Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

De Ante Russ

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1811423502

De Ante Russ is an Emergency Medicine in Toledo, Ohio. Qualified in 2017, 9 years ago. Practices with Lorain Emergency Physicians LLC, a 16-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
9
Licensed in
OH
In the registry since
2017
Specialties on file
2
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Practice location Address checks out

3000 Arlington Ave
Toledo, OH 43614-2595
Phone: (330) 388-7856
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4065 Center Rd, Brunswick, OH 44212-2918 — (330) 558-0123

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 35.135938 (OH)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X (OH)

Record details

NPI number1811423502
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 2, 2017
Last updated in NPPESMarch 4, 2026
Certification dateMarch 4, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyEMERGENCY MEDICINE
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Lorain Emergency Physicians Llc — 16 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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