Tiffani Renee Russ, D.O.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

OS14624 Issued in PA

Practice address

325 S Belmont St
York, PA 17403-2608

Phone

(717) 849-5730

NPI assigned

Feb 26, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Tiffani Renee Ream Former name

Medicare fee-for-service enrollment

Enrolled in PA

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

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.

• Lancaster Emergency Associates LTD

  • Emergency Medicine Physician
  • Lancaster, PA
  • NPI 1740268184
  Medicare reassignment NPD
• Pinnacle Health Emergency Department Services LLC

  • Emergency Medicine Physician
  • Harrisburg, PA
  • NPI 1487693404
  Medicare reassignment NPD

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

{
    "created_epoch": "1298678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457913600000",
    "number": "1437456480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 S BELMONT ST",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174032608",
            "telephone_number": "717-849-5730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 S BELMONT ST",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174032608",
            "telephone_number": "717-849-5730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSS",
        "first_name": "TIFFANI",
        "middle_name": "RENEE",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-02-26",
        "last_updated": "2016-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "PA",
            "license": "OS14624",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TIFFANI",
            "last_name": "REAM",
            "middle_name": "RENEE",
            "credential": "D.O",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ciara Nicole Rundle, PA-C
• Veronica Ashley Rupert, M.D.
• Lauren M Rupp, CRNP
• Brittany Rae Rush
• Jeanine Marie Rusnak, RPH
• Russel H. Etter MD
• Tyler Russell
• Christopher J Russo, MD
• Michael Paul Russo, MD
• Sage Ruszkowski

• Emergency Medicine Physician in York, PA
• Providers in York, PA by specialty
• Emergency Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2016; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.