MELISSA RUSSO (NPI# 1639610900) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639610900 |
| Entity Type | Individual |
| Full Name | MELISSA RUSSO |
| Practice Address |
2936 2nd St Wayland MI 49348-9518 |
| Practice Telephone | 6168628553 |
| Mailing Telephone | 6168628553 |
| Enumeration Date | 2017-03-20 |
| Last Update Date | 2017-03-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225400000X | Rehabilitation Practitioner | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053662304 | Melissa Russo | Pharmacist | 320 Smith St, Brooklyn, NY 11231-4608 | 2012-09-26 |
| 1992032783 | Melissa Russo | Social Worker | 1640 Washington St, Boston, MA 02118-3380 | 2009-11-16 |
| 1205034519 | Melissa Lauren Russo | Obstetrics & Gynecology | 600 N Wolfe St, Baltimore, MD 21287-0001 | 2007-07-07 |
| 1205031531 | Melissa B Russo | Anesthesiology | 1514 Jefferson Hwy, New Orleans, LA 70121-2429 | 2007-06-18 |
| 1427107275 | Melissa Russo | Counselor | 75 Fountain St, Framingham, MA 01702-6210 | 2007-01-10 |
| Street Address |
2936 2ND ST |
| City | WAYLAND |
| State | MI |
| Zip Code | 49348-9518 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215447214 | Alexandra Jo Obetts | Occupational Therapist | 145 S. Main Suite 4, Wayland, MI 49348 | 2017-10-04 |
| 1821450404 | Samantha Chilcote Ritenburgh | Psychologist | 2730 S Patterson Rd, Wayland, MI 49348 | 2016-03-23 |
| 1629222864 | Susan Mccourt | Physical Therapist | 709 W. Superior, Wayland, MI 49348 | 2008-11-14 |
| 1720204126 | Christine Laura Ackermann | Dentist | 12715 W M-179 Hwy, Wayland, MI 49348 | 2007-04-17 |
| 1811069099 | Adam Greenman | Chiropractor | 135 E. Superior St., Wayland, MI 49348 | 2006-11-14 |
| 1942392337 | Robert Michael Rowe | Pharmacist | 300 Reno Drive, Wayland, MI 49348 | 2006-09-29 |
| 1447223995 | Ronald Angelo House II | Chiropractor | 135 E Superior St, Wayland, MI 49348 | 2006-02-07 |
| 1699055194 | Rebecca G Eckert | Nurse Practitioner | 12851 W M 179 Hwy, Wayland, MI 49348 | 2011-08-28 |
| 1023100419 | Michael Shannon Shea | Pharmacist | 300 Reno Dr, Wayland Village Pharmacy, Wayland, MI 49348 | 2006-09-29 |
| 1295769123 | Peter Anthony Post | Physical Therapist | 145 S Main St, Wayland, MI 49348 | 2006-07-10 |
| Find all providers in zip 49348 | ||||
| Taxonomy Code | 225400000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Rehabilitation Practitioner |
| A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053850487 | Macy Biondo | Rehabilitation Practitioner | 888 Camellia Ln, Wayland, MI 49348-8918 | 2017-02-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144785205 | Lindsey Sayles | Rehabilitation Practitioner | 3115 Cascade Rd Se, Grand Rapids, MI 49506-1961 | 2019-02-04 |
| 1891274460 | Lindsey Elizabeth Mcbride | Rehabilitation Practitioner | 1570 E Beltline Ave Se, Grand Rapids, MI 49546-4446 | 2018-08-14 |
| 1003331752 | Restorative Outdoor Services LLC | Rehabilitation Practitioner | 6874 Wildwood Trl Sw, South Boardman, MI 49680-9588 | 2017-08-03 |
| 1912427121 | Kalysia Zimmerman | Rehabilitation Practitioner | 1444 Water St, Eaton Rapids, MI 48827-1860 | 2017-06-20 |
| 1104354349 | Rock Steady Boxing Mid Michigan | Rehabilitation Practitioner | 1914 S Saginaw Rd Apt 408, Midland, MI 48640-6808 | 2017-06-01 |
| 1952839532 | Alexus Miller | Rehabilitation Practitioner | 1314 Langley St Se, Grand Rapids, MI 49508-8925 | 2017-05-26 |
| 1528595055 | Amber Rose Brautigam | Rehabilitation Practitioner | 315 Fuller Ave Se # 2, Grand Rapids, MI 49506-1639 | 2017-05-15 |
| 1831625607 | April D Spotts | Rehabilitation Practitioner | 86 W Clarke Ave, Coldwater, MI 49036-1130 | 2017-05-11 |
| 1285160226 | Patrick Besse | Rehabilitation Practitioner | 10737 Wildwood Rd, Delton, MI 49046-7784 | 2017-05-11 |
| 1386170546 | Carlie Little | Rehabilitation Practitioner | 3913 Leland Ave. Nw, Comstock Park, MI 49321 | 2017-05-10 |
| Find all providers with the same taxonomy | ||||
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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.