DR. MICHAEL ANTHONY RUSSO N.D. NPI 1023146644

Naturopath in Portland, ME

About MICHAEL RUSSO

Michael Russo is a provider in Portland, ME. The NPI number assigned to this provider is 1023146644. The practitioner's primary taxonomy code is Naturopath (175F00000X). The provider is registered as an individual and their NPI record was last updated 11 years ago.

NPI

1023146644

Additional informationCallout TooltipNational Provider Indentifier (NPI)
The 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider NameDR. MICHAEL ANTHONY RUSSO N.D.
Provider Location Address499 STEVENS AVE PORTLAND, ME 04103 Additional informationCallout TooltipProvider location address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing Address499 STEVENS AVE PORTLAND, ME 04103 Additional informationCallout TooltipProvider mailing address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
GenderMale
NPI Entity TypeIndividual Additional informationCallout TooltipEntity type code
The code describing the type of health care provider that is being assigned an NPI.
Codes are:
1 = (Person): individual human being who furnishes health care;
2 = (Non-person): entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO).
Is Sole Proprietor?Yes
Is Organization Subpart?N/A Additional informationCallout TooltipWhat is a subpart?
Subparts are the components and separate physical locations of organization health care providers. Examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.
Enumeration Date03-02-2007 Additional informationCallout TooltipProvider enumeration date
The date the provider was assigned a unique identifier (assigned an NPI)
Last Update Date07-08-2007 Additional informationCallout TooltipLast update date
The date that a record was last updated or changed.

Business Address

DR. MICHAEL ANTHONY RUSSO N.D.
499 STEVENS AVE
PORTLAND, ME
ZIP 04103
Phone: (207) 774-6688
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Mailing Address

DR. MICHAEL ANTHONY RUSSO N.D.
499 STEVENS AVE
PORTLAND, ME
ZIP 04103
Phone: (207) 774-6688

Primary Taxonomy

Taxonomy Code175F00000X Additional informationCallout TooltipPrimary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
ClassificationNaturopath
TypeOther Service Providers
License No.NP239
License StateME
Taxonomy DescriptionDiagnoses, treats, and cares for patients, using system of practice that bases treatment of physiological functions and abnormal conditions on natural laws governing human body: Utilizes physiological, psychological, and mechanical methods, such as air, water, light, heat, earth, phototherapy, food and herb therapy, psychotherapy, electrotherapy, physiotherapy, minor and orificial surgery, mechanotherapy, naturopathic corrections and manipulation, and natural methods or modalities, together with natural medicines, natural processed foods, and herbs and nature's remedies. Excludes major surgery, therapeutic use of x ray and radium, and use of drugs, except those assimilable substances containing elements or compounds which are components of body tissues and are physiologically compatible to body processes for maintenance of life.

Map Location


DR. MICHAEL ANTHONY RUSSO N.D. address is 499 STEVENS AVE PORTLAND, ME 04103

Other Providers at the same location


The following 2 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1386796225DR. PAUL ANDREW PERREAULT D.C
Individual
Chiropractor499 STEVENS AVE
PORTLAND, ME 04103
(207) 712-4629
1609319912BLOOMING INTO MOTHERHOOD LLC
Organization
Occupational Therapist (Pediatrics)499 STEVENS AVE
PORTLAND, ME 04103
(207) 808-2081
Previous NPI
1023146636
Next NPI
1023146651