Michael B Russo (NPI# 1477523785, PAC ID# 6608049556) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NEUROLOGY.
| Nation Provider ID (NPI) | 1477523785 |
| PAC ID by PECOS | 6608049556 |
| Professional Enrollment ID | I20111109000615 |
| Full Name | Michael B Russo |
| Address |
250 Ward Ave Suite 170 Honolulu HI 96814-4014 |
| Gender | M |
| Medical School | CHICAGO COLLEGE OF MEDICINE AND SURGERY |
| Graduation Year | 1986 |
| Primary Specialty | NEUROLOGY |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 250 Ward Ave, Suite 170, Honolulu, HI 96814-4014 |
| Street Address |
250 WARD AVE SUITE 170 |
| City | HONOLULU |
| State | HI |
| Zip | 96814-4014 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Clifford Okumoto | Psychiatry | 615 Pikikoi St, Suite 1603, Honolulu, HI 96814 | |
| Stephen Sheau-yang Gee | Ophthalmology | 1210 Ward Ave, Honolulu, HI 96814-1422 | |
| Wesley Y Taira | Clinical Social Worker | Samaritan Counseling Center Hawaii | 1020 S Beretania St, Honolulu, HI 96814-1428 |
| Hitomi Demura-devore | Clinical Social Worker | Samaritan Counseling Center Hawaii | 1020 S Beretania St, Honolulu, HI 96814-1428 |
| Michael Y Komeya | Psychiatry | 1360 S Beretania St, Suite 210, Honolulu, HI 96814-1520 | |
| Demetria C Leong | Anesthesiology | 1100 Ward Ave, Suite 1100, Honolulu, HI 96814-1600 | |
| Todd K Haruki | Maxillofacial Surgery | Pacific Maxillofacial Center, Inc. | 1060 Young St, Suite 312, Honolulu, HI 96814-1609 |
| William T Tsushima | Psychologist, Clinical | Straub Clinic and Hospital | 1100 Ward Ave, Suite 840, Honolulu, HI 96814-1610 |
| Kami S Nishimura | Registered Dietitian Or Nutrition Professional | Straub Clinic and Hospital | 1100 Ward Ave, Suite 700, Honolulu, HI 96814-1617 |
| Mark T Grattan | Thoracic Surgery | 1100 Ward Ave, Suite 700, Honolulu, HI 96814-1617 | |
| Find all physicians in zip 96814 | |||
| City | HONOLULU |
| Zip Code | 96814 |
| Specialty | NEUROLOGY |
| City + Specialty | HONOLULU + NEUROLOGY |
Please comment or provide details below to improve the information on Michael B 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.