Scott S Russo in Grand Rapids - Orthopaedic Surgery Of The Spine
Scott S Russo - NPI 1942298369
Scott S Russo is a Orthopaedic Surgery Of The Spine in Grand Rapids, Michigan. Scott S Russo practices all healthcare services and medical treatments related to Orthopaedic Surgery Of The Spine. The NPI Number for Scott S Russo is 1942298369. The last update date is 2013-02-04.
Scott S Russo's current location address is 1111 Leffingwell Ave Ne, Grand Rapids, Michigan. You can contact this provider via phone number 6164597101 and fax number 6169426879. The mailing address for Scott S Russo is 1111 Leffingwell Ave Ne, Grand Rapids, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Scott S Russo |
|---|---|
| Address | 1111 Leffingwell Ave Ne, Grand Rapids, Michigan |
| Phone Number | 6164597101 |
| Fax Number | 6169426879 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1942298369 |
|---|---|
| Provider Enumeration Date | 2005-10-10 |
| Last Updated Date | 2013-02-04 |
Provider Mailing Address Detail
| Address | 1111 Leffingwell Ave Ne |
|---|---|
| City | Grand Rapids |
| State | Michigan (MI) |
| Post Code | 495256406 |
| Phone Number | 6164597101 |
| Fax Number | 6169426879 |
Provider's Primary Taxonomy Detail
| Speciality | Orthopaedic Surgery Of The Spine |
|---|---|
| Taxonomy | 207Xs0117X |
| Licence No | 4301405099 |
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Definition: Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorde |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 4761530 | MI | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Scott S Russo by the Centers for Medicare & Medicaid Services?
The Scott S Russo has been assigned the NPI (National Provider Identifier) 1942298369 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Where is the Scott S Russo located?
The Scott S Russo is located at 1111 Leffingwell Ave Ne, Grand Rapids, MI 495256406.
What is the Scott S Russo's area of specialization and corresponding taxonomy classification?
The Scott S Russo's specialty field is Orthopaedic Surgery Of The Spine, and it falls under the taxonomy code 207Xs0117X, which categorizes healthcare providers based on their specialties.
On what date was the 1942298369 assigned to Scott S Russo?
The Scott S Russo was issued its 1942298369 on 2005-10-10, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Scott S Russo's details last updated?
The information pertaining to the Scott S Russo, including its address, specialty, and other details, was most recently updated on 2013-02-04.