Active NPI
De Ante Russ
- Emergency Medicine Physician
- Toledo, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 35.135938
- Practice address
- 3000 Arlington Ave
Toledo, OH 43614-2595 - Phone
- (330) 388-7856
- NPI assigned
- May 2, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | OH | ||
| Emergency Medicine Physician | 207P00000X | 35.135938 | OH | Primary |
Addresses
Primary practice location
3000 Arlington Ave
Toledo, OH 43614-2595
Mailing address
2149 Evergreen Rd Apt 2
Ottawa Hills, OH 43606-2547
Phone (330) 388-7856
Other practice location 1
4065 Center Rd
Brunswick, OH 44212-2918
Phone (330) 558-0123
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH, TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3700 Kolbe Rd
Lorain, OH 44053-1611
Phone (440) 960-4000
615 Fulton St
Port Clinton, OH 43452-2001
Phone (419) 734-3131
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 79.39 of 100
- Quality
- 69.41
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35.135938 | OH | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Allen Emergency Physicians, LLC | Emergency Medicine | Current | Accepting new patients |
| Lorain Emergency Physicians, LLC | Emergency Medicine | Current | Accepting new patients |
| Emergency Professional Services, Inc. | Emergency Medicine | Current | Accepting new patients |
| Ashland Emergency Group LLC | Emergency Medicine | Current | Accepting new patients |
Locations
3700 Kolbe Rd
Lorain, OH 44053
Phone (440) 331-9520
18697 Bagley Rd
Middleburg Heights, OH 44130
Phone (440) 816-8000
1600 E Riverview Ave
Napoleon, OH 43545
Phone (260) 344-3045
200 W Lorain St
Oberlin, OH 44074
Phone (440) 775-1211
615 Fulton St
Port Clinton, OH 43452
Phone (419) 734-3131
885 N Sandusky Ave
Upper Sandusky, OH 43351
Phone (419) 294-4991
Interoperability endpoints
- druss942572@direct.bsmhealth.org
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.
-
dba Emergency Professional Services of Ohio, Inc.
- Emergency Medicine Physician
- Seaman, OH
- NPI 1093762353
-
- Emergency Medicine Physician
- Lorain, OH
- NPI 1427760487
-
- Emergency Medicine Physician
- Oberlin, OH
- NPI 1841902814
-
- Emergency Medicine Physician
- Napoleon, OH
- NPI 1073246971
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Magruder Hospital
- Critical Access Hospital
- Port Clinton, OH
- NPI 1922079532
-
dba Mercy Regional Medical Center Laboratory
- Clinical Medical Laboratory
- Lorain, OH
- NPI 1164971800
Hospital
-
dba Mercy Health Lorain Hospital
- General Acute Care Hospital
- Lorain, OH
- NPI 1245274950
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1493683200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1772582400000",
"number": "1811423502",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2149 EVERGREEN RD APT 2",
"city": "OTTAWA HILLS",
"state": "OH",
"postal_code": "436062547",
"telephone_number": "330-388-7856"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3000 ARLINGTON AVE",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436142595",
"telephone_number": "330-388-7856"
}
],
"practiceLocations": [
{
"address_1": "4065 Center Rd",
"address_purpose": "LOCATION",
"city": "Brunswick",
"state": "OH",
"postal_code": "442122918",
"country_code": "US",
"telephone_number": "330-558-0123",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RUSS",
"first_name": "DE ANTE",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-05-02",
"last_updated": "2026-03-04",
"certification_date": "2026-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "OH",
"license": null,
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "OH",
"license": "35.135938",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Toledo, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.