Active NPI 1356431456 Individual Practitioner Male Practitioner

Peter John Russo , PA-C

Physician Assistant - Medical • Akron, OH

Professional Overview & Biography Verified Profile Summary

Peter Russo, PA-C is a registered healthcare professional specializing in Physician Assistant - Medical in Akron, OH. Practice services are available at 55 W WATERLOO RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

55 W Waterloo Rd

Akron, OH 443191116

Telephone 3307247715

Associated Practice Facility / Clinic

🏢 Cleveland Vamc Facility NPI 1134179799

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant - Medical in Akron, OH

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 10.8 Yrs

State Avg: 12.9 Yrs

Regional Practice Density

21 Specialists

Practicing in Akron, OH (863 Statewide)

Telehealth Adoption Rate

9.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Physician Assistant - Medical Primary Specialty

NUCC Taxonomy Code: 363AM0700X

State License OH 50.000448

Definition to come...

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners

Lawrence Miller , RPH

Pharmacist

NPI 1043308604

Registered Pharmacist

Allan Laury , RN

Registered Nurse

NPI 1043925092

Registered Nurse

Keno Jackson , LSW, MSW

Counselor - Mental Health

NPI 1053186569

Licensed Social Worker, Master of Social Work

Dr. Angel Hatchett , MD

Psychiatry & Neurology - Psychiatry

NPI 1063505535

Doctor of Medicine (M.D.)

Mary Pat Izar , RN

Registered Nurse

NPI 1073228037

Registered Nurse

Jeffrey Collins

Registered Nurse

NPI 1083325617

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 08, 2007

Registered at 55 W WATERLOO RD, AKRON, OH 443191116 (Tel: 3307247715)

📍

Updated Business Mailing Address July 08, 2007

Registered at 211 RIDGE RD, MOGADORE, OH 442602022 (Tel: 3306285508)

👤

Provider Name / Credentials Updated July 08, 2007

Recorded as PETER RUSSO, PA-C

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Physician Assistant (License #50.000448 in OH)

🟢

Initial NPI Registration & Enumeration October 13, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1356431456

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: October 13, 2006

Last Update: July 08, 2007

Sole Proprietor: No

Update or Correct Profile

Mailing Address

211 Ridge Rd

Mogadore, OH 442602022

Phone: 3306285508

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.