ROBERT D. RUSSO, M.D. & ASSOCIATES RADIOLOGY, P.C. – NPI #1114923893
Radiology

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

ROBERT D. RUSSO, M.D. & ASSOCIATES RADIOLOGY, P.C. is a radiologist located in FAIRFIELD, CT. NPPES has assigned the NPI number 1114923893 to ROBERT D. RUSSO, M.D. & ASSOCIATES RADIOLOGY, P.C. on June 27, 2005. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “ROBERT D. RUSSO, M.D. & ASSOCIATES RADIOLOGY, P.C.” is a dba name, the actual legal business name for this organization is ORTHOPAEDIC SPECIALTY GROUP, P.C.. The primary taxonomy selected by this provider is 2085R0202X from the Health Care Provider Taxonomy code set, which is classified as Radiology, specializing in Diagnostic Radiology

The NPI profile was previously updated about 7 years ago on Dec 14, 2018. 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 ROBERT D. RUSSO, M.D. & ASSOCIATES RADIOLOGY, P.C. below.

NPI Profile for
ORTHOPAEDIC SPECIALTY GROUP, P.C.

NPI Number
1114923893
Enumeration Date

(about 21 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
ORTHOPAEDIC SPECIALTY GROUP, P.C.
Doing Business As (dba): ROBERT D. RUSSO, M.D. & ASSOCIATES RADIOLOGY, P.C.
Primary location
305 BLACK ROCK TPKE
FAIRFIELD, CT 06825
Phone: (203) 337-2600 Fax:
1 Other location(s):
305 Black Rock Tpke
Fairfield, CT 06825
Phone: (203) 337-2600 Ext: 1126
Mailing address
PO BOX 6128
BRIDGEPORT, CT 06606-0128
Phone: (203) 538-5233 Fax: (203) 538-5246
Organization Subpart
No
Authorized Official
JUDITH ORTIZ
CREDENTIALING COORDINATOR
Phone: (203) 538-5233
Updated
Identifiers

Identifiers for ROBERT D. RUSSO, M.D. & ASSOCIATES RADIOLOGY, P.C.

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
MEDICAIDCT004107894
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
2085R0202X
- Radiology / Diagnostic Radiology (Primary)
CT 016805

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.