Individual provider Active NPI

Stephanie Ann Russo, MD, PHD

  • Orthopaedic Hand Surgery Physician
  • Columbus, OH
National Provider Identifier
1750794673
Registry record updated Nov 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Hand Surgery PhysicianTaxonomy code 207XS0106X
License
35.142468 Issued in OH
Practice address
405 Butterfly Gardens Dr
Columbus, OH 43215-4985
Phone
(614) 722-2000
NPI assigned
Jun 9, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Orthopaedic Surgery Physician 207XP3100X 35.142468 OH
Orthopaedic Hand Surgery Physician 207XS0106X 35.142468 OH Primary

Addresses

Primary practice location

405 Butterfly Gardens Dr
Columbus, OH 43215-4985

Mailing address

1 Perkins SQ
Akron, OH 44308-1063
Phone (330) 543-3500

Other practice location 1

150 W Main St
New Albany, OH 43054-9229
Phone (614) 722-2000

Other practice location 2

6435 E Broad St
Columbus, OH 43213-1507
Phone (614) 722-2000

Other practice location 3

5680 Venture Dr
Dublin, OH 43017-2190
Phone (614) 722-2000

Other practice location 4

7901 Diley Rd
Canal Winchester, OH 43110-9612
Phone (614) 722-2000

Other practice location 5

700 Childrens Dr
Columbus, OH 43205-2664
Phone (614) 722-2000

Other practice location 6

915 Olentangy River Rd Ste 3200
Columbus, OH 43212-3167
Phone (614) 293-2663

Other practice location 7

4363 All Seasons Dr Ste 100
Hilliard, OH 43026-2050
Phone (614) 722-2000

Other practice location 8

536 S Trimble Rd
Mansfield, OH 44906-3418
Phone (614) 722-2000

Other practice location 9

584 County Line Rd W
Westerville, OH 43082-7295
Phone (614) 722-2000

Other identifiers 1

IdentifierTypeStateIssuer
0453186MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20250227000642 OH Practitioner - Orthopedic SurgeryPractitioner - Pediatric Medicine 5799903076 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35.142468OHMDOrthopaedic Hand Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Akron Children'S Hospital Current Accepting new patients
Children'S Surgical Associates, Corporation CurrentSince Feb 24, 2025 Accepting new patients
Osu Internal Medicine, LLC CurrentSince Jun 1, 2025 Accepting new patients
Nationwide Children'S Hospital CurrentSince Mar 2, 2025 Accepting new patients
Nationwide Children'S Hospital CurrentSince Mar 2, 2025 Accepting new patients

Locations

Dept 781629
Detroit, MI 48278

1 Perkins Sq
Akron, OH 44308
Phone (330) 543-8050

7901 Diley Rd
Canal Winchester, OH 43110
Phone (614) 355-9050

700 Childrens Dr
Columbus, OH 43205
Phone (614) 722-4411

6435 E Broad St
Columbus, OH 43213
Phone (614) 355-8100

915 Olentangy River Rd
Columbus, OH 43212

915 Olentangy River Rd
Ste 3200
Columbus, OH 43212
Phone (614) 366-4263

405 Butterfly Gardens Dr
Columbus, OH 43215
Phone (614) 722-4200

1 Childrens Plz
Dayton, OH 45404
Phone (937) 641-3600

5680 Venture Dr
Dublin, OH 43017
Phone (614) 355-8700

3900 Stoneridge Ln
Dublin, OH 43017
Phone (614) 366-5001

4363 All Seasons Dr
Ste 100
Hilliard, OH 43026
Phone (614) 355-5900

536 S Trimble Rd
Mansfield, OH 44906
Phone (419) 528-3150

150 W Main St
New Albany, OH 43054
Phone (614) 355-6054

584 County Line Rd W
Westerville, OH 43082
Phone (614) 355-6052

Interoperability endpoints

  • Direct secure messaging: srusso112279@direct.chmca.org
  • Direct secure messaging: srusso1576571@direct.osumc.edu

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.

NPI Registry JSON

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

{
    "created_epoch": "1402272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764028800000",
    "number": "1750794673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 PERKINS SQ",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443081063",
            "telephone_number": "330-543-3500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 BUTTERFLY GARDENS DR",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432154985",
            "telephone_number": "614-722-2000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "150 W Main St",
            "address_purpose": "LOCATION",
            "city": "New Albany",
            "state": "OH",
            "postal_code": "430549229",
            "country_code": "US",
            "telephone_number": "614-722-2000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6435 E Broad St",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432131507",
            "country_code": "US",
            "telephone_number": "614-722-2000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5680 Venture Dr",
            "address_purpose": "LOCATION",
            "city": "Dublin",
            "state": "OH",
            "postal_code": "430172190",
            "country_code": "US",
            "telephone_number": "614-722-2000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7901 Diley Rd",
            "address_purpose": "LOCATION",
            "city": "Canal Winchester",
            "state": "OH",
            "postal_code": "431109612",
            "country_code": "US",
            "telephone_number": "614-722-2000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "700 Childrens Dr",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432052664",
            "country_code": "US",
            "telephone_number": "614-722-2000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "915 Olentangy River Rd Ste 3200",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432123167",
            "country_code": "US",
            "telephone_number": "614-293-2663",
            "fax_number": "614-293-2053",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4363 All Seasons Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Hilliard",
            "state": "OH",
            "postal_code": "430262050",
            "country_code": "US",
            "telephone_number": "614-722-2000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "536 S Trimble Rd",
            "address_purpose": "LOCATION",
            "city": "Mansfield",
            "state": "OH",
            "postal_code": "449063418",
            "country_code": "US",
            "telephone_number": "614-722-2000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "584 County Line Rd W",
            "address_purpose": "LOCATION",
            "city": "Westerville",
            "state": "OH",
            "postal_code": "430827295",
            "country_code": "US",
            "telephone_number": "614-722-2000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUSSO",
        "first_name": "STEPHANIE",
        "middle_name": "ANN",
        "credential": "MD, PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-09",
        "last_updated": "2025-11-25",
        "certification_date": "2025-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XP3100X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Pediatric Orthopaedic Surgery",
            "state": "OH",
            "license": "35.142468",
            "primary": false
        },
        {
            "code": "207XS0106X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Hand Surgery",
            "state": "OH",
            "license": "35.142468",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0453186",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.