DR. FRED E RUSSO (NPI# 1689840118) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689840118 |
| Entity Type | Individual |
| Full Name | DR. FRED E RUSSO |
| Credential | D.C. |
| Practice Address |
1289 Cedar Center Dr Tallahassee FL 32301-4877 |
| Practice Telephone | 8504222225 |
| Practice Fax Number | 8502549627 |
| Mailing Telephone | 8504222225 |
| Mailing Fax Number | 8502549627 |
| Enumeration Date | 2008-05-05 |
| Last Update Date | 2014-09-11 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | CH0006439 | FL | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | MEDICARE PTAN | 22778B | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821144288 | Fred Cipriano Russo | Social Worker | 1023 Pulaski Road, East Northport, NY 11731 | 2007-01-26 |
| Street Address |
1289 CEDAR CENTER DR |
| City | TALLAHASSEE |
| State | FL |
| Zip Code | 32301-4877 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235330184 | Carolyn Bier Jones | Mechanotherapist | 1289 Cedar Center Dr, Tallahassee, FL 32301-4877 | 2007-05-29 |
| 1154568426 | Susan M. Wickman | Mechanotherapist | 1289 Cedar Center Dr, Tallahassee, FL 32301-4877 | 2009-01-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790386092 | Rebecca Klein | Behavior Technician | 2331 Hansen Court Tallahassee, Fl 32301, Tallahassee, FL 32301 | 2020-11-03 |
| 1093314692 | Rothschild Counseling and Consulting, LLC | Marriage & Family Therapist | 820 E. Park Ave, Suite F 100, Tallahassee, FL 32301 | 2020-10-23 |
| 1871192070 | Layata Shaundria Twitty-kiser | Licensed Practical Nurse | 2521 Spring Forest Road, Tallahassee, FL 32301 | 2020-10-20 |
| 1457967093 | Tahlah Austin | Behavior Technician | 113 South Monroe Street 1st Floor, Tallahassee, FL 32301 | 2020-09-18 |
| 1972133288 | Mary Lyn Norman | Marriage & Family Therapist | 119 Cadiz Street, #107, Tallahassee, FL 32301 | 2020-01-26 |
| 1285270520 | Norine Cardea | Counselor | The Healing Center, 847 East Park Avenue, Tallahassee, FL 32301 | 2019-11-21 |
| 1629635560 | Lily Ramey | Behavior Technician | 3010 Highland Oaks Ter, Tallahassee, FL 32301 | 2019-05-27 |
| 1861981052 | Mission of Hope of Tall Inc | Nurse's Aide | 1541 Glenway Dr, Tallahassee, FL 32301 | 2018-05-03 |
| 1770084824 | Bond Community Health Center, Inc. | Family Medicine | 2200 South Monroe, Tallahassee, FL 32301 | 2018-02-23 |
| 1356849236 | Amanda Mcglone | Developmental Therapist | 3010 Highland Oaks Terr, Tallahassee, FL 32301 | 2018-01-25 |
| Find all providers in zip 32301 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306316237 | Teegan David Fiedler | Chiropractor | 4004 Norton Ln Ste 102, Tallahassee, FL 32308-5966 | 2018-12-04 |
| 1578077228 | Fred Lloyd Gibson Iv | Chiropractor | 1449 Thomasville Rd, Tallahassee, FL 32303-5609 | 2017-11-16 |
| 1134631492 | Bci Chiropractic LLC | Chiropractor | 3375 Capital Cir Ne Bldg C100, Tallahassee, FL 32308-8700 | 2017-10-26 |
| 1417474685 | Christine Denise Britt | Chiropractor | 6668 Thomasville Rd, Tallahassee, FL 32312-4878 | 2017-08-28 |
| 1376071928 | Bevis Family Chiropractic, P.a. | Chiropractor | 1950 Thomasville Rd Ste E, Tallahassee, FL 32303-5262 | 2017-05-26 |
| 1568904936 | Claude Wade Skinner II | Chiropractor | 3375 Capital Cir Ne Bldg C, Tallahassee, FL 32308-3778 | 2016-11-16 |
| 1528510641 | New Dimensions Chiropractic Center Inc | Chiropractor | 1560 Capital Cir Nw Ste 19, Tallahassee, FL 32303-3181 | 2016-10-25 |
| 1841744182 | Smith Family Chiropractic | Chiropractor | 2447 Mill Creek Ct Ste 1, Tallahassee, FL 32308-8301 | 2016-08-03 |
| 1972056646 | Dr. J. Paul Grant Jr | Chiropractor | 1350 E Call St, Tallahassee, FL 32301-2804 | 2016-07-29 |
| 1679930689 | Andrew James Lewis Jr. | Chiropractor | 1560 Capital Cir Nw, Unit 19, Tallahassee, FL 32303-1312 | 2016-01-21 |
| Find all providers in TALLAHASSEE | ||||
| City | TALLAHASSEE |
| Zip Code | 32301 |
Please comment or provide details below to improve the information on DR. FRED E RUSSO.
| 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.