DR. ANDREA L RUSSO (NPI# 1003043548) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003043548 |
| Entity Type | Individual |
| Full Name | DR. ANDREA L RUSSO |
| Credential | M.D. |
| Practice Address |
2014 Washington St Newton MA 02462-1607 |
| Mailing Address |
2014 Washington Street Vernon Cancer Center/mgh Radiation Oncology Newton MA 02462 |
| Practice Telephone | 6172191200 |
| Mailing Telephone | 6172191200 |
| Enumeration Date | 2009-06-11 |
| Last Update Date | 2018-04-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
L-240167 | MA | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 100 Blossom St, Cox 3, Boston, MA 021142696 | 6177241160 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083190854 | Andrea Russo | Optometrist | 3350 La Jolla Village Dr, San Diego, CA 92161-0002 | 2018-07-16 |
| 1336652056 | Andrea Russo | Audiologist | 1421 3rd Ave Apt 4, New York, NY 10028-1933 | 2017-11-16 |
| 1114442001 | Andrea Russo | Counselor | 286 S Main St Ste 200, Alpharetta, GA 30009-1943 | 2017-08-11 |
| 1093244303 | Andrea Russo | Peer Specialist | 5257 Ne Martin Luther King Jr Ste 201, Portland, OR 97211-3283 | 2017-06-08 |
| 1073927570 | Andrea Russo | Pharmacist | 933 Pleasant St, Fall River, MA 02723-1000 | 2014-06-12 |
| 1922311307 | Andrea Hoboken Russo | Obstetrics & Gynecology | 51-53 Kenosia Ave, Danbury, CT 06810-2304 | 2010-07-14 |
| 1841424777 | Andrea Russo | Social Worker | 567 Pleasant St, Brockton, MA 02301-2507 | 2009-05-06 |
| 1396777694 | Andrea M Russo | Internal Medicine | 1 Cooper Plz, 3 Dorrance, Camden, NJ 08103-1461 | 2006-07-07 |
| Street Address |
2014 WASHINGTON ST |
| City | NEWTON |
| State | MA |
| Zip Code | 02462-1607 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205818721 | Judy Z Yang | Internal Medicine | 2014 Washington St, Newton, MA 02462-1607 | 2005-11-18 |
| 1952916611 | Deanna Elizabeth Fiore | Nurse Practitioner | 2014 Washington St, Newton, MA 02462-1699 | 2020-09-10 |
| 1730799040 | Enoch Anyanwu | Registered Nurse | 2014 Washington St, Newton, MA 02462-1607 | 2020-08-03 |
| 1821627399 | Saghar Bagheri | Internal Medicine | 2014 Washington St, Newton, MA 02462-1699 | 2020-04-06 |
| 1356970206 | Alexandra Beling | Internal Medicine | 2014 Washington St, Newton, MA 02462-1699 | 2020-04-03 |
| 1790314656 | Micaela Rose Nannery | Internal Medicine | 2014 Washington St, Newton, MA 02462-1699 | 2020-04-03 |
| 1689202038 | Susruthi Rajanala | Internal Medicine | 2014 Washington St, Newton, MA 02462-1699 | 2020-03-31 |
| 1649808213 | Mary E. Awad | Internal Medicine | 2014 Washington St, Newton, MA 02462-1699 | 2020-03-30 |
| 1568090108 | Damir Ljuboja | Internal Medicine | 2014 Washington St, Newton, MA 02462-1699 | 2020-03-30 |
| 1417585076 | Steven Nicholas Baldassano | Internal Medicine | 2014 Washington St, Newton, MA 02462-1699 | 2020-03-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972151892 | Samuel Warren | Student in an Organized Health Care Education/Training Program | 2000 Washington St, Blue Building Suite 201, Newton, MA 02462 | 2019-09-04 |
| 1629486477 | Johanna Forman Lam | Nurse Practitioner | 2000 Washington St Ste 544, Newton, MA 02462 | 2014-07-24 |
| 1083909774 | Kristen A. Lindgren | Psychiatry & Neurology | Nwh Pediatric Ambulatory Care Center, 2014 Washington St, 6 South, Newton, MA 02462 | 2011-06-10 |
| 1346430436 | David Peselman | Pathology | Harvard Rehabilitation Clinic, Brockton, MA 02462 | 2007-07-26 |
| 1487776001 | Aaron Gardiner | Orthopaedic Surgery | 2000 Washington St #341, Newton Wellesley Orthopedic Associates, Inc., Newton, MA 02462 | 2007-04-04 |
| 1023194263 | Mark S Golden | Social Worker | 671 Grove St, Newton, MA 02462 | 2006-10-31 |
| 1477669331 | Elizabeth A Konig | Obstetrics & Gynecology | Newton Wellesley Ob/gyn, 2000 Washington Street, Newton, MA 02462 | 2006-08-22 |
| 1558477315 | Barry J Tils | Emergency Medicine | Newton Wellesly Hospital, 2014 Washington Street, Newton, MA 02462 | 2006-08-22 |
| 1134130040 | Aryeh Shestopal | Psychologist | 39 Clearwater Roard, Newton, MA 02462 | 2006-08-10 |
| 1861403347 | Nancy B Hurwitz | Physician Assistant | Newton Wellesley Hospital, 2014 Washington St, Newton, MA 02462 | 2006-08-10 |
| Find all providers in zip 02462 | ||||
| Taxonomy Code | 2085R0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Radiation Oncology |
| A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508270737 | Jason Munro Slater | Radiology | 2014 Washington St, Newton, MA 02462-1607 | 2014-06-16 |
| 1124174743 | Christine Cecelia Olsen | Radiology | 2000 Washington St, Newton, MA 02462-1650 | 2007-01-26 |
| 1003852385 | Brian David Berger | Radiology | 730 Medical Center Dr, Newton, KS 67114-8778 | 2006-06-22 |
| 1083678494 | Jorge A Wong | Radiology | 730 Medical Center Dr, Newton, KS 67114-8778 | 2006-04-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710385844 | Cherry T. Thomas | Radiology | 28 York Rd, Winchester, MA 01890-3855 | 2014-12-05 |
| 1528488269 | Erik Steven Anderson | Radiology | 330 Brookline Ave # Fnb-25, Boston, MA 02215-5491 | 2014-04-21 |
| 1356654966 | Steward Good Samaritan Radiation Oncology Center, Inc. | Radiology | 818 Oak St, Brockton, MA 02301-1107 | 2010-07-23 |
| 1336389634 | Central Massachusetts Comprehensive Cancer Center, LLC | Radiology | 55 Sayles Street, Southbridge, MA 01550 | 2009-02-26 |
| 1235389883 | Northampton Radiation Oncology, LLC | Radiology | 30 Locust Street, Cooley Dickinson Hospital, Northampton Radiation Oncology, LLC, Northampton, MA 01060 | 2008-09-19 |
| 1346498789 | Klaudia Hunter | Radiology | Lahey Clinic Dept of Radiation Oncology, 41 Mall Rd, Burlington, MA 01805-0001 | 2008-08-27 |
| 1295994978 | Jonathan Daniel Schoenfeld | Radiology | 450 Brookline Ave # Dal2-57, Department of Radiation Oncology, Boston, MA 02215-5418 | 2008-06-06 |
| 1043492846 | South Surburban Oncology | Radiology | 55 Christy Dr, Brockton, MA 02301-1813 | 2007-12-04 |
| 1922211655 | Kathryn E. Huber | Radiology | 800 Washington St # 359, Tufts Medical Center, Department of Radiation Oncology, Boston, MA 02111-1552 | 2007-05-08 |
| 1437374121 | Andris Jason Zauls | Radiology | 818 Oak Street, Good Samaritan Radiation Oncology Center, Brockton, MA 02301 | 2007-04-16 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DR. ANDREA L RUSSO.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.