICS INC |
| 1000 4th St Sw, Mercy Medical Center North, Mason City, IA 50401-2800 | 6414286615 | HOSPITALIST MEDICINE PHYSICIANS OF IOWA - MASON CITY, PLLC |
| 1221 S Gear Ave, West Burlington, IA 52655-1679 | GREAT RIVER PHYSICIANS AND CLINICS INC | |
| 1223 S Gear Ave, West Burlington, IA 52655-1679 | GREAT RIVER PHYSICIANS AND CLINICS INC | |
| 1225 S Gear Ave, 254 Pulmonology Great River Medical Center, West Burlington, IA 52655-1687 | 3197683240 | GREAT RIVER PHYSICIANS AND CLINICS INC |
| Organization Legal Name | GREAT RIVER PHYSICIANS AND CLINICS INC |
| Physicians | 152 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brandy D Parker | Nurse Practitioner | Great River Physicians and Clinics Inc | 1223 S Gear Ave, 304 Pulmonology Great River Medical Center, West Burlington, IA 52655-1689 |
| Lisa A Lake | Nurse Practitioner | Great River Physicians and Clinics Inc | 1201 W Agency Rd, Family Medicine Great River Medical Center, West Burlington, IA 52655-1645 |
| Carrie F Helmick | Nurse Practitioner | Great River Physicians and Clinics Inc | 801 S Roosevelt Ave C, Family Planning of Se Iowa, Burlington, IA 52601-1691 |
| Arnaldo E Velez | Neurology | Great River Physicians and Clinics Inc | 9099 Outlook Rock Trl, Windermere, FL 34786-9518 |
| Nicole A Ferrill | Nurse Practitioner | Great River Physicians and Clinics Inc | 1225 S Gear Ave, 254 Pulmonology Great River Medical Center, West Burlington, IA 52655-1687 |
| Craig Alan Murphy | Physical Therapy | Great River Physicians and Clinics Inc | 2750 Mount Pleasant St, Suite 104, Burlington, IA 52601-2171 |
| Levi N Gause | Orthopedic Surgery | Great River Physicians and Clinics Inc | 1401 W Agency Rd, West Burlington, IA 52655-1659 |
| William S Daft | Family Medicine | Great River Physicians and Clinics Inc | 220 Mulberry St, Suite A, Wapello, IA 52653-1570 |
| Janette M Schulz | Nurse Practitioner | Great River Physicians and Clinics Inc | 1221 S Gear Ave, West Burlington, IA 52655-1679 |
| Kelly R Samberg | Nurse Practitioner | Great River Physicians and Clinics Inc | 401 N Orchard St, Mediapolis Clinic, Mediapolis, IA 52637-7722 |
| Street Address |
1221 S GEAR AVE |
| City | WEST BURLINGTON |
| State | IA |
| Zip | 52655-1679 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Janette M Schulz | Nurse Practitioner | Great River Physicians and Clinics Inc | 1221 S Gear Ave, West Burlington, IA 52655-1679 |
| Michael J Mccoy | Obstetrics/gynecology | Great River Physicians and Clinics Inc | 1221 S Gear Ave, West Burlington, IA 52655-1679 |
| Seth L Olson | Physical Therapy | Great River Physicians and Clinics Inc | 1221 S Gear Ave, Physical Therapy Great River Medical Center, West Burlington, IA 52655-1679 |
| Siva Gadde | Hospitalist | Great River Physicians and Clinics Inc | 1221 S Gear Ave, Great River Pathology, West Burlington, IA 52655-1679 |
| Sofia L Bajwa | Internal Medicine | Great River Physicians and Clinics Inc | 1221 S Gear Ave, Great River Anesthesia, West Burlington, IA 52655-1679 |
| Mariannette J. Miller-meeks | Ophthalmology | Great River Physicians and Clinics Inc | 1221 S Gear Ave, West Burlington, IA 52655-1679 |
| Erin M Haeger | Obstetrics/gynecology | Great River Physicians and Clinics Inc | 1221 S Gear Ave, West Burlington, IA 52655-1679 |
| Brandon L Patterson | Certified Registered Nurse Anesthetist (crna) | Great River Physicians and Clinics Inc | 1221 S Gear Ave, West Burlington, IA 52655-1679 |
| Scott T Joyce | Certified Registered Nurse Anesthetist (crna) | Great River Physicians and Clinics Inc | 1221 S Gear Ave, Great River Anesthesia, West Burlington, IA 52655-1679 |
| Terry L Wilson Jr. | Certified Registered Nurse Anesthetist (crna) | Great River Physicians and Clinics Inc | 1221 S Gear Ave, Great River Anesthesia, West Burlington, IA 52655-1679 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Eric A Hanks | Chiropractic | Hanks Chiropractic Clinic | 433 E Mt Pleasant St, West Burlington, IA 52655-1324 |
| Douglas J Hanks | Chiropractic | Hanks Chiropractic Clinic | 433 E Mt Pleasant St, West Burlington, IA 52655-1324 |
| Yogesh Kiranraj Sanghvi | Nephrology | Great River Physicians and Clinics Inc | 1223 S Gear Ave, 101 Nephrology Great River Medical Center, West Burlington, IA 52655-1637 |
| Lisa A Lake | Nurse Practitioner | Great River Physicians and Clinics Inc | 1201 W Agency Rd, Family Medicine Great River Medical Center, West Burlington, IA 52655-1645 |
| David W Carlson | Family Medicine | Great River Physicians and Clinics Inc | 1201 W Agency Rd, Family Medicine Great River Medical Center, West Burlington, IA 52655-1645 |
| Abby M Cling | Physician Assistant | Great River Physicians and Clinics Inc | 1201 W Agency Rd, Family Medicine Great River Medical Center, West Burlington, IA 52655-1645 |
| Michael K Abouassaly | Family Medicine | Great River Physicians and Clinics Inc | 1201 W Agency Rd, Family Medicine Great River Medical Center, West Burlington, IA 52655-1645 |
| Anjali K Sobti | Family Medicine | Great River Physicians and Clinics Inc | 1201 W Agency Rd, Family Medicine Great River Medical Center, West Burlington, IA 52655-1645 |
| Jennifer De La Rosa | Family Medicine | Great River Physicians and Clinics Inc | 1201 W Agency Rd, Family Medicine Great River Medical Center, West Burlington, IA 52655-1645 |
| Urime N Mehmedi | Nurse Practitioner | Great River Physicians and Clinics Inc | 1201 W Agency Rd, Family Medicine Great River Medical Center, West Burlington, IA 52655-1645 |
| Find all physicians in zip 52655 | |||
| City | WEST BURLINGTON |
| Zip Code | 52655 |
| Specialty | HOSPITALIST |
| City + Specialty | WEST BURLINGTON + HOSPITALIST |
Please comment or provide details below to improve the information on Joseph S Russo.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.