NPI Details
DR. Sam Russo, N.D., LAC, RMSK is a naturopath in Winooski, VT. The provider is diagnoses, treats, and cares for patients, using system of practice that bases treatment of physiological functions and abnormal conditions on natural laws governing human body: Utilizes physiological, psychological, and mechanical methods, such as air, water, light, heat, earth, phototherapy, food and herb therapy, psychotherapy, electrotherapy, physiotherapy, minor and orificial surgery, mechanotherapy, naturopathic corrections and manipulation, and natural methods or modalities, together with natural medicines, natural processed foods, and herbs and nature's remedies. Excludes major surgery, therapeutic use of x ray and radium, and use of drugs, except those assimilable substances containing elements or compounds which are components of body tissues and are physiologically compatible to body processes for maintenance of life. DR. Sam Russo, N.D., LAC, RMSK NPI is 1891828398. 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:
321 MAIN ST STE B
WINOOSKI, VT
ZIP 05404-380
Phone: (802) 636-4133
Fax: (833) 464-3117
The enumeration date for this NPI number is 3/13/2007 and was last updated on 5/1/2023.
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 | 171100000X | Acupuncturist | | 091-0000176 | VERMONT | No |
| 2 | 2083S0010X | Preventive Medicine | Sports Medicine | 099-0000131 | VERMONT | No |
| 3 | 208D00000X | General Practice | | 099-0000131 | VERMONT | No |
| 4 | 175F00000X | Naturopath | | 099-0000131 | VERMONT | Yes |
Other Identifiers
The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.
| No. |
Other Provider Identifier |
Other Provider Identifier Type |
Other Provider Identifier State |
Other Provider Identifier Issuer |
| 1 | 1015129 | MEDICAID | VERMONT | |
