ANTHONY RUSSO (NPI# 1700860400) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700860400 |
| Entity Type | Individual |
| Full Name | ANTHONY RUSSO |
| Practice Address |
2401 W Pecan St #103 Pflugerville TX 78660-3200 |
| Practice Telephone | 5122515586 |
| Enumeration Date | 2005-12-06 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | G0039 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | BLUE CROSS BLUE SHIELD TX | 00B91R | 01 |
| TX | AETNA | 115675 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912523648 | Anthony Russo | Radiologic Technologist | 163 Quarterdeck Pl, Rochester, NY 14612-1432 | 2020-06-18 |
| 1861990657 | Anthony J Russo | Physical Therapy Assistant | 2300 Park Ave Ste 203, Orange Park, FL 32073-5573 | 2018-01-26 |
| 1730228040 | Anthony Joseph Russo | Dentist | 9 Sandborn St, Staten Island, NY 10312-5410 | 2007-02-05 |
| 1689710881 | Anthony F Russo | Psychiatry & Neurology | 591 Stonehenge Drive, Lititz, PA 17543 | 2007-01-29 |
| 1063574622 | Anthony Daniel Russo | Dentist | 4514 Parsons Blvd, Flushing, NY 11355-2217 | 2006-12-13 |
| 1629148580 | Anthony F Russo | Dentist | 1426 Fowler St, Richland, WA 99352-4717 | 2006-11-08 |
| 1144213455 | Anthony Leonard Russo | Emergency Medicine | 5600 14th Ave Nw Ste 1, Seattle, WA 98107-3723 | 2005-08-23 |
| 1730649989 | Anthony Russo | Student in an Organized Health Care Education/Training Program | 99 Beauvoir Ave, Summit, NJ 07901-3533 | 2019-03-22 |
| 1366890410 | Anthony Russo | Internal Medicine | 500 Gypsy Lane, Youngstown, OH 44501 | 2016-05-31 |
| 1386076644 | Anthony Russo | Behavioral Analyst | 820 Davis St, Evanston, IL 60201-4431 | 2013-08-08 |
| Street Address |
2401 W PECAN ST #103 |
| City | PFLUGERVILLE |
| State | TX |
| Zip Code | 78660-3200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487679254 | North Central Medical Supplies, Inc. | Durable Medical Equipment & Medical Supplies | 2401 W Pecan St, Suite 101, Pflugerville, TX 78660-3200 | 2006-07-13 |
| 1003866500 | Ultimate Medical Supplies,inc | Durable Medical Equipment & Medical Supplies | 2401 W Pecan St, Suite 201, Pflugerville, TX 78660-3200 | 2006-05-12 |
| 1407810864 | Imudani Medical Supplies Inc | Durable Medical Equipment & Medical Supplies | 2401 W Pecan St, 106, Pflugerville, TX 78660-3200 | 2006-04-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952912438 | Swish Dental Pfluggerville, PC | Dentist | 18817 N Heatherwilde Blvd Bldg 1 Ste 100, Pflugerville, TX 78660 | 2020-08-10 |
| 1982225710 | Carpe Diem Primary Care | Clinic/Center | 201 Heatherwilde Blvd, Suite 300, Pflugerville, TX 78660 | 2020-05-04 |
| 1093357055 | Pflugerville Almc, LLC | Assisted Living Facility | 1020 E. Wells Branch Parkway, Pflugerville, TX 78660 | 2019-10-11 |
| 1275186264 | K Family Dentistry | Clinic/Center | 428 Grand Avenue Parkway, Suite150, Pflugerville, TX 78660 | 2019-07-19 |
| 1356901284 | Mary-ellen Pon | Counselor | 2001 Serentiy Drive, Pflugerville, TX 78660 | 2019-06-13 |
| 1194282087 | Leomie Enette Slaughter | Nurse's Aide | 14233 The Lakes Blvd #938, Pflugerville, TX 78660 | 2019-02-27 |
| 1992272850 | Soh of Texas Samson Liu Pllc | Dentist | 1616 Ftm 685 #103, Pflugerville, TX 78660 | 2018-10-30 |
| 1700360476 | Baylor Health Enterprises, L.p. | Pharmacy | 2600 E. Pflugerville Pkwy, Suite 1.200, Pflugerville, TX 78660 | 2018-09-19 |
| 1487135216 | Erin Rachael Abbott | Licensed Vocational Nurse | 608 Palitine Ln, Pflugerville, TX 78660 | 2018-08-29 |
| 1346729159 | Baylor Scott & White Medical Centers - Capitol Area | General Acute Care Hospital | 2600 E Pflugerville Pkwy, Ste 100, Pflugerville, TX 78660 | 2018-08-13 |
| Find all providers in zip 78660 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
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| 1770107542 | Texas Integrative Wellness Pllc | General Practice | 21660 Kingsland Blvd Ste 200, Katy, TX 77450-2511 | 2020-06-08 |
| Find all providers with the same taxonomy | ||||
| City | PFLUGERVILLE |
| Zip Code | 78660 |
Please comment or provide details below to improve the information on ANTHONY 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.