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

Dr. Thomas J Russo, DO

Individual provider Surgery Physician · NPI 1235511205

Dr. Thomas J Russo, DO is a General Surgery in Rochester, New York. Graduated from Lake Erie College of Osteopathic Medicine, Erie in 2015, 11 years ago. Practices with United Memorial Medical Center, a 273-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
11
Trained at
Lake Erie College of Osteopathic Medicine, Erie
Licensed in
NY
In the registry since
2015
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

99 Canal Landing Blvd Ste 6
Rochester, NY 14626-5112
Phone: (585) 247-4770
Fax: (585) 247-4268
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 304073 (NY)

Record details

NPI number1235511205
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedJune 25, 2015
Last updated in NPPESJune 24, 2020
Certification dateJune 24, 2020

Medicare enrollment

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

Medicare specialtyGENERAL SURGERY
Medical schoolLAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE, ERIE
Graduated 2015 (11 years in practice)
Group practice United Memorial Medical Center — 273 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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