Kathleen M Russo (NPI# 1790784932, PAC ID# 1355301706) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1790784932 |
| PAC ID by PECOS | 1355301706 |
| Professional Enrollment ID | I20041012000310 |
| Full Name | Kathleen M Russo |
| Organization Legal Name | FLORIDA DIGESTIVE HEALTH SPECIALISTS, LLP |
| Address |
2061 Englewood Rd Suite 5 Englewood FL 34223-1749 |
| Phone Number | 9414738881 |
| Gender | F |
| Credential | NP |
| Graduation Year | 2004 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 6507054582 |
| Number of Group Practice Members | 68 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 2061 Englewood Rd, Suite 5, Englewood, FL 34223-1749 | 9414738881 | FLORIDA DIGESTIVE HEALTH SPECIALISTS, LLP |
| Organization Legal Name | FLORIDA DIGESTIVE HEALTH SPECIALISTS, LLP |
| Physicians | 75 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Justin Michael Gomez | Gastroenterology | Florida Digestive Health Specialists, LLP | 1273 Florida Ave S, Rockledge, FL 32955-2485 |
| Andrew F Ringel | Gastroenterology | Florida Digestive Health Specialists, LLP | 417 A Racetrack Rd Nw, Suite 2, Fort Walton Beach, FL 32547-4604 |
| John D Roddenberry | Gastroenterology | Florida Digestive Health Specialists, LLP | 1886 59th St W, Bradenton, FL 34209-4630 |
| John C Southerland | Gastroenterology | Florida Digestive Health Specialists, LLP | 1801 Arlington St, Suite 101, Sarasota, FL 34239-3502 |
| Marivic Quintinita | Nurse Practitioner | Florida Digestive Health Specialists, LLP | 407 S Washington Ave, Suite 1, Titusville, FL 32796-3500 |
| Andrew I Tobkes | Gastroenterology | Florida Digestive Health Specialists, LLP | 1009 Harvin Way, Suite 100, Rockledge, FL 32955-3282 |
| Arun Khazanchi | Gastroenterology | Florida Digestive Health Specialists, LLP | 11505 Palmbrush Trl, Lakewood Ranch, FL 34202-2915 |
| Peter R Dumas | Gastroenterology | Florida Digestive Health Specialists, LLP | 825 Venetian Pkwy, Venice, FL 34285-7163 |
| Francisco J Aguilo Seara | Gastroenterology | Florida Digestive Health Specialists, LLP | 1268 Us Hwy 1, Rockledge, FL 32955-2798 |
| Tammy M Torrey | Physician Assistant | Florida Digestive Health Specialists, LLP | 11505 Palmbrush Trl, Lakewood Ranch, FL 34202-2915 |
| Street Address |
2061 ENGLEWOOD RD SUITE 5 |
| City | ENGLEWOOD |
| State | FL |
| Zip | 34223-1749 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tammy Birbeck | Obstetrics/gynecology | 2061 Englewood Rd, Suite 4, Englewood, FL 34223-1747 | |
| Anthony Ditomaso | Gastroenterology | Florida Digestive Health Specialists, LLP | 2061 Englewood Rd, Suite 5, Englewood, FL 34223-1749 |
| Cynthia Kay Davis | Obstetrics/gynecology | 2061 Englewood Rd, Suite 1, Englewood, FL 34223-1747 | |
| Scott T Martz | Urology | 2061 Englewood Rd, Suite 3a, Englewood, FL 34223-1747 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Curtis Mason | Physical Therapy | Svpt LLC | 1600 Englewood Rd, Englewood, FL 34223-1819 |
| Julie K Smajdor | Physical Therapy | Svpt LLC | 1600 Englewood Rd, Englewood, FL 34223-1819 |
| Dong P Tran | Anesthesiology | Gcsc Anesthesia LLC | 1750 Englewood Rd, Englewood, FL 34223-1821 |
| Karen Bassetti | Family Medicine | Millennium Physician Group LLC | 1885 Englewood Rd, Englewood, FL 34223-1822 |
| Om Dutt Sharma | Internal Medicine | 1885 Englewood Rd, Englewood, FL 34223-1822 | |
| Stephen Logan | Family Practice | Millennium Physician Group LLC | 1885 Englewood Rd, Englewood, FL 34223-1822 |
| Sara Abadie | Clinical Social Worker | 975 N Boundary Rd, Englewood, FL 34223-2312 | |
| Pawel Kalwinski | Family Medicine | 406 N Indiana Ave, Suite 4, Englewood, FL 34223-2713 | |
| James Edward Knapp | Infectious Disease | 406 N Indiana Ave, Suite 9, Englewood, FL 34223-2713 | |
| Charles B Eagar | General Practice | 655 N Indiana Ave, Englewood, FL 34223-2749 | |
| Find all physicians in zip 34223 | |||
| City | ENGLEWOOD |
| Zip Code | 34223 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | ENGLEWOOD + NURSE PRACTITIONER |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.