NPIMap

Individual provider Active NPI

Paul J Russinko, M.D.

  • Urology Physician
  • Lancaster, PA
National Provider Identifier
1720041981
Registry record updated Aug 21, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
MD426210 Issued in PA
Practice address
2106 Harrisburg Pike
Suite 200
Lancaster, PA 17601-2644
Phone
(717) 393-1771
Fax
(717) 393-2782
NPI assigned
Apr 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X MD426210 PA Primary

Addresses

Primary practice location

2106 Harrisburg Pike
Suite 200
Lancaster, PA 17601-2644

Mailing address

PO Box 3200
Lancaster, PA 17604-3200
Phone (717) 393-1771

Other identifiers 1

IdentifierTypeStateIssuer
101268847/0001MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050525000720 PA Practitioner - Urology 8628010170 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Rutgers R W Johnson Medical School (Cam/New Bruns/Pisc), 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Centers for Advanced Urology LLPGroup PAC ID 3274800941, 142 clinicians

Practice addresses (Care Compare)

2106 Harrisburg Pike
Suite 200
Lancaster, PA 17601-2644
Phone (717) 393-1771

211 S Gulph Rd
Suite 200 the Prostate Center
King of Prussia, PA 19406-3101
Phone (610) 579-3577

400 Davis Dr
Plymouth Meeting, PA 19462-1718
Phone (610) 825-2151

Hospital & facility affiliations

  • Lancaster General Hospital Hospital, Lancaster, PA, CCN 390100
  • Penn State Health Lancaster Medical Center Hospital, Lancaster, PA, CCN 390339
  • Wellspan Ephrata Community Hospital Hospital, Ephrata, PA, CCN 390225
  • Upmc Lititz Hospital, Lititz, PA, CCN 390068
  • Penn State Health St. Joseph Hospital, Reading, PA, CCN 390096

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection13

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD426210PAMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Alliance Physician Services, PC / Dba Midlantic Urology Urology CurrentSince Sep 1, 2024 Accepting new patients
Alliance Physician Services, PC Urology Current Accepting new patients
Alliance Physician Services, PC Urology CurrentSince Sep 1, 2024 Accepting new patients
Alliance Physician Services, PC /Dba Midlantic Urology Urology Past Accepting new patients

Locations

175 Martin Ave
Ste 300
Ephrata, PA 17522
Phone (717) 723-4579

175 Martin Ave
Ephrata, PA 17522
Phone (717) 721-8222

211 S Gulph Rd
Ste 200
Kng of Prussa, PA 19406
Phone (610) 382-5910

2110 Harrisburg Pike
Ste 1
Lancaster, PA 17601
Phone (717) 397-4254

2106 Harrisburg Pike
Ste 200
Lancaster, PA 17601
Phone (352) 365-6877

1510 Cornwall Rd
Lebanon, PA 17042
Phone (717) 273-0662

656 E Swedesford Rd
Ste 100
Wayne, PA 19087
Phone (610) 230-0736

656 E Swedesford Rd
Ste 120
Wayne, PA 19087
Phone (610) 273-5320

Interoperability endpoints

  • Direct secure messaging: drpaulrussinko@lancuro.medentdirect.com

Organizations & group practices 5

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.

Hospital & facility affiliations 11

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1144627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187654400000",
    "number": "1720041981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3200",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176043200",
            "telephone_number": "717-393-1771",
            "fax_number": "717-393-2782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2106 HARRISBURG PIKE",
            "address_2": "SUITE 200",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176012644",
            "telephone_number": "717-393-1771",
            "fax_number": "717-393-2782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSINKO",
        "first_name": "PAUL",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-10",
        "last_updated": "2007-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "PA",
            "license": "MD426210",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101268847/0001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, PA

Sources for this page

Verify at the official NPI Registry.