National Provider Identifier Database

JOHN M RUSSO JR, MD – NPI #1770579583
Pediatric Gastroenterology

A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs.


Contact Information

JOHN M RUSSO JR, MD
700 CHILDRENS DR
COLUMBUS, OH43205-2664
Phone: 614-722-2600
Fax:
Website:
Specialty Taxonomy Code
* Pediatric Gastroenterology 2080P0206X

* Indicates primary specialty

NPI Profile & details for JOHN M RUSSO JR

NPI Number 1770579583
Credentials MD
Entity Individual
Enumeration date 09/27/2005
Last updated 05/14/2026 - About 3 weeks ago
Sole proprietor1 Yes
Identifiers
  • OH License #: 35084874
  • KY Medicaid: 64086051
  • OH Medicaid: 2501028
  • OH Other: 4137752 CGS - MEDICARE
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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