Peter D Russotto (NPI# 1770576829, PAC ID# 9739268145) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PODIATRY.
| Nation Provider ID (NPI) | 1770576829 |
| PAC ID by PECOS | 9739268145 |
| Professional Enrollment ID | I20080509000141 |
| Full Name | Peter D Russotto |
| Address |
1440 W Walnut St Jacksonville IL 62650-1143 |
| Phone Number | 2172433668 |
| Gender | M |
| Medical School | DR. WILLIAM M. SCHOLL COLLEGE OF PODIATRIC MEDICINE |
| Graduation Year | 1985 |
| Primary Specialty | PODIATRY |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140058 | PASSAVANT AREA HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1440 W Walnut St, Jacksonville, IL 62650-1143 | 2172433668 | |
| 1600 W Walnut St, Jacksonville, IL 62650-1136 | 21724595415652 | PASSAVANT MEMORIAL AREA HOSPITAL ASSOCIATION |
| Street Address |
1440 W WALNUT ST |
| City | JACKSONVILLE |
| State | IL |
| Zip | 62650-1143 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Scott Weber | Chiropractic | 1807 W Lafayette Ave, Jacksonville, IL 62650-1008 | |
| Richard E Charpentier | Chiropractic | 1424 W Walnut St, Jacksonville, IL 62650-1103 | |
| Lauren Nicole Marshall | Nurse Practitioner | Apogee Medical Group Illinois P C | 1600 W Walnut St, Jacksonville, IL 62650-1136 |
| Michael N Fenner | General Surgery | Springfield Clinic LLP | 1600 W Walnut St Group Floor, Jacksonville, IL 62650-1136 |
| Eli Gottlieb Goodman | Internal Medicine | Passavant Memorial Area Hospital Association | 1600 W Walnut St, Jacksonville, IL 62650-1136 |
| Michelle Lee Geiss | Nurse Practitioner | Center for Psychiatric Health | 1600 W Walnut St, Jacksonville, IL 62650-1136 |
| Deborah L Nielsen | Nurse Practitioner | Apogee Medical Group Illinois P C | 1600 W Walnut St, Jacksonville, IL 62650-1136 |
| Fakhar Zaidi | Hospitalist | Apogee Medical Group Illinois P C | 1600 W Walnut St, Jacksonville, IL 62650-1136 |
| Elizabeth L Maro | Nurse Practitioner | Apogee Medical Group Illinois P C | 1600 W Walnut St, Jacksonville, IL 62650-1136 |
| Ying Wang | Hospitalist | Apogee Medical Group Illinois P C | 1600 W Walnut St, Jacksonville, IL 62650-1136 |
| Find all physicians in zip 62650 | |||
| City | JACKSONVILLE |
| Zip Code | 62650 |
| Specialty | PODIATRY |
| City + Specialty | JACKSONVILLE + PODIATRY |
Please comment or provide details below to improve the information on Peter D Russotto.
| 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.