Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Individual
DR. SAM RUSSO
Active
Individual
DR. SAM RUSSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
N.D., LAC, RMSK
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
091-0000176
VT
175F00000X
Naturopath
Primary
099-0000131
VT
2083S0010X
Sports Medicine (Preventive Medicine) Physician
099-0000131
VT
208D00000X
General Practice Physician
099-0000131
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1015129
—
VT
Enumeration date
03/13/2007
Last updated
05/01/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign upProduct
Developers