Active NPI
Noreen Russo, PA
- Physician Assistant
- West End, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 4204 Murdocksville Rd
West End, NC 27376-8871 - Phone
- (910) 255-0055
- Fax
- (910) 255-0060
- NPI assigned
- Jul 2, 2007
- Last updated
- Mar 17, 2018
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | NU | Primary | |
| Surgical Physician Assistant | 363AS0400X | NU |
Addresses
Primary practice location
4204 Murdocksville Rd
West End, NC 27376-8871
Mailing address
205 Page Rd
Pinehurst, NC 28374-8749
Phone (910) 295-5511
Other practice location 1
24 Hospital Ave
12 Tower
Danbury, CT 06810-6099
Phone (203) 739-7129
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1409 Greenway CT
Sanford, NC 27330-6954
Phone (919) 292-1201
1411 Greenway CT
Sanford, NC 27330-6954
Phone (919) 292-1878
1413 Greenway CT
Sanford, NC 27330-6954
Phone (919) 292-1201
15 Regional Dr
Pinehurst, NC 28374-8850
Phone (910) 295-5511
1816 Doctors Dr
Sanford, NC 27330-5057
Phone (919) 708-1555
1818 Doctors Dr
Sanford, NC 27330-5057
Phone (919) 708-1555
200 Pavilion Way
Southern Pines, NC 28387-4561
Phone (910) 295-5511
205 Page Rd
Pinehurst, NC 28374-8749
Phone (910) 295-5511
4204 Murdocksville Rd
West End, NC 27376-8871
Phone (910) 255-0055
4208 Murdocksville Rd
West End, NC 27376-8871
Phone (910) 295-5511
555 Carthage St
Sanford, NC 27330-4104
Phone (919) 774-6518
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pinehurst Medical Clinic, Inc. | Current | Accepting new patients | |
| Connecticut Family Orthopedics PC | Past | Accepting new patients | |
| Orthoconnecticut, PLLC | Past | Accepting new patients | |
| Pinehurst Medical Clinic, Inc. | Past | Accepting new patients |
Locations
205 Page Rd
Pinehurst, NC 28374
Phone (910) 295-9211
4204 Murdocksville Rd
West End, NC 27376
Phone (910) 255-0055
Interoperability endpoints
- noreenrusso@phmc.allscriptsdirect.net
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Internal Medicine Physician
- Pinehurst, NC
- NPI 1255388369
-
dba PMC Reference Lab
- Clinical Medical Laboratory
- Southern Pines, NC
- NPI 1962509372
-
- Orthopaedic Surgery Physician
- Danbury, CT
- NPI 1619057510
-
- Orthopaedic Surgery Physician
- Danbury, CT
- NPI 1770507345
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Firsthealth Bariatric Center
- Obesity Medicine (Internal Medicine) Physician
- Pinehurst, NC
- NPI 1740463967
Hospital
-
dba Firsthealth Regional EMS System
- Land Ambulance
- Pinehurst, NC
- NPI 1871610378
Hospital
-
dba FirstHealth Cancer Center
- Oncology Clinic/Center
- Pinehurst, NC
- NPI 1417010422
Hospital
-
dba FH Moore Regional Hospital (Acute)
- General Acute Care Hospital
- Pinehurst, NC
- NPI 1740208081
-
- General Acute Care Hospital
- Laurinburg, NC
- NPI 1457345597
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1183334400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1952508046",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "205 PAGE RD",
"city": "PINEHURST",
"state": "NC",
"postal_code": "283748749",
"telephone_number": "910-295-5511"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4204 MURDOCKSVILLE RD",
"city": "WEST END",
"state": "NC",
"postal_code": "273768871",
"telephone_number": "910-255-0055",
"fax_number": "910-255-0060"
}
],
"practiceLocations": [
{
"address_1": "24 Hospital Ave",
"address_2": "12 Tower",
"address_purpose": "LOCATION",
"city": "Danbury",
"state": "CT",
"postal_code": "068106099",
"country_code": "US",
"telephone_number": "203-739-7129",
"fax_number": "203-739-8054",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RUSSO",
"first_name": "NOREEN",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-07-02",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West End, NC
- Michael Stephen Reese, DPT
- Richard S. Pasko, D.C., PLLC (Seven Lakes Chiropractic Center)
- Sherry L Riley
- Kimberly Ann Rodgers, MS
- Jean Ruggles, PT, MS
- Sandhills Center for MD/DD/Sas
- Sandhills Center for Mental Health, Developmental Disabilities and Sub
- Sandhills Center for Mental Health, Developmental Disabilities and Sub
- Sandhills Center for MH/DD/Sas
- Molly Ann Savoy, RD, LD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.