MEDICARE: DR. ROBERT MICHAEL RUSS M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	4301068622	MI
2	207R00000X	Internal Medicine Physician	18194	NV

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	18194	OTHER	NV	STATE LICENSE
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1225008501
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROBERT MICHAEL RUSS M.D.

Provider Business Mailing Address
First Line	:	6101 BLUE LAGOON DR STE 200
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33126-3168
Country	:	US
Telephone Number	:	725-220-8457
Fax Number	:	833-749-0355

Provider Business Practice Location Address
First Line	:	3129 N RAINBOW BLVD
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89108-4578
Country	:	US
Telephone Number	:	725-220-8457
Fax Number	:	833-749-0355

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/26/2006
Last Update Date	:	02/25/2025

Similar Medicare Providers

1780657262 — EVANGELIA PAPAGEORGE MD
Practice Location Address:

3129 N RAINBOW BLVD
LAS VEGAS, NV
89108-4578

Practice Phone: 725-220-8457
Practice Fax: 833-749-0355

1851460539 — DR. HUAI C PHEN DDS
Practice Location Address:

3163 N RAINBOW BLVD
LAS VEGAS, NV
89108-4578

Practice Phone: 702-656-2301
Practice Fax: 702-656-2038

1871667949 — SUE & ASSOCIATES, PC
Practice Location Address:

3163 N RAINBOW BLVD
LAS VEGAS, NV
89108-4578

Practice Phone: 702-656-2301
Practice Fax: 702-656-2203

1679899579 — DR. DEMIAN GITNACHT M.D.
Practice Location Address:

3129 N RAINBOW BLVD
LAS VEGAS, NV
89108-4578

Practice Phone: 725-220-8457
Practice Fax: 833-749-0355

1710257977 — COAST DENTAL OF NEVADA INC.
Practice Location Address:

3163 N RAINBOW BLVD
LAS VEGAS, NV
89108-4578

Practice Phone: 813-288-1999
Practice Fax:

1720405830 — JACK M YANG MD
Practice Location Address:

3129 N RAINBOW BLVD
LAS VEGAS, NV
89108-4578

Practice Phone: 725-220-8457
Practice Fax: 833-749-0355

Directions to “ DR. ROBERT MICHAEL RUSS M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.