THOMAS DAVID RUSSO (NPI# 1285836452) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285836452 |
| Entity Type | Individual |
| Full Name | THOMAS DAVID RUSSO |
| Credential | D.M.D. |
| Practice Address |
63 Shore Rd Ste 13 Winchester MA 01890-2828 |
| Practice Telephone | 7817214700 |
| Practice Fax Number | 7817290798 |
| Mailing Telephone | 7817214700 |
| Mailing Fax Number | 7817290798 |
| Enumeration Date | 2007-06-01 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 15641 | MA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | BLUE CROSS BLUE SHIELD | RU10679 | 01 |
| MA | UNITED CONCORDIA | 661706 | 01 |
| MA | 0263001 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235511205 | Thomas J Russo | Surgery | 99 Canal Landing Blvd Ste 6, Rochester, NY 14626-5112 | 2015-06-25 |
| 1720384332 | Thomas Matthew Russo | Anesthesiology | 1656 Champlin Ave, New Hartford, NY 13413-1068 | 2011-01-28 |
| 1700022100 | Thomas Russo | Social Worker | 10 Missile Ave, Minot, ND 58705-5003 | 2009-01-06 |
| 1730285271 | Thomas P Russo | Anesthesiology | 41 Mall Rd, Burlington, MA 01805-0001 | 2006-09-15 |
| 1801816822 | Thomas Alan Russo | Internal Medicine | 3495 Bailey Ave, Buffalo, NY 14215-1129 | 2006-07-20 |
| 1811958861 | Thomas P Russo | Psychologist | 10 N Greene St, Baltimore, MD 21201-1524 | 2006-03-30 |
| 1871581363 | Thomas Russo | Specialist | 80 Eisenhower Dr, Suite 200, Paramus, NJ 07652-1401 | 2005-10-10 |
| 1902804412 | Thomas Anthony Russo | Physician Assistant | 1365 Washington Ave, Suite 300, Albany, NY 12206-1068 | 2005-07-08 |
| Street Address |
63 SHORE RD STE 13 |
| City | WINCHESTER |
| State | MA |
| Zip Code | 01890-2828 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154560589 | Thomas D. Russo, D.m.d., P.C. | Dentist | 63 Shore Rd Ste 13, Winchester, MA 01890-2828 | 2009-02-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821516436 | Emily Elizabeth Blake | Dietitian, Registered | 107 Cross St Unit A, Winchester, MA 01890 | 2017-09-03 |
| 1750838272 | Barbara Messineo Md Othopedic Surgery and Sports Medicine | Specialist | 8 Winchester Place, Ste 102, Winchester, MA 01890 | 2016-09-01 |
| 1710235007 | Nicole Tara Dieuseul | Social Worker | 80 Skillings Rd, Winchester, MA 01890 | 2012-08-17 |
| 1043589609 | Karen Marie Caputo | Social Worker | 0 Ledgewood Road, Winchester, MA 01890 | 2011-12-27 |
| 1902110695 | Kyla Malone | Nurse Practitioner | 1021 Main St Ste 102, Winchester, MA 01890 | 2010-08-05 |
| 1073843694 | New England Pain Associates, PC | Clinic/Center | 10 Converse Place 4th Floor, Winchester, MA 01890 | 2010-01-04 |
| 1235304528 | Asthma & Allergy Specialists, PC | Clinic/Center | 955 Main St, Ste G-3, Suite G-3, Winchester, MA 01890 | 2008-04-28 |
| 1184742165 | Constance C Rosenberger | Registered Nurse | 49 Cabot St, Winchester, MA 01890 | 2007-03-27 |
| 1225164817 | Susana Cheng Lee | Social Worker | 17 Socrates Way, Winchester, MA 01890 | 2007-02-26 |
| 1538294517 | Joan M Hodges | Social Worker | 898 Main Street, Marcus Associates, Winchester, MA 01890 | 2007-02-22 |
| Find all providers in zip 01890 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285199356 | Dental Professionals of Virginia, P.C. | Dentist | 1705 Amherst St Ste L02, Winchester, VA 22601-3345 | 2019-02-04 |
| 1457873101 | Geeta Poudel | Dentist | 1330 Amherst St Ste B, Winchester, VA 22601-3000 | 2017-07-14 |
| 1144609702 | Shenandoah Smiles PC | Dentist | 519 W Jubal Early Dr, Suite 101, Winchester, VA 22601-6517 | 2015-05-28 |
| 1336543271 | Talon Haynie Dds Pllc | Dentist | 1813 W Plaza Dr, Winchester, VA 22601-6365 | 2014-10-21 |
| 1548555220 | Austin Westover | Dentist | 1002 Amherst St Ste B, Winchester, VA 22601-3323 | 2011-06-10 |
| 1598902421 | Sepideh Fouladi Novid | Dentist | 4 Laurel St, Winchester, MA 01890-3508 | 2009-01-14 |
| 1043410152 | Tammie K. Neal Miller | Dentist | 2325 Valor Drive, Winchester, VA 22601 | 2007-07-18 |
| 1831394139 | David J Fiorillo | Dentist | 16 Hillcrest Pkwy, Winchester, MA 01890-1427 | 2007-06-18 |
| 1295946291 | Jared J Pell | Dentist | 1705 Amherst St Ste 102, Winchester, VA 22601-3346 | 2007-05-24 |
| 1376769059 | Rick Blair Courtney | Dentist | 111 1st Ave Sw, Winchester, TN 37398-1727 | 2007-04-18 |
| Find all providers in WINCHESTER | ||||
| City | WINCHESTER |
| Zip Code | 01890 |
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| 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.