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JEFFREY ROBERT RUSSO D.P.M. NPI 1598962060


NPI Information

NPI: 1598962060
Provider Name: JEFFREY ROBERT RUSSO, D.P.M.
Classification: Podiatrist - 213ES0103X
Entity Type: Individual

Specialization: Foot & Ankle Surgery

PECOS Registration: Yes

Address:
212 NE NORTON LN
MCMINNVILLE, OR
ZIP 97128
Phone: (503) 435-0130
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Jeffrey Robert Russo, D.P.M. is a foot and ankle surgery podiatrist in Mcminnville, OR with 29 years of experience. Jeffrey Robert Russo, D.P.M. NPI is 1598962060. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: NEW YORK COLLEGE OF PODIATRIC MEDICINE
Graduation Year:1995

The provider's business location address is:

212 NE NORTON LN
MCMINNVILLE, OR
ZIP 97128-470
Phone: (503) 435-0130
Fax: (503) 435-0145

The NPI 1598962060 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Removal of tissue from 1 to 5 finger or toe nails (HCPCS:11720)
  • Removal of tissue from 6 or more finger or toe nails (HCPCS:11721)
  • Removal of single thickened skin growth (HCPCS:11055)
  • Removal of skin and tissue first 20 sq cm or less (HCPCS:11042)
  • Removal of 2 to 4 thickened skin growths (HCPCS:11056)
  • Removal of tissue from wounds per session (HCPCS:97597)
  • Injections of tendon sheath, ligament, or muscle membrane (HCPCS:20550)

The enumeration date for this NPI number is 6/28/2007 and was last updated on 12/9/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1213ES0103XPodiatristFoot & Ankle SurgeryDP00326OREGONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1R115537MEDICARE ID-TYPE UNSPECIFIEDOREGON
2231897MEDICAIDOREGON
3U76993MEDICARE UPINOREGON
44934880001MEDICARE NSCOREGON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.