John Marshall Russo Jr.
MD | Pediatric Gastroenterology | Male
John Marshall Russo Jr., MD is a Columbus, Ohio based Pediatric doctor with medical specialization in
Pediatric Gastroenterology.
Current practice location of John Marshall Russo Jr. is
700 Childrens Dr, Columbus, Ohio - 43205-2664. He can be contacted on phone at
614-722-2600.
John Marshall Russo Jr. is a sole proprietor of his business.
NPI number (Unique professional ID) for John Marshall Russo Jr. is
1770579583 which was assigned by NPPES on 27 Sep, 2005 and it was last updated on 23 Nov, 2022.
John Marshall Russo Jr. license number is
35084874 for Pediatrics, Pediatric Gastroenterology (2080P0206X) in Ohio.
John Marshall Russo Jr. specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs.
Complete Profile:
John Marshall Russo Jr. basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics, Pediatric Gastroenterology |
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| Provider Name : | John Marshall Russo Jr. |
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| Credential : | MD |
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| Gender : | Male |
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| Sole Proprietor : | Yes |
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Business Address:
John Marshall Russo Jr. address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 700 Childrens Dr
Columbus, OH, 43205-2664
United States |
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| Phone Number : | 614-722-2600 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1770579583 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 27 Sep, 2005 |
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| Last Updated On : | 23 Nov, 2022 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for John Marshall Russo Jr. are as mentioned. Primary taxonomy code for John Marshall Russo Jr., MD is
2080P0206X (Pediatrics, Pediatric Gastroenterology).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 2080P0206X | Pediatrics, Pediatric Gastroenterology | Yes | 35084874 | OH |
Legacy Identifiers:
Other legacy medical identifiers of John Marshall Russo Jr. such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 2501028 | MEDICAID | OH | |
| 4137752 | Other (non-Medicare) | OH | CGS - Medicare |
| 64086051 | MEDICAID | KY | |
Other Practice Locations:
| Practice Address | City, State | Phone Number |
|---|
5675 VENTURE DR,
DUBLIN, OH, 43017-2159
United States | DUBLIN, OH | 614-722-6200 |
536 S TRIMBLE RD,
MANSFIELD, OH, 44906-3418
United States | MANSFIELD, OH | 614-722-6200 |
730 W MARKET ST,
LIMA, OH, 45801-4602
United States | LIMA, OH | 614-722-6200 |
433 N CLEVELAND AVE,
WESTERVILLE, OH, 43082-8095
United States | WESTERVILLE, OH | 614-722-6200 |
185 W SCHROCK RD,
WESTERVILLE, OH, 43081-2890
United States | WESTERVILLE, OH | 614-722-6200 |
4439 STATE ROUTE 159,
CHILLICOTHE, OH, 45601-8207
United States | CHILLICOTHE, OH | 614-722-6200 |
455 EXECUTIVE CAMPUS DR,
WESTERVILLE, OH, 43082-8870
United States | WESTERVILLE, OH | 614-722-2000 |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 700 Childrens Dr
Columbus, OH, 43205-2664
United States |
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| Phone Number : | 614-722-2000 |
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Business Location:
Patients can refer following map for directions to
John Marshall Russo Jr. practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.