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Active NPI 1235941444 Individual Practitioner Female Practitioner

Cecilia Rose Russo , PA-C

Physician Assistant • Scranton, PA

Professional Overview & Biography Verified Profile Summary

Cecilia Russo, PA-C is a registered healthcare professional specializing in Physician Assistant in Scranton, PA. Practice services are available at 501 S WASHINGTON AVE STE 1000 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

501 S Washington Ave Ste 1000

Scranton, PA 185053805

Telephone 5709410603

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Scranton, PA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 9.7 Yrs
State Avg: 11.5 Yrs
Regional Practice Density
156 Specialists

Practicing in Scranton, PA (8068 Statewide)

Telehealth Adoption Rate
14.1% 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

CMS Verified: 2025-01-23
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License PA OA007149

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Physician Assistant

NUCC Taxonomy Code: 363A00000X

State License PA MA066309

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Practice Associates & Co-Workers

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

40 Associated Practitioners
Dr. Ivan Cvorovic , MD

Internal Medicine

NPI 1003355991

Doctor of Medicine (M.D.)

Preetika Sharma

Student in an Organized Health Care Education/Training Program

NPI 1043914047
Rishi Priyanka Mallampalli

Student in an Organized Health Care Education/Training Program

NPI 1063105641
Dr. Douglas Klamp , MD

Internal Medicine

NPI 1063491728

Doctor of Medicine (M.D.)

Dr. Ryan Rebar , DMD

Dentist - General Practice

NPI 1083277354

Doctor of Dental Medicine

Ruth Neely , CRNP

Nurse Practitioner

NPI 1093735987

Certified Registered Nurse Practitioner

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active January 23, 2025

NPI status registered as active in NPPES database

📍
Updated Practice Location January 23, 2025

Registered at 501 S WASHINGTON AVE STE 1000, SCRANTON, PA 185053805 (Tel: 5709410603)

📍
Updated Business Mailing Address January 23, 2025

Registered at 1620 MAIN ST, OLYPHANT, PA 184471334 (Tel: 5703363718)

👤
Provider Name / Credentials Updated January 23, 2025

Recorded as CECILIA RUSSO, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 23, 2025

Physician Assistant (License #MA066309 in PA)

🟢
Initial NPI Registration & Enumeration January 23, 2025

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: 1235941444
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 23, 2025
Last Update: January 23, 2025
Sole Proprietor: No

Mailing Address

1620 Main St

Olyphant, PA 184471334

Phone: 5703363718

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.