Christopher R Russo (NPI# 1033442231, PAC ID# 4486818440) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ANESTHESIOLOGY.
| Nation Provider ID (NPI) | 1033442231 |
| PAC ID by PECOS | 4486818440 |
| Professional Enrollment ID | I20120604000490 |
| Full Name | Christopher R Russo |
| Organization Legal Name | THE PAIN CENTER USA PLLC |
| Address |
27423 Van Dyke Ave Warren MI 48093-2867 |
| Phone Number | 5867559855 |
| Gender | M |
| Medical School | UNIVERSITY OF MICHIGAN MEDICAL SCHOOL |
| Graduation Year | 1994 |
| Primary Specialty | ANESTHESIOLOGY |
| Secondary Specialties | PAIN MANAGEMENT |
| Group Practice PAC ID | 3375530215 |
| Number of Group Practice Members | 11 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 27423 Van Dyke Ave, Warren, MI 48093-2867 | 5867559855 | THE PAIN CENTER USA PLLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
| Organization Legal Name | THE PAIN CENTER USA PLLC |
| Physicians | 10 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brent C Russell | Physician Assistant | The Pain Center Usa Pllc | 27423 Van Dyke Ave, Warren, MI 48093-2867 |
| Tatyana Bezpalko | Nurse Practitioner | The Pain Center Usa Pllc | 27423 Van Dyke Ave, Warren, MI 48093-2867 |
| Rajendra Bothra | Pain Management | The Pain Center Usa Pllc | 27423 Van Dyke Ave, Warren, MI 48093-2867 |
| David L Lewis Jr. | Anesthesiology | The Pain Center Usa Pllc | 27423 Van Dyke Ave, Warren, MI 48093-2867 |
| Bryce Taylor Anderson | Physician Assistant | The Pain Center Usa Pllc | 22480 Kelly Rd, Suite 1, Eastpointe, MI 48021-2623 |
| Diane B Campbell | Nurse Practitioner | The Pain Center Usa Pllc | 27423 Van Dyke Ave, Warren, MI 48093-2867 |
| Ganiu A Edu | Anesthesiology | The Pain Center Usa Pllc | 27423 Van Dyke Ave, Warren, MI 48093-2867 |
| Eric N Backos | Physical Medicine and Rehabilitation | The Pain Center Usa Pllc | 27423 Van Dyke Ave, Warren, MI 48093-2867 |
| Chantale E Bothuell | Podiatry | The Pain Center Usa Pllc | 27423 Van Dyke Ave, Warren, MI 48093-2867 |
| Street Address |
27423 VAN DYKE AVE |
| City | WARREN |
| State | MI |
| Zip | 48093-2867 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brent C Russell | Physician Assistant | The Pain Center Usa Pllc | 27423 Van Dyke Ave, Warren, MI 48093-2867 |
| Tatyana Bezpalko | Nurse Practitioner | The Pain Center Usa Pllc | 27423 Van Dyke Ave, Warren, MI 48093-2867 |
| Rajendra Bothra | Pain Management | The Pain Center Usa Pllc | 27423 Van Dyke Ave, Warren, MI 48093-2867 |
| David L Lewis Jr. | Anesthesiology | The Pain Center Usa Pllc | 27423 Van Dyke Ave, Warren, MI 48093-2867 |
| Diane B Campbell | Nurse Practitioner | The Pain Center Usa Pllc | 27423 Van Dyke Ave, Warren, MI 48093-2867 |
| Ganiu A Edu | Anesthesiology | The Pain Center Usa Pllc | 27423 Van Dyke Ave, Warren, MI 48093-2867 |
| Eric N Backos | Physical Medicine and Rehabilitation | The Pain Center Usa Pllc | 27423 Van Dyke Ave, Warren, MI 48093-2867 |
| Chantale E Bothuell | Podiatry | The Pain Center Usa Pllc | 27423 Van Dyke Ave, Warren, MI 48093-2867 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Daniel C Aronovitz | Podiatry | 31730 Hoover Rd B, Warren, MI 48093-1700 | |
| Jane E Krasnick | Allergy/immunology | Warren Allergy and Asthma Care, PC | 31730 Hoover Rd A, Warren, MI 48093-1700 |
| Carey C Linden | Allergy/immunology | Warren Allergy and Asthma Care, PC | 31730 Hoover Rd A, Warren, MI 48093-1700 |
| Ogechi Nita Enyioko | Nurse Practitioner | Doctors Home Line Pllc | 30500 Van Dyke Ave, Suite 203, Warren, MI 48093-2109 |
| Pauline Robinson | Nurse Practitioner | Doctors Home Line Pllc | 30500 Van Dyke Ave, Suite 203, Warren, MI 48093-2109 |
| Barry C Smith | Physician Assistant | Doctors Home Line Pllc | 30500 Van Dyke Ave, Suite 203, Warren, MI 48093-2109 |
| Shobha Subramanian | General Practice | American Home Doctors PC | 8200 E 13 Mile Rd, Suite 101, Warren, MI 48093-2171 |
| Dean A Ruble | General Practice | American Home Doctors PC | 8200 E 13 Mile Rd, Suite 101, Warren, MI 48093-2171 |
| Stephanie M Paluda | Obstetrics/gynecology | Mission Obstetrics and Gynecology P C | 11300 E 13 Mile Rd, Suite 4, Warren, MI 48093-2500 |
| Kristen Wuckert | Obstetrics/gynecology | Mission Obstetrics and Gynecology P C | 11300 E 13 Mile Rd, Suite 4, Warren, MI 48093-2500 |
| Find all physicians in zip 48093 | |||
| City | WARREN |
| Zip Code | 48093 |
| Specialty | ANESTHESIOLOGY |
| City + Specialty | WARREN + ANESTHESIOLOGY |
Please comment or provide details below to improve the information on Christopher R 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.