Scott M Russo, DO

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

014959 Issued in MI

Practice address

1215 E Michigan Ave
Lansing, MI 48912-1811

Phone

(517) 364-2223

Fax

(517) 364-3131

NPI assigned

Sep 29, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Emergency Medicine

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Eaton Rapids Medical CenterGroup PAC ID 5991692634, 34 clinicians

Cep America LLCGroup PAC ID 6608056171, 995 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mymichigan Medical Center Saginaw Hospital, Saginaw, MI, CCN 230077
• Eaton Rapids Medical Center Hospital, Eaton Rapids, MI, CCN 231324

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

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

• Cep America LLC

  • Emergency Medicine Physician
  • Saginaw, MI
  • NPI 1912687328
  Medicare reassignment Care Compare group NPD
• Eaton Rapids Medical Center

  • Critical Access Hospital
  • Eaton Rapids, MI
  • NPI 1417044660
  Medicare reassignment Care Compare group NPD
• Degara App, PLLC

  • Emergency Medicine Physician
  • Lansing, MI
  • NPI 1265976971
  Medicare reassignment NPD
• Sparrow Clinton Hospital

  • Emergency Medicine Physician
  • Saint Johns, MI
  • NPI 1396827952
  Medicare reassignment NPD
• Eaton Rapids Medical Center

  • Rural Health Clinic/Center
  • Eaton Rapids, MI
  • NPI 1588810709
  Medicare reassignment
• Eaton Rapids Medical Center

  • Physician Assistant
  • Jackson, MI
  • NPI 1316719859
  NPD
• Sparrow Clinton Hospital

  • Multi-Specialty Clinic/Center
  • Saint Johns, MI
  • NPI 1306893078
  NPD
• Cep America LLC

  • Emergency Medicine Physician
  • Fort Lauderdale, FL
  • NPI 1700747946
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Eaton Rapids Medical Center

  • Critical Access Hospital
  • Eaton Rapids, MI
  • NPI 1417044660
  Care Compare affiliation
• Eaton Rapids Medical Center

  • Emergency Medicine Physician
  • Eaton Rapids, MI
  • NPI 1730237165

  Hospital

  Care Compare affiliation
• Mymichigan Medical Center Saginaw

  • General Acute Care Hospital
  • Saginaw, MI
  • NPI 1871507509
  Care Compare affiliation

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1198627200000",
    "number": "1245322023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 634280",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452630041",
            "telephone_number": "517-336-8080",
            "fax_number": "517-336-9122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 E MICHIGAN AVE",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489121811",
            "telephone_number": "517-364-2223",
            "fax_number": "517-364-3131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSO",
        "first_name": "SCOTT",
        "middle_name": "M",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-29",
        "last_updated": "2007-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MI",
            "license": "014959",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4929919",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "1245322023",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHP & PHPFC",
            "identifier": "200000002778",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Claire Cleveland Russell, DO
• Emma Kristine Russell
• Karly Russell
• Susan Kay Russell, LPN
• Hannah Russo
• Joseph Rutkowski, MD
• Melissa Nicole Rutledge, LLMSW
• Sydni Rutledge
• Jennifer Ann Rutzen, NP
• Lass Rewand Rwandz I

• Emergency Medicine Physician in Lansing, MI
• Providers in Lansing, MI by specialty
• Emergency Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2007; 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.