MICHAEL G RUSSO MD A PROFESSIONSL LLC
NPI 1710146808
Family Medicine in Marrero, LA

Active since June 04, 2008
1111 MEDICAL CENTER BLVD, SUITE S 555, MARRERO, LA 70072(504) 349-6808(504) 367-8579 Get Directions Write a Review

NPPES record last updated: January 27, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Michael G Russo Md A Professionsl Llc NPPES

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

MICHAEL G RUSSO MD A PROFESSIONSL LLC (NPI 1710146808) is a healthcare organization registered as a family medicine in Marrero, Louisiana and active in the NPI registry since June 2008. The organization lists Michael G Russo, Physician, as its authorized official.

NPPES Registry Identity

NPI1710146808
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameMICHAEL G RUSSO MD A PROFESSIONSL LLC
Location Address1111 MEDICAL CENTER BLVD, SUITE S 555Marrero, LA 70072-3151
Mailing Address1111 Medical Center Blvd, Suite S 555Marrero, LA 70072-3151 · (504) 349-6808 · Fax (504) 367-8579
Fax(504) 367-8579
Organization SubpartNo
Authorized OfficialMichael G RussoPhysician · (504) 349-6808
Enumeration DateJune 4, 2008
Last NPPES UpdateJanuary 27, 2009
NPI 1710146808 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in LA · MD09346R
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1111 MEDICAL CENTER BLVD, Marrero, LA 70072

Other Identifiers 1

Medicaid1347761LA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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.

Specialist
1111 MEDICAL CENTER BLVD, SUITE 250 SOUTH
MARRERO, LA 70072
Nurse Practitioner (Family)
1111 MEDICAL CENTER BLVD, SUITE 613N
MARRERO, LA 70072
Ophthalmology
1111 MEDICAL CENTER BLVD, SUITE N-213
MARRERO, LA 70072
Otolaryngology
1111 MEDICAL CENTER BLVD, SUITE 707N
MARRERO, LA 70072
Family Medicine
1111 MEDICAL CENTER BLVD, STE 304 NORTH
MARRERO, LA 70072
Internal Medicine
1111 MEDICAL CENTER BLVD, SUITE S850
MARRERO, LA 70072
Physician Assistant (Medical)
1111 MEDICAL CENTER BLVD, SUITE S-450
MARRERO, LA 70072
Nurse Practitioner
1111 MEDICAL CENTER BLVD
MARRERO, LA 70072

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 Michael G Russo MD A Professionsl LLC's NPI number?

The NPI number for Michael G Russo MD A Professionsl LLC is 1710146808. It was assigned to this organization in the NPPES registry on June 4, 2008.

Where is Michael G Russo MD A Professionsl LLC located?

Michael G Russo MD A Professionsl LLC is located at 1111 Medical Center Blvd Suite S 555, Marrero, LA 70072. The listed phone number is (504) 349-6808.

What is Michael G Russo MD A Professionsl LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Michael G Russo MD A Professionsl LLC was last updated on January 27, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.