Therese Eileen Russo, MA

Primary specialty

AudiologistTaxonomy code 231H00000X

License

0005651 Issued in NY

Practice address

989 Route 146
Building 300 Ste 302
Clifton Park, NY 12065-3646

Phone

(518) 383-4273

Fax

(518) 383-4274

NPI assigned

Jun 29, 2006

Last updated

Jul 8, 2007By 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 NY

Enrollment records 1

Specialty

Qualified Audiologist

Education

State University of New York at Stony Brook, School of Medicine, 1980

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Kawola-McAdam AudiologyGroup PAC ID 0143695262, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Kawola-McAdam Audiology

  dba Center for Clear Hearing

  • Audiologist
  • Clifton Park, NY
  • NPI 1669188181
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1346278272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "989 ROUTE 146",
            "address_2": "BUILDING 300 STE 302",
            "city": "CLIFTON PARK",
            "state": "NY",
            "postal_code": "120653646",
            "telephone_number": "518-383-4273",
            "fax_number": "518-383-4274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "989 ROUTE 146",
            "address_2": "BUILDING 300 STE 302",
            "city": "CLIFTON PARK",
            "state": "NY",
            "postal_code": "120653646",
            "telephone_number": "518-383-4273",
            "fax_number": "518-383-4274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSO",
        "first_name": "THERESE",
        "middle_name": "EILEEN",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NY",
            "license": "0005651",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Rothwell, PT
• RTJ Enterprise Neurology PLLC (BREA Stroke Center)
• Joseph Y Rudnick, MD
• Rugani Family Chiropractic, P.C.
• Sharon Ann Russell-Chase
• Debra Aleine Rutledge, PT
• Erika R. Ryan, SLP
• Marcy E Ryan, LCSW
• Allison Sabol, PT
• Richard Sadekoski

• Audiologist in Clifton Park, NY
• Providers in Clifton Park, NY by specialty
• Audiologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.