Active NPI
Lydia Russo, CRNA
- Certified Registered Nurse Anesthetist
- Hagerstown, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- R216167
- Practice address
- 11116 Medical Campus Rd
Hagerstown, MD 21742-6710 - Phone
- (301) 790-8000
- NPI assigned
- Jun 3, 2021
- Last updated
- Jun 3, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | R216167 | MD | Primary |
Addresses
Primary practice location
11116 Medical Campus Rd
Hagerstown, MD 21742-6710
Mailing address
14206 Greenspan LN
Rockville, MD 20853-2505
Phone (646) 753-2546
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD, DC, VA
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1840 Amherst St
Winchester, VA 22601-2808
Phone (540) 536-8000
22 S Green St
Baltimore, MD 21201-1544
Phone 66721416161628
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Valley Health Anesthesia Services, LLC | Current | Accepting new patients | |
| Medstar Medical Group II LLC | Current | Accepting new patients | |
| Medstar Medical Group Anesthesiology LLC | Current | Accepting new patients | |
| Medstar Medical Group Anesthesiology LLC | Current | Accepting new patients | |
| University of Maryland Anesthesiology Associates, P.a. | Current | Accepting new patients | |
| First Colonies Anesthesia Associates, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Inova Cares - Community | Current | Accepting new patients | |
| Anesthesia Company, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
Locations
1145 19th St NW
Ste 311
Washington, DC 20036
Phone (202) 429-2401
3800 Reservoir Rd NW
Washington, DC 20007
Phone (202) 687-2203
851 Trafalgar Ct
Ste 200E
Maitland, FL 32751
Phone (321) 422-7155
2001 Medical Pkwy
Annapolis, MD 21401
Phone (410) 280-5601
22 S Greene St
Baltimore, MD 21201
Phone (410) 328-5793
250 W Pratt St
Ste 900
Baltimore, MD 21201
Phone (410) 328-6267
611 S Charles St
Baltimore, MD 21230
Phone (410) 328-6331
7503 Surratts Rd
Clinton, MD 20735
Phone (301) 868-8000
11116 Medical Campus Rd
Hagerstown, MD 21742
Phone (301) 766-7600
70 Sherry Ln
Ste 101
Prnc Frederck, MD 20678
Phone (410) 889-2040
11210 Old Georgetown Rd
Rockville, MD 20852
Phone (301) 881-7770
11210 Old Georgetown Rd
#12202
Rockville, MD 20852
Phone (301) 881-7770
9901 Medical Center Dr
Rockville, MD 20850
Phone (301) 279-6000
100 E Carroll St
Salisbury, MD 21801
Phone (410) 543-7100
8322 Bellona Ave
Ste 201
Towson, MD 21204
Phone (410) 337-2688
3600 Joseph Siewick Dr
Fairfax, VA 22033
Phone (703) 391-3037
44045 Riverside Pkwy
Leesburg, VA 20176
Phone (703) 858-6040
1840 Amherst St
Winchester, VA 22601
Phone (540) 536-8700
Interoperability endpoints
- lrusso531362@direct.umm.edu
Organizations & group practices 8
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.
-
- Anesthesiology Physician
- Baltimore, MD
- NPI 1720024235
-
- Anesthesiology Physician
- Winchester, VA
- NPI 1174343610
-
- Anesthesiology Physician
- Annapolis, MD
- NPI 1871548156
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Columbia, MD
- NPI 1740218767
DC, Nurse Anesthetist, Certified Registered
-
dba MMG Anesthesiology LLC
- Anesthesiology Physician
- Baltimore, MD
- NPI 1528578333
DC
-
- Anesthesiology Physician
- Washington, DC
- NPI 1558976175
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba University of Maryland Medical Center
- General Acute Care Hospital
- Baltimore, MD
- NPI 1174660120
-
- General Acute Care Hospital
- Winchester, VA
- NPI 1619928017
-
dba Valley Health Laboratories
- Clinical Medical Laboratory
- Winchester, VA
- NPI 1790024909
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1622678400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1622678400000",
"number": "1447826078",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14206 GREENSPAN LN",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208532505",
"telephone_number": "646-753-2546"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11116 MEDICAL CAMPUS RD",
"city": "HAGERSTOWN",
"state": "MD",
"postal_code": "217426710",
"telephone_number": "301-790-8000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUSSO",
"first_name": "LYDIA",
"name_prefix": "Ms.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-06-03",
"last_updated": "2021-06-03",
"certification_date": "2021-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MD",
"license": "R216167",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hagerstown, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2021; 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.