Individual provider Active NPI

Noreen Russo, PA

  • Physician Assistant
  • West End, NC
National Provider Identifier
1952508046
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
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, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171009001096 NC Practitioner - Physician Assistant 1658466925 Reassigns benefits to 1 organization

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
Pinehurst Medical Clinic IncGroup PAC ID 5991617169, 162 clinicians

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

OrganizationSpecialtyStatusNew patients
Pinehurst Medical Clinic, Inc. CurrentSince Nov 13, 2017 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Sources for this page

Verify at the official NPI Registry.