MARK STEVEN RUSSO (NPI# 1316934326) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316934326 |
| Entity Type | Individual |
| Full Name | MARK STEVEN RUSSO |
| Credential | MD, PHD |
| Practice Address |
878 109th Ave N Naples FL 34108-1821 |
| Practice Telephone | 2395131002 |
| Practice Fax Number | 2395131915 |
| Mailing Telephone | 2395131002 |
| Mailing Fax Number | 2395131915 |
| Enumeration Date | 2005-10-04 |
| Last Update Date | 2013-09-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
83306 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 263246200 | 05 | |
| FL | BLUE CROSS BLUE SHIELD | 13594 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669784419 | Mark Brennan Russo | Home Health | 751 Hebron Pkwy Ste 160, Lewisville, TX 75057-5120 | 2010-07-09 |
| 1942448659 | Mark Vincent Russo | Chiropractor | 310 Mountain Ave, North Caldwell, NJ 07006-4013 | 2009-02-03 |
| 1619357282 | Mark Russo | Surgery | 3800 Reservoir Rd Nw, Dept of Otolaryngology, Washington, DC 20007-2113 | 2015-06-09 |
| 1083024327 | Mark Russo | Specialist/Technologist | 5823 Widewaters Pkwy, East Syracuse, NY 13057-3081 | 2014-05-07 |
| 1386976827 | Mark Russo | Pharmacist | 437 Electronics Pkwy, Liverpool, NY 13088-6001 | 2010-02-09 |
| 1326289786 | Mark Joseph Russo | Specialist | 201 Lyons Avenue, Newark Beth Israel Medical Center, Newark, NJ 07112 | 2009-03-16 |
| 1588745392 | Mark Russo | Internal Medicine | 301 E Wendover Ave, Ste 412, Greensboro, NC 27401-1230 | 2006-10-18 |
| Street Address |
878 109TH AVE N |
| City | NAPLES |
| State | FL |
| Zip Code | 34108-1821 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528050788 | Sherry D Azar-chesterton | Nurse Practitioner | 878 109th Ave N, Naples, FL 34108-1814 | 2005-08-15 |
| 1124541321 | Lauren Bledsoe | Physician Assistant | 878 109th Ave N, Naples, FL 34108-1814 | 2017-07-19 |
| 1932539939 | Dr. Russell Masterson Pa | Psychologist | 878 109th Ave N, Naples, FL 34108-1814 | 2013-11-13 |
| 1134409535 | Naples Peritoneal Dialysis Center,llc | Legal Medicine | 878 109th Ave N, Naples, FL 34108-1821 | 2011-08-17 |
| 1386972172 | Carline Cenatus | Physician Assistant | 878 109th Ave N, Naples, FL 34108-1814 | 2009-12-07 |
| 1740422187 | Nijal Sheth | Internal Medicine | 878 109th Ave N, Naples, FL 34108-1814 | 2009-03-31 |
| 1295908598 | Teresa Marie Liccardi | Internal Medicine | 878 109th Ave N, Naples, FL 34108-1814 | 2008-04-08 |
| 1235254699 | Naples Nephrology P A | Specialist | 878 109th Ave N, Naples, FL 34108-1821 | 2007-03-21 |
| 1104858968 | Vera Stricevic | Internal Medicine | 878 109th Ave N, Naples, FL 34108-1821 | 2006-07-06 |
| 1376579607 | Kidney Institute of Naples, LLC | Clinic/Center | 878 109th Ave N, Naples, FL 34108-1821 | 2006-06-26 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417422262 | Alejandra Herrera Munoz | Occupational Therapist | 646 103rd Ave N, Naples, FL 34108 | 2018-10-08 |
| 1912402983 | Cvs Aoc Services, L.L.C. | Audiologist-Hearing Aid Fitter | 8863h Tamiami Trl N, Naples, FL 34108 | 2018-03-29 |
| 1861886863 | Zounds Hearing | Durable Medical Equipment & Medical Supplies | 9331 Tamiami Trail, Naples, FL 34108 | 2015-03-27 |
| 1750651220 | Dr. Alfonso Olivos, P.a. | Family Medicine | 873 101 Avenue N., Naples, FL 34108 | 2011-12-30 |
| 1083901367 | Gregory Alan Mazur | Podiatrist | 9915 Tamiami Trl N Ste 1, Naples, FL 34108 | 2011-07-07 |
| 1124253398 | G B Fisher IIi Do Pa | Ophthalmology | 875 105 Ave North, Naples, FL 34108 | 2009-05-18 |
| 1134378466 | Susanna Alis | Counselor | 9853 Tamiami Trl N Ste 227c, Naples, FL 34108 | 2008-09-10 |
| 1194995720 | William Nicholas Sullivan | Dentist | 6100 Trail Blvd North, Suite 1, Naples, FL 34108 | 2008-03-11 |
| 1285838219 | John Woolman Cox | Dermatology | 650 Bridgeway Lane, Naples, FL 34108 | 2007-06-13 |
| 1780888263 | Gerald Frank Levens | Family Medicine | 1175 Creekside Pkwy Ste 200, Naples, FL 34108 | 2007-06-11 |
| Find all providers in zip 34108 | ||||
| Taxonomy Code | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://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 |
|---|---|---|---|---|
| 1528453123 | Elite Kidney Care, LLC | Internal Medicine | 1750 Sw Health Pkwy Ste 101, Naples, FL 34109-0518 | 2015-03-31 |
| 1609296029 | Steven R Bialkin Md Pllc | Internal Medicine | 11982 Heather Woods Ct, Naples, FL 34120-4398 | 2014-04-24 |
| 1720216849 | Steven Preston | Internal Medicine | 2618 Bulrush Ln, Naples, FL 34105-3024 | 2009-06-26 |
| 1629277637 | Anita Gofran | Internal Medicine | 2338 Immokalee Rd Ste 186, Naples, FL 34110 | 2007-07-11 |
| 1669539409 | Joji U Urlanda | Internal Medicine | 661 Goodlette Rd N Ste 104, Naples, FL 34102-5609 | 2007-01-02 |
| 1285732149 | Gerald David Kumin | Internal Medicine | 28272 Terrazza Ln, Naples, FL 34110-2767 | 2006-09-21 |
| 1619914058 | Nephrology and Hypertension Specialists Inc | Internal Medicine | 1213 Piper Blvd, Suite 101, Naples, FL 34110-1393 | 2006-06-02 |
| 1801867452 | Charles W Graeber | Internal Medicine | 311 9th St N Ste 100, Naples, FL 34102-5886 | 2006-01-31 |
| 1861490211 | Shariq Ahmad | Internal Medicine | 311 9th St N Ste 304, Naples, FL 34102-5887 | 2005-07-11 |
| 1124488127 | Psa Pediatric Nephrology | Internal Medicine | 1665 Medical Blvd, Naples, FL 34110-1402 | 2016-03-03 |
| Find all providers in NAPLES | ||||
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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.