ELLAMARIE B. RUSSO-DEMARA D.O. – NPI #1245243112
Obstetrics & Gynecology

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

ELLAMARIE RUSSO-DEMARA is a physician located in PLATTSBURGH, NY. NPPES has assigned the NPI number 1245243112 to ELLAMARIE RUSSO-DEMARA on August 14, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 207V00000X from the Health Care Provider Taxonomy code set, which is classified as Obstetrics & Gynecology.

The NPI profile was previously updated about 3 years ago on Mar 16, 2023. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ELLAMARIE RUSSO-DEMARA below.

NPI Profile for
ELLAMARIE B. RUSSO-DEMARA

NPI Number
1245243112
Enumeration Date

(about 20 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
ELLAMARIE B. RUSSO-DEMARA
Credentials
D.O.
Primary location
220 TOM MILLER RD.
PLATTSBURGH, NY 12901
Phone: (518) 562-2009 Fax: (518) 561-2119
Mailing address
P.O. BOX 37
SHARON, VT 05065
Phone: (609) 218-9447 Fax: (802) 728-2394
Sole Proprietor
Yes
Updated
Certification Date
Mar 16, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for ELLAMARIE RUSSO-DEMARA

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
medicaidVTVN3644
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207V00000X
- Obstetrics & Gynecology (Primary)
VT 0320000521

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.