Mike Russo, RRT

Primary specialty

Registered Respiratory TherapistTaxonomy code 227900000X

License

RT4809 Issued in FL

Practice address

7695 SW Ellipse Way
Stuart, FL 34997-7251

Phone

(772) 777-8109

Fax

(772) 283-0440

NPI assigned

Jun 21, 2011

Last updated

Dec 2, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Medical Equipment Specialists West Coast FL

  • Customized Equipment (DME)
  • Stuart, FL
  • NPI 1710851910
  NPD
• Medical Equipment Specialists, LLC

  • Durable Medical Equipment & Medical Supplies
  • Stuart, FL
  • NPI 1770738015
  NPD
• Advanced Respiratory Services

  • Durable Medical Equipment & Medical Supplies
  • Jupiter, FL
  • NPI 1285926030
  NPD (past)
• Home Sleep Studies, LLC

  • Physiological Laboratory
  • Jupiter, FL
  • NPI 1457501983
  NPD (past)

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

{
    "created_epoch": "1308614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606867200000",
    "number": "1922394717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19112 DAWNWOOD CT",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334582485",
            "telephone_number": "561-972-0390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7695 SW ELLIPSE WAY",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349977251",
            "telephone_number": "772-777-8109",
            "fax_number": "772-283-0440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSO",
        "first_name": "MIKE",
        "name_prefix": "Mr.",
        "credential": "RRT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-21",
        "last_updated": "2020-12-02",
        "certification_date": "2020-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "227900000X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Registered",
            "state": "FL",
            "license": "RT4809",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Atheena Russell
• Ella Margaret Russell
• Heather M Roberts Russell
• Lawrence Julian Russell Jr., COTA/L
• Grace Catherine Russo
• Lakaisha Rutland
• Teresa Williams Rutzinski
• Dana Ruzicka
• RX Lenses LLC
• RX to You Pharmacy, Inc.

• Registered Respiratory Therapist in Stuart, FL
• Providers in Stuart, FL by specialty
• Registered Respiratory Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2020; 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.