Gordon Russo, MD

ActiveIndividual ProviderDermatology
NPI issued: July 11, 2005

Quick Facts

NPI Number
1083612469
TypeIndividual
StatusActive
SpecialtyDermatology
Taxonomy207NS0135X — Dermatology
Phone
(504) 391-7620
StateLA

NPI Validation Status: Verified

Valid 10-digit NPI number (1083612469)
Active status confirmed
Verified by CMS NPPES Registry
HIPAA compliant identifier
Enumeration date on file (July 11, 2005)
Data source: CMS NPPES

Provider Overview

GORDON RUSSO, MD is a Dermatology provider based in Gretna, LA who has been registered with CMS since 2005. This NPI is currently Active under CMS NPPES registry.

Provider Details

NPI Number1083612469
Provider TypeIndividual Provider
GenderMale
CredentialMD
StatusActive
Enumeration DateJuly 11, 2005

Practice Location

CityGretna
StateLA
ZIP Code70056-5255
Phone(504) 391-7620

Specialties & Licenses

★ Primary
SpecialtyDermatology
Taxonomy Code207NS0135X
License StateLA

Mailing Address

CityGretna
StateLA
ZIP Code70056-5255
Phone(504) 391-7620
Same as practice location

How to Use This NPI

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For Insurance Billing

Use NPI 1083612469 in Box 33 of the CMS-1500 claim form. This number is required by all major insurance carriers to identify the billing provider and process electronic medical claims.

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For Credentialing

Reference NPI 1083612469for provider credential verification. Hospital systems, state licensing boards, and CAQH directories query this number to verify the provider's active clinical status.

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For Patients

Share NPI 1083612469 with your insurance company. If you need to verify out-of-network benefits or file a reimbursement claim, your insurance provider will require this number to process it.

About Dermatology

Dermatologists specialize in the medical, surgical, and cosmetic treatment of disorders affecting the skin, hair, nails, and mucous membranes.

📊
1,215
Dermatology Providers in the US

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People Also Ask

What is Gordon Russo's NPI number?
Gordon Russo's NPI number is 1083612469, a unique 10-digit identifier issued by the Centers for Medicare & Medicaid Services (CMS).
Is Gordon Russo's NPI currently active?
Yes, Gordon Russo's NPI status is Active as of the latest CMS NPPES database updates.
What does Gordon Russo specialize in?
Gordon Russo specializes in Dermatology. The healthcare taxonomy code associated with this specialty is 207NS0135X.
Where does Gordon Russo practice?
Gordon Russo practices in Gretna, LA 70056-5255.
When was Gordon Russo's NPI issued?
Gordon Russo's NPI was issued on July 11, 2005.
What is Gordon Russo's provider type?
Gordon Russo is registered as an Individual Provider under CMS NPI Type 1.