MR. PETER JOHN RUSSO PA-C NPI 1356431456

NPI Information

NPI: 1356431456
Provider Name: MR. PETER JOHN RUSSO, PA-C
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

Address:
55 W WATERLOO RD
AKRON, OH
ZIP 44319
Phone: (330) 724-7715
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MR. Peter John Russo, PA-C is a medical physician assistant in Akron, OH. MR. Peter John Russo, PA-C NPI is 1356431456. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

55 W WATERLOO RD
AKRON, OH
ZIP 44319-116
Phone: (330) 724-7715

The enumeration date for this NPI number is 10/13/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AM0700X	Physician Assistant	Medical	50.000448	OHIO	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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