Individual provider Active NPI

Anne Russo, MD

  • Pediatrics Physician
  • Asheville, NC
National Provider Identifier
1730346479
Registry record updated Apr 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
2016-00850 Issued in NC
Practice address
509 Biltmore Ave
Asheville, NC 28801-4601
Phone
(716) 860-8133
Fax
(828) 213-8600
NPI assigned
May 20, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 2016-00850 NC Primary
Neonatal-Perinatal Medicine Physician 2080N0001X 2016-00850 NC

Addresses

Primary practice location

509 Biltmore Ave
Asheville, NC 28801-4601

Mailing address

PO Box 602373
Charlotte, NC 28260-2373
Phone (828) 213-1500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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

Enrollment IDStateProvider typePAC IDDetails
I20160720001921 NC Practitioner - Pediatric Medicine 8820239197 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2016-00850NCMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mission Community Anesthesiology Specialists LLC CurrentSince Dec 1, 2018 Accepting new patients
Mission Hospitals Inc Current Accepting new patients
Mission Health Community Multispecialty Providers, LLC Current Accepting new patients
Geisinger Clinic Past Accepting new patients

Locations

50 Schenck Pkwy
Asheville, NC 28803
Phone (828) 526-4346

1 Hospital Dr
Asheville, NC 28801
Phone (828) 213-1994

509 Biltmore Ave
Asheville, NC 28801
Phone (828) 213-2325

11 Vanderbilt Park Dr
Asheville, NC 28803
Phone (828) 213-1780

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1211241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492992000000",
    "number": "1730346479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 602373",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282602373",
            "telephone_number": "828-213-1500",
            "fax_number": "828-651-6570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 BILTMORE AVE",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288014601",
            "telephone_number": "716-860-8133",
            "fax_number": "828-213-8600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSO",
        "first_name": "ANNE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-20",
        "last_updated": "2017-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NC",
            "license": "2016-00850",
            "primary": true
        },
        {
            "code": "2080N0001X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": "NC",
            "license": "2016-00850",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Asheville, NC

Sources for this page

Verify at the official NPI Registry.