DENNIS CHARLES RUSSO (NPI# 1831212497) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831212497 |
| Entity Type | Individual |
| Full Name | DENNIS CHARLES RUSSO |
| Credential | PHD |
| Practice Address |
101 Heart Drive Ecu Physicians Family Practice Greenville NC 27834-4300 |
| Mailing Address |
Po Box 751069 Ecu Physicians Family Medicine Charlotte NC 28275-1069 |
| Practice Telephone | 2527444611 |
| Practice Fax Number | 2527443201 |
| Enumeration Date | 2007-04-09 |
| Last Update Date | 2011-12-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
3878 | NC | Behavioral Health & Social Service Providers |
| N | 103TC0700X |
Psychologist Specialization: Clinical |
2345 | MA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | TUFTS | 685661 | 01 |
| MA | BLUE CROSS | M18708 | 01 |
| MA | 1312677 | 05 | |
| NC | 6001200 | 05 | |
| NC | BCBSNC | 1558J | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174695613 | Dennis Ahlert Russo Jr. | Chiropractor | 4033 Veterans Memorial Blvd Ste D, Metairie, LA 70002-5525 | 2006-11-13 |
| 1225241151 | Dennis Ahlert Russo | Dentist | 5037 Veterans Memorial Blvd, Ste 3-a, Metairie, LA 70006-5136 | 2007-05-07 |
| 1861432064 | Dennis Russo | Internal Medicine | 225 Rabro Dr, Hauppauge, NY 11788-4241 | 2006-06-07 |
| Street Address |
101 HEART DRIVE ECU PHYSICIANS FAMILY PRACTICE |
| City | GREENVILLE |
| State | NC |
| Zip Code | 27834-4300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013914407 | Emily L Bray | Family Medicine | 101 Heart Drive, Ecu Physicains Family Medicine Center, Greenville, NC 27834-4300 | 2005-06-30 |
| 1639500127 | Lani True | Pharmacist | 101 Heart Drive, Robert Monk Geriatric Center, Greenville, NC 27834 | 2013-12-09 |
| 1275960999 | Christopher Todd Coltrain | Nurse Practitioner | 101 Heart Drive, Ecu Physicians Family Medicine Center, Greenville, NC 27834-8944 | 2013-09-27 |
| 1902147580 | Christina M Pieringer | Physician Assistant | 101 Heart Drive, Ecu Physicians Family Medicine, Greenville, NC 27834 | 2013-03-07 |
| 1699010504 | Kari Blankenhorn Kirian | Psychologist | 101 Heart Drive, Ecu Physicians Family Medicine, Greenville, NC 27834-8944 | 2012-12-04 |
| 1144580135 | Dionne Lowder Knapp | Pharmacist | 101 Heart Drive, Greenville, NC 27834 | 2012-05-23 |
| 1306117718 | Lindsay Yvonne Jenkins | Physician Assistant | 101 Heart Drive, Ecu Physicians Family Medicine, Greenville, NC 27834-8944 | 2012-01-17 |
| 1447538434 | Alexander Nathaniel Durland | Physical Therapist | 101 Heart Drive, Ecu Physicians Physical Therapy, Greenville, NC 27834-8944 | 2011-07-26 |
| 1699940536 | Jamie D Messenger | Pharmacist | 101 Heart Drive, Mail Stop 654, Greenville, NC 27834-4300 | 2008-04-22 |
| 1144429630 | Justin Reid Edwards | Family Medicine | 101 Heart Drive, Ecu Physicians Family Practice Center, Greenville, NC 27834-4300 | 2007-07-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841801255 | Nicholas Mcarthur Bennett | Day Training, Developmentally Disabled Services | 302 C, Greenville, NC 27834 | 2020-08-11 |
| 1275150245 | Shelby Renee Jones | Student in an Organized Health Care Education/Training Program | East Carolina University College of Nursing, 600 Moye Blvd, Greenville, NC 27834 | 2020-06-25 |
| 1194347138 | Soban Ahmad | Student in an Organized Health Care Education/Training Program | 600 Moye Blvd., Vmc Ma Room 350. Internal Medicine Resi, Mailstop #734, Greenville, NC 27834 | 2020-05-13 |
| 1427687789 | Brandon Allen Yates | Student in an Organized Health Care Education/Training Program | 435 Clinic Drive, Greenville, NC 27834 | 2020-04-07 |
| 1144854407 | Kristen Springer Dreyfus | Marriage & Family Therapist | 2609 West Arlington Blvd Suite 106, Greenville, NC 27834 | 2020-02-26 |
| 1861038606 | Southern Surgical Outpatient Surgery Center, Pa | Clinic/Center | 2457 Emerald Place, Greenville, NC 27834 | 2019-11-26 |
| 1003460569 | Shaun Fitzpatrick | Nurse Practitioner | Physicians East, Pa 1850 W. Arlington Blvd., Greenville, NC 27834 | 2019-08-01 |
| 1649831496 | Katherine Salome Ross | Genetic Counselor, MS | 524 Moye Blvd, Greenville, NC 27834 | 2019-06-24 |
| 1477011880 | Lauren Bethune Scroggs | Counselor | 2150 West 5th Street, Health Sciences Building Mailstop 688, Greenville, NC 27834 | 2019-03-05 |
| 1669998001 | Idella's Care Home | Community/Behavioral Health | 2912 Lee Ct # 9a, Greenville, NC 27834 | 2017-08-17 |
| Find all providers in zip 27834 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770181125 | Christopher Moylan | Psychologist | 200 Patewood Dr Bldg A, Greenville, SC 29615-3593 | 2020-10-16 |
| 1861000978 | Lauren Gay Fontenot | Psychologist | 3453 Pelham Rd Ste 107, Greenville, SC 29615-7400 | 2020-07-15 |
| 1881247476 | Reliant Mental Health Services LLC | Psychologist | 221- 223 Adley Way Ste 221, Greenville, SC 29607-6511 | 2019-07-23 |
| 1295272078 | Stephanie Wallio | Psychologist | 1705 Rondo Dr, Greenville, NC 27858-5337 | 2017-01-31 |
| 1346690062 | Dale Lawrence Sanders | Psychologist | 4 Creekstone Ct, Greenville, SC 29609-4845 | 2016-06-14 |
| 1336587278 | Andrea Cantarelli | Psychologist | 3217 Meeting Pl, Greenville, NC 27858-8000 | 2013-06-13 |
| 1235478355 | Lowdergroup LLC | Psychologist | 86 Villa Rd Ste B, Greenville, SC 29615-3052 | 2013-02-08 |
| 1952699456 | Christy Mangione Walcott | Psychologist | 104 Rawl Bldg, Mailstop 565, Department of Psychology, Greenville, NC 27858-4353 | 2011-07-18 |
| 1720386683 | Ecu Pass Clinic | Psychologist | 311 Rawl Building, East 5th St., East Carolina University, Greenville, NC 27858-4353 | 2011-03-02 |
| 1336442953 | North Kent Guidance Serivces | Psychologist | 106 S Greenville West Dr, Suite 3, Greenville, MI 48838-3504 | 2010-12-21 |
| Find all providers in GREENVILLE | ||||
| City | GREENVILLE |
| Zip Code | 27834 |
Please comment or provide details below to improve the information on DENNIS CHARLES 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.