Corrine M Russo, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

8860 Columbia 100 Pkwy Ste 400
Columbia, MD 21045

Phone

(410) 964-8346

Fax

(410) 964-4412

NPI assigned

Jun 30, 2017

Last updated

Jul 9, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD, DC, IL, AZ, GA, MA, IN, NJ, PA, VA, NY, OH, NC, MI, AL, DE, NM, SC, KY19 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 19

Specialty

Physician Assistant

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Center for Vein Restoration Ga CorpGroup PAC ID 8527478742, 7 clinicians

Center for Vein Restoration MD LLCGroup PAC ID 8729022736, shared by 27 NPIs, 32 clinicians

Center for Vein Restoration Oh LLCGroup PAC ID 1254619091, 5 clinicians

Center for Vein Restoration PA PLLCGroup PAC ID 2365768298, 8 clinicians

Center for Vein Restoration in LLCGroup PAC ID 8426356528, 11 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Promoting interoperability

100

Improvement activities

40

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Promoting interoperability

100

Improvement activities

40

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations (25 of 102)

Interoperability endpoints

• Direct secure messaging: corrine.russopac.p3@direct.cvr.nextgenshare.com
• Direct secure messaging: corrine.russopac.p5@direct.cvr.nextgenshare.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Center for Vein Restoration Ga Corp

  • Vascular Surgery Physician
  • Atlanta, GA
  • NPI 1902423387
  Medicare reassignment Care Compare group
• Center for Vein Restoration in, LLC

  • Vascular Surgery Physician
  • Greenwood, IN
  • NPI 1629437397
  Medicare reassignment Care Compare group
• Center for Vein Restoration Oh LLC

  • Vascular Surgery Physician
  • Oregon, OH
  • NPI 1679026751
  Medicare reassignment Care Compare group
• Center for Vein Restoration PA PLLC

  • Vascular Surgery Physician
  • Bensalem, PA
  • NPI 1447658877
  Medicare reassignment Care Compare group
• Center for Vein Restoration MD LLC

  • Vascular Surgery Physician
  • Greenbelt, MD
  • NPI 1487772349

  DC, VA

  Medicare reassignment NPD
• Center for Vein Restoration MD LLC

  • Vascular Surgery Physician
  • Greenbelt, MD
  • NPI 1770741753
  Medicare reassignment NPD
• Center for Vein Restoration Ky, LLC

  • Vascular Surgery Physician
  • Owensboro, KY
  • NPI 1932658622
  Medicare reassignment NPD
• Center for Vein Restoration NM LLC

  • Cardiovascular Disease Physician
  • Rio Rancho, NM
  • NPI 1891342994
  Medicare reassignment NPD
• Center for Vein Restoration SC LLC

  • Surgery Physician
  • Columbia, SC
  • NPI 1295391498
  Medicare reassignment NPD
• Mdics at Anne Arundel LLC

  • Hospitalist Physician
  • Annapolis, MD
  • NPI 1427343664
  Medicare reassignment
• Center for Vein Restoration Al LLC

  • Vascular Surgery Physician
  • Dothan, AL
  • NPI 1164897427
  Medicare reassignment
• Center for Vein Restoration Az LLC

  • Surgery Physician
  • Mesa, AZ
  • NPI 1215411970
  Medicare reassignment

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1498780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531094400000",
    "number": "1093236945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3700 COLLEGE AVE APT 402",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210434641",
            "telephone_number": "410-294-7246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8860 COLUMBIA 100 PKWY STE 400",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "21045",
            "telephone_number": "410-964-8346",
            "fax_number": "410-964-4412"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2001 Medical Pkwy",
            "address_purpose": "LOCATION",
            "city": "Annapolis",
            "state": "MD",
            "postal_code": "214013773",
            "country_code": "US",
            "telephone_number": "443-481-1000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUSSO",
        "first_name": "CORRINE",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-30",
        "last_updated": "2018-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hannah Jane Russell
• James Ryan Russell, MD
• Jonathon O Russell, MD
• William M Russell, MD
• Steven Daniel Russett
• Philip Russo
• Claire Rutenbeck, R.N.
• James E Rutledge, PSYD, MFS
• Jennifer Rutter, RBT
• Ruxton Supply Services, LLC

• Physician Assistant in Columbia, MD
• Providers in Columbia, MD by specialty
• Physician Assistant in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.