Robert Joseph Russo, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS026452L Issued in PA

Practice address

1929 Lincoln Hwy East
Suite 150
Lancaster, PA 17602

Phone

(717) 397-7625

Fax

(717) 397-6057

NPI assigned

Oct 3, 2006

Last updated

Dec 5, 2012By the provider in NPPES

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 1

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: robert.russo.1@14261.direct.athenahealth.com

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.

• Union Community Care

  • Federally Qualified Health Center (FQHC)
  • Lancaster, PA
  • NPI 1134458789
  Medicare reassignment NPD
• Union Community Care

  • Federally Qualified Health Center (FQHC)
  • Lancaster, PA
  • NPI 1417812710
  NPD
• Union Community Care

  • Federally Qualified Health Center (FQHC)
  • Lebanon, PA
  • NPI 1710323001

  General Practice

  NPD
• CHI St. Joseph Children's Health

  • Child & Adolescent Psychiatry Physician
  • Lancaster, PA
  • NPI 1487196457
  NPD (past)
• Hoffman Homes Inc.

  • Psychiatric Residential Treatment Facility
  • Littlestown, PA
  • NPI 1508933680
  NPD (past)
• St Joseph Health Ministries

  • Public Health Dentistry
  • Lancaster, PA
  • NPI 1528362530
  NPD (past)

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354665600000",
    "number": "1467547703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1929 LINCOLN HWY EAST",
            "address_2": "SUITE 150",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "17602",
            "telephone_number": "717-397-7625",
            "fax_number": "717-397-6057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1929 LINCOLN HWY EAST",
            "address_2": "SUITE 150",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "17602",
            "telephone_number": "717-397-7625",
            "fax_number": "717-397-6057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSO",
        "first_name": "ROBERT",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2012-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS026452L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0011451470004",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brittany Rush
• Jerry A Rush, MPT
• Andrew David Russell, DPT
• Paul J Russinko, M.D.
• Emily Russo, MS, RD, CDN, LDN
• Elizabeth Kwon Ruszak, D.O.
• Carolyn Kay Rutherford, LPN,CMT
• Suzanne Irene Rutkowski, LCSW
• Ann L Rutt, NP
• Michelle Lynn Rutt, OTR L

• General Practice Dentistry in Lancaster, PA
• Providers in Lancaster, PA by specialty
• General Practice Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2012; 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.