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

Individual provider Plastic Surgery Physician · NPI 1376663112

Dr. John Russin, MD is a Plastic and Reconstructive Surgery in Hollywood, Florida. Graduated from Albany Medical College of Union University in 1978, 48 years ago. Practices as a sole proprietor and works from 2 locations. Licensed in New York.

Years since qualifying
48
Trained at
Albany Medical College of Union University
Licensed in
NY
In the registry since
2007
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2734 Polk St
Hollywood, FL 33020-4832
Phone: (954) 437-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1 Atwell Rd, Cooperstown, NY 13326-1301 — (607) 547-7665

Specialties & licences

Plastic Surgery Physician (primary) Taxonomy 208200000X · Licence 139224 (NY)

Record details

NPI number1376663112
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMarch 29, 2007
Last updated in NPPESJanuary 9, 2023
Certification dateJanuary 9, 2023
Mailing address1 Atwell Rd, Cooperstown, NY 13326-1301

Medicare enrollment

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

Medicare specialtyPLASTIC AND RECONSTRUCTIVE SURGERY
Medical schoolALBANY MEDICAL COLLEGE OF UNION UNIVERSITY
Graduated 1978 (48 years in practice)
Accepts Medicare assignment Not indicated

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