Russillo, Richard William
Russillo, Richard William is an individual health care provider with primary practice located at 1550 Boyson Rd , Hiawatha IA 52233-2362. He recently has 6 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Addiction Medicine, Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine, Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Pediatric Anesthesiology, Allopathic & Osteopathic Physicians / Anesthesiology. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Russillo, Richard William can be contacted via phone (319) 743-7300.Contact Information
Primary practice address
1550 Boyson Rd
Hiawatha IA 52233-2362
Phone: (319) 743-7300
Fax: (319) 743-7311
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Addiction Medicine | 207LA0401X | R-10612 | Iowa |
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207LC0200X | R-10612 | Iowa |
| Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine | 207LH0002X | R-10612 | Iowa |
| Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | R-10612 | Iowa |
| Allopathic & Osteopathic Physicians / Pediatric Anesthesiology | 207LP3000X | R-10612 | Iowa |
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | MD-47149 | Iowa |
Profile Details
| NPI number | 1740630938 |
|---|---|
| LBN Legal business name | Russillo, Richard William |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 17th, 2016 |
| Last updated | Apr 18th, 2025 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1740630938 | NPPES |
| Iowa | Other | MD-47149 | MEDICAL LICENSE |
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