MR. PETER JOHN RUSSO (NPI# 1356431456) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356431456 |
| Entity Type | Individual |
| Full Name | MR. PETER JOHN RUSSO |
| Credential | PA-C |
| Practice Address |
55 W Waterloo Rd Akron OH 44319-1116 |
| Mailing Address |
211 Ridge Rd Mogadore OH 44260-2022 |
| Practice Telephone | 3307247715 |
| Mailing Telephone | 3306285508 |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
50.000448 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568598076 | Peter David Russo | Dentist | 53 Montowese St, Branford, CT 06405 | 2007-02-26 |
| 1053485672 | Peter J Russo | Dentist | 567 Southbridge, Auburn, MA 01520 | 2006-11-17 |
| 1679528350 | Peter Martin Russo | Emergency Medicine | 1611 Feather River Blvd, Suite #10, Oroville, CA 95965 | 2006-05-23 |
| 1720627037 | Peter Russo | Physician Assistant | 120 Ochsner Blvd, Gretna, LA 70056-5255 | 2020-01-03 |
| 1588729941 | Peter Joseph Russo | Physician Assistant | 2545 W Hammer Ln, Stockton, CA 95209-2839 | 2006-12-26 |
| 1104846849 | Peter Anthony Russo | Dentist | 18800 Main St, Ste. 201, Huntington Beach, CA 92648-1707 | 2006-07-19 |
| 1790759694 | Peter Anthony Russo | Optometrist | 2160 S 1st Ave, (17w740 22nd Steert, Oakbrook Terrace, Il. 60181), Maywood, IL 60153 | 2006-02-15 |
| 1063496529 | Peter Louis Russo | Pharmacist | 5507 Glenwood Rd, Brooklyn, NY 11234-1113 | 2005-11-30 |
| Street Address |
55 W WATERLOO RD |
| City | AKRON |
| State | OH |
| Zip Code | 44319-1116 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942285218 | Jeanette Porubovich-mizenko | Internal Medicine | 55 W Waterloo Rd, Akron, OH 44319-1116 | 2005-12-09 |
| 1861001331 | Edra Collette Williams | Social Worker | 55 W Waterloo Rd, Akron, OH 44319-1116 | 2020-07-30 |
| 1356993935 | Rudolph Pekarovic IIi | Nurse Practitioner | 55 W Waterloo Rd, Akron, OH 44319-1116 | 2019-07-12 |
| 1093292047 | Holly Elizabeth Henry-nuss | Social Worker | 55 W Waterloo Rd, Akron, OH 44319-1116 | 2018-07-23 |
| 1952897241 | Melissa Ann Rock | Pharmacist | 55 W Waterloo Rd, Akron, OH 44319-1116 | 2018-07-10 |
| 1649624990 | Erica Lucia Keller | Optometrist | 55 W Waterloo Rd, Akron, OH 44319-1116 | 2016-04-22 |
| 1619302114 | Christopher A Waite | Social Worker | 55 W Waterloo Rd, Akron, OH 44319-1116 | 2013-09-04 |
| 1104109826 | Zachary Winkhart | Physical Therapist | 55 W Waterloo Rd, Akron, OH 44319-1116 | 2011-09-20 |
| 1639492234 | Frances Irene Snell | Nurse Practitioner | 55 W Waterloo Rd, Akron, OH 44319-1116 | 2010-03-10 |
| 1528297041 | Mathew Clay Moughiman | Physical Therapist | 55 W Waterloo Rd, Akron, OH 44319-1116 | 2009-07-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467051250 | Charles M Gray | Non-emergency Medical Transport (VAN) | 5863 Renninger Road, New Franklin, OH 44319 | 2020-10-22 |
| 1386267383 | Melany Leek | Dentist | 2383 S Main Street, Akron, OH 44319 | 2020-05-26 |
| 1326544115 | Alpha Dental Akron - Ming Yu Dds LLC | Dentist | 3235 Manchester Rd Ste 2, Akron, OH 44319 | 2018-04-02 |
| 1972031565 | Laura Knight | Optometrist | 2694 S Main St, Akron, OH 44319 | 2017-05-26 |
| 1073937066 | Charles Curtis | Licensed Practical Nurse | 530 W Turkey Elementary School, New Fraklin, OH 44319 | 2014-02-11 |
| 1215200217 | Margaret Jane D'amico | Occupational Therapy Assistant | 607 Jarvis Road, Akron, OH 44319 | 2012-02-22 |
| 1376846360 | Britny Miller | Home Health Aide | 3790 Powell Ave, Akron, OH 44319 | 2010-12-13 |
| 1346552429 | Carina Ford | Occupational Therapist | 670 Jaris Road, Akron, OH 44319 | 2010-07-06 |
| 1831348713 | David Bruce Imbeau | Dentist | 3235 Manchester Rd. Suite #2, Akron, OH 44319 | 2008-09-16 |
| 1528216652 | Rem Ohio, Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 3070 Littledale Road, Akron, OH 44319 | 2008-09-03 |
| Find all providers in zip 44319 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760891501 | James Schalmo | Physician Assistant | 575 E Market St, Akron, OH 44304 | 2014-08-06 |
| 1053885624 | Audrey Hoffmann | Physician Assistant | 75 Arch St Ste 301, Akron, OH 44304-1429 | 2019-01-17 |
| 1386152049 | Elliott Clark | Physician Assistant | 1622 E Turkeyfoot Lake Rd Ste 200, Akron, OH 44312-5277 | 2018-01-16 |
| 1801308531 | Quinn M Repp | Physician Assistant | 880 Mull Ave Ste 100, Akron, OH 44313-7522 | 2017-11-03 |
| 1518486760 | Megan Elizabeth Brook | Physician Assistant | 1 Akron General Ave, Akron, OH 44307-2432 | 2017-09-19 |
| 1275073793 | Nicholas James Tuttle | Physician Assistant | 1 Akron General Ave, Akron, OH 44307-2432 | 2017-03-02 |
| 1437608353 | Paige Hanchulak | Physician Assistant | 1 Akron General Ave, Akron, OH 44307 | 2016-10-04 |
| 1326418278 | Lauren Parsons | Physician Assistant | 1450 Firestone Pkwy, Akron, OH 44301 | 2015-10-05 |
| 1285043356 | Samuel C Donnelly | Physician Assistant | 525 E Market St, Akron, OH 44304-1619 | 2014-08-04 |
| 1962830315 | Danielle Curran | Physician Assistant | 300 Locust St, Suite 560, Akron, OH 44302 | 2013-10-23 |
| Find all providers in AKRON | ||||
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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.