GLENN GERARD RUSSO M.D.
NPI 1083683445
Dermatology - Procedural Dermatology in Gretna, LA

Q: What is Glenn Russo's NPI number?

The NPI number for Glenn Russo is 1083683445. It was assigned to this individual provider in the NPPES registry on March 16, 2006.

Q: What is Glenn Russo's specialty?

The primary specialty registered for this NPI is Dermatology, specializing in Procedural Dermatology, with taxonomy code 207NS0135X.

Q: When was this NPI record last updated?

The NPPES record for Glenn Russo was last updated on February 3, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 16, 2006

120 MEADOWCREST ST, SUITE 160, GRETNA, LA 70056(504) 391-7620(504) 391-7624 Get Directions Write a Review

NPPES record last updated: February 3, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Glenn Gerard Russo M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GLENN GERARD RUSSO M.D. (NPI 1083683445) is an individual procedural dermatology provider in Gretna, Louisiana, licensed in Louisiana (017336) and active in the NPI registry since March 2006.

NPPES Registry Identity

NPI1083683445

Entity TypeIndividualMale

Primary Taxonomy207NS0135X

Provider Legal NameGLENN GERARD RUSSOCredential: M.D.

Location Address120 MEADOWCREST ST, SUITE 160Gretna, LA 70056-5255

Mailing Address600 Olive AveHarvey, LA 70058-4456 · (504) 366-5035

Phone(504) 391-7620

Fax(504) 391-7624

Sole ProprietorNo

Enumeration DateMarch 16, 2006

Last NPPES UpdateFebruary 3, 2010

✔ NPI 1083683445 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatology · Procedural DermatologyAllopathic & Osteopathic Physicians

Taxonomy Code207NS0135X

License✔ Licensed in LA · 017336

Definition

Procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration surgery, liposuction, injection of filler substances, and Mohs micrographic controlled surgery (a special technique for the removal of growths, especially skin cancers).

120 MEADOWCREST ST, Gretna, LA 70056

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Other Identifiers 1

Medicare ID-Type Unspecified50622LA

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. DANIEL J BURST PA

Physician Assistant (Medical)

120 MEADOWCREST ST, SUITE 300
GRETNA, LA 70056

Jefferson Parish (504) 392-7123

DANIEL A MARSHALL JR. MD

Dermatology (Procedural Dermatology)

120 MEADOWCREST ST, SUITE 160
GRETNA, LA 70056

Jefferson Parish (504) 391-7620

GORDON J RUSSO MD

Dermatology (Procedural Dermatology)

120 MEADOWCREST ST, SUITE 160
GRETNA, LA 70056

Jefferson Parish (504) 391-7620

JANOS I VOROS M.D.

Obstetrics & Gynecology

120 MEADOWCREST ST, SUITE 350
GRETNA, LA 70056

Jefferson Parish (504) 391-7678

NEW ORLEANS HEADACHE & NEUROLOGY CLINIC, APMC

Psychiatry & Neurology (Neurology)

120 MEADOWCREST ST, STE 420
GRETNA, LA 70056

Jefferson Parish (504) 391-7547

E.B. ROSS, JR MD-STEPHEN D GOODWIN, MD

Otolaryngology

120 MEADOWCREST ST, SUITE 200
GRETNA, LA 70056

Jefferson Parish (504) 391-7650

JOSHUA STEPHEN FOWLER M.D.

Internal Medicine

120 MEADOWCREST ST, SUITE 380
GRETNA, LA 70056

Jefferson Parish (504) 371-3955

OCHSNER CLINIC LLC

Durable Medical Equipment & Medical Supplies

120 MEADOWCREST ST
GRETNA, LA 70056

Jefferson Parish (504) 842-3000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Glenn Russo's NPI number?

The NPI number for Glenn Russo is 1083683445. It was assigned to this individual provider in the NPPES registry on March 16, 2006.

Where is Glenn Russo located?

Glenn Russo practices at 120 Meadowcrest St Suite 160, Gretna, LA 70056. The listed phone number is (504) 391-7620.

What is Glenn Russo's specialty?

The primary specialty registered for this NPI is Dermatology, specializing in Procedural Dermatology, with taxonomy code 207NS0135X.

When was this NPI record last updated?

The NPPES record for Glenn Russo was last updated on February 3, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.