NPIMap

Organization Active NPI

Russo Clinic-a Medical Corporation

  • Surgery Physician
  • Morgan City, LA
National Provider Identifier
1720070824
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
02397R Issued in LA
Legal business name
RUSSO CLINIC-A MEDICAL CORPORATION
Practice address
1124 7TH St
Morgan City, LA 70380-1951
Phone
(985) 384-1562
Fax
(985) 385-6749
NPI assigned
Aug 16, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Dr. William H Johnson Jr., MD
Title
Doctor/Owner
Phone
(985) 384-1562

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207R00000X 12846B LA
Internal Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207R00000X 016985 LA
Surgery PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208600000X 02397R LA Primary

Addresses

Primary practice location

1124 7TH St
Morgan City, LA 70380-1951

Mailing address

PO Box 2347
Morgan City, LA 70381-2347
Phone (985) 384-1562

Other identifiers 1

IdentifierTypeStateIssuer
1167053MedicaidLA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1124150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1720070824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2347",
            "city": "MORGAN CITY",
            "state": "LA",
            "postal_code": "703812347",
            "telephone_number": "985-384-1562",
            "fax_number": "985-385-6749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1124 7TH ST",
            "city": "MORGAN CITY",
            "state": "LA",
            "postal_code": "703801951",
            "telephone_number": "985-384-1562",
            "fax_number": "985-385-6749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUSSO CLINIC-A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-16",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "DOCTOR/OWNER",
        "authorized_official_telephone_number": "985-384-1562",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "12846B",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "016985",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "LA",
            "license": "02397R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1167053",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Morgan City, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.