CHRISTOPHER LARUSSA DO
NPI 1639923642
Student in an Organized Health Care Education/Training Program in Canton, OH

Q: What is Christopher Larussa's NPI number?

The NPI number for Christopher Larussa is 1639923642. It was assigned to this individual provider in the NPPES registry on April 16, 2024.

Q: What is Christopher Larussa's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Active since April 16, 2024PECOS Enrolled

2600 SIXTH ST SW, CANTON, OH 44710(330) 363-3926(330) 363-5380 Get Directions Write a Review

NPPES record last updated: April 16, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Christopher Larussa Do NPPES

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

CHRISTOPHER LARUSSA DO (NPI 1639923642) is an individual student in an organized health care education/training program in Canton, Ohio, licensed in Ohio (58.034252) and active in the NPI registry since April 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1639923642

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameCHRISTOPHER LARUSSACredential: DO

Location Address2600 SIXTH ST SWCanton, OH 44710-1702

Mailing Address2600 Sixth St SwCanton, OH 44710-1702 · (330) 363-3926 · Fax (330) 363-5380

Phone(330) 363-3926

Fax(330) 363-5380

Sole ProprietorYes

Enumeration DateApril 16, 2024

NPPES CertifiedApril 16, 2024

✔ NPI 1639923642 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

License✔ Licensed in OH · 58.034252

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

2600 SIXTH ST SW, Canton, OH 44710

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Christopher Larussa Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

CHELSEA FLIGHT CNP

Nurse Practitioner