DR. MICHAEL BERNARD RUSSO (NPI# 1033181219) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033181219 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL BERNARD RUSSO |
| Credential | M.D. |
| Practice Address |
2605 Keiser Blvd Wyomissing PA 19610-3338 |
| Practice Telephone | 6106858500 |
| Practice Fax Number | 6106854833 |
| Mailing Telephone | 6106858500 |
| Mailing Fax Number | 6106854833 |
| Enumeration Date | 2006-02-02 |
| Last Update Date | 2010-07-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
MD 431352 | PA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205463486 | Michael Russo | Physical Therapist | 29800 Bainbridge Rd # So40, Solon, OH 44139-2202 | 2020-03-26 |
| 1982251427 | Michael Russo | Counselor | 17042 Puntledge Dr, Westfield, IN 46062-6521 | 2019-08-20 |
| 1699947242 | Michael James Russo | Social Worker | 19 Maidstone Ln, Hampton Bays, NY 11946-1670 | 2008-03-24 |
| 1700084381 | Michael Anthony Russo | Surgery | 1811 Brookfurst St #5600, Fountain Valley, CA 92708-6728 | 2007-07-05 |
| 1801824362 | Michael Russo | Chiropractor | 12362 Euclid St, Garden Grove, CA 92840-3308 | 2006-06-30 |
| 1164465571 | Michael Scott Russo | Chiropractor | 100 N Centre Ave, Suite 202, Rockville Centre, NY 11570-3937 | 2006-06-14 |
| 1619948973 | Michael S. Russo | Physical Therapist | 10 Church Towers, Hoboken, NJ 07030 | 2006-01-26 |
| 1477523785 | Michael B Russo | Psychiatry & Neurology | 250 Ward Ave Ste 170, Honolulu, HI 96814-4014 | 2006-01-26 |
| 1558822510 | Michael Jonathan Russo | Student in an Organized Health Care Education/Training Program | 836 W Wellington Ave, Chicago, IL 60657-5147 | 2019-03-30 |
| 1245720523 | Michael Joseph Russo | Emergency Medicine | 1501 N Campbell Ave, Tucson, AZ 85724-0001 | 2018-05-13 |
| Street Address |
2605 KEISER BLVD |
| City | WYOMISSING |
| State | PA |
| Zip Code | 19610-3338 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659361095 | Guy N Piegari Jr. | Internal Medicine | 2605 Keiser Blvd, Wyomissing, PA 19610-3338 | 2005-10-26 |
| 1184233520 | Jamie Evans | Nurse Practitioner | 2605 Keiser Blvd, Wyomissing, PA 19610-3338 | 2020-07-30 |
| 1215406293 | Julian K Derr | Nurse Practitioner | 2605 Keiser Blvd, Wyomissing, PA 19610-3338 | 2018-11-19 |
| 1962763789 | David C Zisa | Internal Medicine | 2605 Keiser Blvd, Wyomissing, PA 19610-3338 | 2012-06-07 |
| 1427324227 | Vincent Pinelli | Internal Medicine | 2605 Keiser Blvd, Wyomissing, PA 19610-3338 | 2012-03-26 |
| 1952561953 | Nicholas Anthony Rossi | Internal Medicine | 2605 Keiser Blvd, Wyomissing, PA 19610-3338 | 2008-06-12 |
| 1689842049 | Troy William Trayer | Internal Medicine | 2605 Keiser Blvd, Wyomissing, PA 19610-3338 | 2008-02-19 |
| 1073681474 | Tara Lynn Dimino | Internal Medicine | 2605 Keiser Blvd, Wyomissing, PA 19610-3338 | 2006-12-01 |
| 1518991025 | Sandra Bixler | Internal Medicine | 2605 Keiser Blvd, Wyomissing, PA 19610 | 2006-07-10 |
| 1477508075 | Brenda Kauffman Kozak | Nurse Practitioner | 2605 Keiser Blvd, Wyomissing, PA 19610 | 2006-05-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154944486 | Fresenius Medical Care Wyomissing, LLC | Clinic/Center | 656 Berkshire Blvd, Wyomissing, PA 19610 | 2020-05-21 |
| 1235779943 | Stacey Oberhauser | Urology | Center for Urologic Care of Berks County, 1320 Broadcasting Road, Suite 200, Wyomissing, PA 19610 | 2020-01-10 |
| 1932742772 | Kristin Marie Lapp | Social Worker | 1120-c Hobart Ave, Wyomissing, PA 19610 | 2019-10-24 |
| 1396302410 | Susan Cohick | Occupational Therapy Assistant | The Center for Pediatric Therapy Inc, 9 Bristol Ct, Wyomissing, PA 19610 | 2019-05-23 |
| 1518475953 | Safe Care Express Pllc | Clinic/Center | 1802 State Hill Rd, Wyomissing, PA 19610 | 2018-01-19 |
| 1346779733 | Eric Angstadt | Dentist | 85 Commerce Drive, Wyomissing, PW 19610 | 2017-06-08 |
| 1497209761 | Keystone Orthopaedic Specialists,llc | Durable Medical Equipment & Medical Supplies | 2607 Keiser Blvd # 200, Wyomissing, PA 19610 | 2016-08-04 |
| 1104270875 | Heather Claudette Meyer | Hearing Instrument Specialist | 50 Berkshire Ct Ste 250, Wyomissing, PA 19610 | 2016-04-19 |
| 1396125050 | Courtney B. Pursell | Counselor | 716 N. Park Rd., Wyomissing, PA 19610 | 2015-06-08 |
| 1760892012 | Nicole M Robb | Counselor | 17 Evans Ave, Wyomissing, PA 19610 | 2014-05-07 |
| Find all providers in zip 19610 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881937845 | John William Gruber | Internal Medicine | 208 Sanibel Ln, Wyomissing, PA 19610-3320 | 2013-03-28 |
| 1659361095 | Guy N Piegari Jr. | Internal Medicine | 2605 Keiser Blvd, Wyomissing, PA 19610-3338 | 2005-10-26 |
| 1285626226 | Christopher Brian Rogers | Internal Medicine | 2605 Keiser Boulevard, Wyomissing, PA 19610-3338 | 2005-08-16 |
| 1952561953 | Nicholas Anthony Rossi | Internal Medicine | 2605 Keiser Blvd, Wyomissing, PA 19610-3338 | 2008-06-12 |
| 1689842049 | Troy William Trayer | Internal Medicine | 2605 Keiser Blvd, Wyomissing, PA 19610-3338 | 2008-02-19 |
| 1073681474 | Tara Lynn Dimino | Internal Medicine | 2605 Keiser Blvd, Wyomissing, PA 19610-3338 | 2006-12-01 |
| 1518991025 | Sandra Bixler | Internal Medicine | 2605 Keiser Blvd, Wyomissing, PA 19610 | 2006-07-10 |
| 1235188319 | Ronald J Polinsky Jr. | Internal Medicine | 2605 Keiser Blvd, Wyomissing, PA 19610 | 2006-05-08 |
| 1639160427 | Meir Mazuz | Internal Medicine | 2605 Keiser Blvd, Wyomissing, PA 19610-3338 | 2005-11-02 |
| 1275524019 | Berks Cardiologists Ltd | Internal Medicine | 2605 Keiser Blvd, Wyomissing, PA 19610-3338 | 2005-11-01 |
| Find all providers in WYOMISSING | ||||
| City | WYOMISSING |
| Zip Code | 19610 |
Please comment or provide details below to improve the information on DR. MICHAEL BERNARD 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.