James Henry Russillio, RN, BSN, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

659979-01 Issued in NY

Practice address

3495 Bailey Ave
Buffalo, NY 14215-1129

Phone

(716) 834-9200

NPI assigned

Jun 29, 2021

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

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Bachelor on Science - Nursing, Registered Nurse

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.

• Andrew J. Siedlecki, M.D., PC

  • Ophthalmology Physician
  • Williamsville, NY
  • NPI 1689884488
  Medicare reassignment NPD
• Northtowns Ambulatory Surgery Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Williamsville, NY
  • NPI 1073384855
  Medicare reassignment NPD
• Sunrise Surgery Center LLC

  • Ambulatory Surgical Clinic/Center
  • Orchard Park, NY
  • NPI 1912675513
  NPD

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

{
    "created_epoch": "1624924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624924800000",
    "number": "1275103467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "185 SENECA CREEK RD APT RS",
            "city": "WEST SENECA",
            "state": "NY",
            "postal_code": "142242347",
            "telephone_number": "716-946-7650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3495 BAILEY AVE",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142151129",
            "telephone_number": "716-834-9200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSILLIO",
        "first_name": "JAMES",
        "middle_name": "HENRY",
        "credential": "RN, BSN, CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-29",
        "last_updated": "2021-06-29",
        "certification_date": "2021-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NY",
            "license": "659979-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joel D Russell, LMSW
• Judith Ann Russell, COTA/C
• Laura Mary Russell
• Mary Anne Russell, MS, CCC-SLP
• Meghan Russell, M.S., C.A.S.
• Anna K Russo, PA-C
• Colleen A Russo, PMHNP
• Doreen Ruth Russo, RN
• Jennifer Russo, RD, CDN
• Kelly Lynn Russo

• Certified Registered Nurse Anesthetist in Buffalo, NY
• Providers in Buffalo, NY by specialty
• Certified Registered Nurse Anesthetist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.