DR. JOHN RUSSO (NPI# 1538276969) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538276969 |
| Entity Type | Individual |
| Full Name | DR. JOHN RUSSO |
| Credential | DDS |
| Practice Address |
1704 Bay Rd Sarasota FL 34239-6810 |
| Practice Telephone | 9419553100 |
| Practice Fax Number | 9419554769 |
| Mailing Telephone | 9419553100 |
| Mailing Fax Number | 9419554769 |
| Enumeration Date | 2006-08-23 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
DN12786 | FL | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134729791 | John P Russo | Pharmacy | 608 E Hillcrest Ave, New Castle, PA 16105-2254 | 2020-10-31 |
| 1558708156 | John P Russo | Internal Medicine | 5665 Peachtree Dunwoody Rd Ste 500, Atlanta, GA 30342-1701 | 2013-05-23 |
| 1174646426 | John Walter Russo | Social Worker | 70 W 11th St, Suite 1e, New York City, NY 10011 | 2007-04-09 |
| 1023131513 | John Joseph Russo | Dentist | 1101 El Camino Real, San Bruno, CA 94066-2405 | 2007-04-09 |
| 1346376415 | John Anthony Russo | Internal Medicine | 1500 Pleasant Valley Way Ste 201, West Orange, NJ 07052-2956 | 2007-02-25 |
| 1114983442 | John J Russo | Optometrist | 10 Schalks Crossing Rd, Plainsboro, NJ 08536-1612 | 2006-04-25 |
| 1679538367 | John E Russo | Dentist | 430 N Mills Ave, Orlando, FL 32803-5746 | 2006-04-18 |
| 1467858407 | John Russo | Physical Therapist | 4 E South St, Geneseo, NY 14454-1445 | 2014-11-18 |
| 1386926384 | John Christopher Russo | Pharmacist | 5285 Us Highway 1, Vero Beach, FL 32967-7601 | 2011-09-15 |
| 1871729897 | John N Russo | Dentist | 300 Foulk Rd, Wilmington, DE 19803-3886 | 2009-06-04 |
| Street Address |
1704 BAY RD |
| City | SARASOTA |
| State | FL |
| Zip Code | 34239-6810 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588203327 | All-in-one Medical Clinic | Chiropractor | 3436 Bee Ridge Road, Sarasota, FL 34239 | 2019-12-26 |
| 1134782295 | Kafayat Adebukola Busari | Student in an Organized Health Care Education/Training Program | Florida State University/ Sarasota Memorial Hospital, 1700 South Tamiami Trail, Sarasota, FL 34239 | 2019-04-15 |
| 1235600495 | Karen Andrea Gonzalez | Speech-Language Pathologist | 1524 East Ave South, Sarasota, FL 34239 | 2018-12-16 |
| 1659852101 | Tori Alexandra Phelps | Behavioral Analyst | 2324 Prospect Street, Sarasota, FL 34239 | 2018-08-23 |
| 1518450519 | Love To Care4u Homecare | Adult Companion | 3800 Tamiami Trail Ste 105, Sarasota, FL 34239 | 2018-06-13 |
| 1881119691 | Life Awaits Acupuncture | Acupuncturist | 3030 S Tamiami Trail, Sarasota, FL 34239 | 2017-08-14 |
| 1275084600 | Srq Acupuncture & Massage | Acupuncturist | 1810 South Tuttle Ave, Sarasota, FL 34239 | 2016-10-20 |
| 1609253178 | Sumeet Bhanot Md Pa | Otolaryngology | 2038 Bee Ridge Road, Suite A, Sarasota, FL 34239 | 2015-05-04 |
| 1407246093 | Rhett Ethan Bogacz | Chiropractor | 3400 Bee Ridge Rd Ste 100, Sarasota, FL 34239 | 2015-02-03 |
| 1023436136 | Sarah J. Somer | Obstetrics & Gynecology | 1921 Waldemere St Ste 307, Sarasota, FL 34239 | 2014-04-04 |
| Find all providers in zip 34239 | ||||
| Taxonomy Code | 1223P0300X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Periodontics |
| That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376734467 | Michael P Evans | Dentist | 5664 Bee Ridge Rd #201, Sarasota, FL 34233 | 2007-08-05 |
| 1134344963 | Michael Adam Pawlus | Dentist | 2477 Stickney Pt Rd, #100a, Sarasota, FL 34231 | 2007-04-16 |
| 1174661193 | Javier Estuardo Gonzalez | Dentist | 1830 S Tuttle Ave, Sarasota, FL 34239-3112 | 2007-02-02 |
| 1629184288 | Ryan Christopher Taylor | Dentist | 2820 Clark Rd, Sarasota, FL 34231-6220 | 2006-08-23 |
| 1831556273 | Sarasota Dental Specialties Pa | Dentist | 1880 Arlington St, Ste 205, Sarasota, FL 34239 | 2016-01-15 |
| 1700035524 | Kenneth E Ross | Dentist | 2820 Clark Rd, Sarasota, FL 34231-6220 | 2008-09-17 |
| 1215069208 | Charles A. D'amico, D.d.s., P.a. | Dentist | 3900 Clark Rd, Bldg H, Suite 5, Sarasota, FL 34233-2301 | 2007-03-12 |
| 1376684399 | Charles D'amico | Dentist | 3900 Clark Rd, Bldg H, Suite 5, Sarasota, FL 34233-2301 | 2007-02-11 |
| 1407994593 | Lewis Hanan | Dentist | 1830 S Tuttle Ave, Sarasota, FL 34239-3112 | 2007-02-02 |
| 1770621799 | N Joseph Farris | Dentist | 1830 S Tuttle Ave, Sarasota, FL 34239-3112 | 2007-02-02 |
| Find all providers in SARASOTA | ||||
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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.