1. Home
  2. Directory
  3. Michigan
  4. Elmira
  5. Family Medicine
  6. NPI Profile

DR. SAMUEL J. RUSSO DO
NPI 1962510636
Family Medicine in Elmira, MI

Active since August 25, 2006
2572 N US HIGHWAY 131, ELMIRA, MI 49730(989) 731-7700(989) 731-2999 Get Directions Write a Review

NPPES record last updated: December 3, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Samuel J. Russo Do NPPES

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

DR. SAMUEL J. RUSSO DO (NPI 1962510636) is an individual family medicine provider in Elmira, Michigan, licensed in Michigan (5101008981) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1962510636
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. SAMUEL J. RUSSOCredential: DO
Location Address2572 N US HIGHWAY 131Elmira, MI 49730-8252
Mailing Address829 N Center Ave, Suite 298Gaylord, MI 49735-1595 · (989) 731-7708 · Fax (989) 731-7929
Phone(989) 731-7700
Fax(989) 731-2999
Sole ProprietorNo
Enumeration DateAugust 25, 2006
Last NPPES UpdateDecember 3, 2013
✔ NPI 1962510636 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in MI · 5101008981✔ Licensed in OR · DO15969
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.
2572 N US HIGHWAY 131, Elmira, MI 49730
Open in Google Maps ↗

Other Identifiers 3

OtherOF96004Group Medicare Id
Medicare PINR150657OR
Medicaid500400122OR

Other Providers at the Same Location NPPES 5

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

MUNSON HEALTHCARE OTSEGO MEMORIAL HOSPITAL
General Practice
2572 N US HIGHWAY 131
ELMIRA, MI 49730
Otsego County (989) 731-7708
EMILY E. MARTINEZ NP
Physician Assistant
2572 N US HIGHWAY 131
ELMIRA, MI 49730
Otsego County (989) 731-7700
MUNSON HEALTHCARE OTSEGO MEMORIAL HOSPITAL
Clinic/Center (Multi-Specialty)
2572 N US HIGHWAY 131
ELMIRA, MI 49730
Otsego County (989) 731-7700
MARCELLA HILL PA-C
Physician Assistant
2572 N US HIGHWAY 131
ELMIRA, MI 49730
Otsego County (989) 731-7700
MUNSON HEALTHCARE OTSEGO MEMORIAL HOSPITAL
Clinic/Center (Rural Health)
2572 N US HIGHWAY 131
ELMIRA, MI 49730
Otsego County (989) 731-7708

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 Samuel Russo's NPI number?

The NPI number for Samuel Russo is 1962510636. It was assigned to this individual provider in the NPPES registry on August 25, 2006.

Where is Samuel Russo located?

Samuel Russo practices at 2572 N Us Highway 131, Elmira, MI 49730. The listed phone number is (989) 731-7700.

What is Samuel Russo'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 Samuel Russo was last updated on December 3, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.