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

Gordon J Russo, MD

Individual provider Procedural Dermatology Physician · NPI 1083612469

Gordon J Russo, MD is a Dermatology in Gretna, Louisiana. Graduated from Louisiana State University School of Medicine in New Orleans in 1979, 47 years ago. Practices with Westside Dermatology Associates a Professional Medical Corporation, a 2-clinician group and accepts Medicare assignment. Licensed in Louisiana.

Years since qualifying
47
Trained at
Louisiana State University School of Medicine in New Orleans
Licensed in
LA
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

120 Meadowcrest St Ste 160
Gretna, LA 70056-5255
Phone: (504) 391-7620
Fax: (504) 391-7524
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Procedural Dermatology Physician (primary) Taxonomy 207NS0135X · Licence 015208 (LA)

Record details

NPI number1083612469
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 11, 2005
Last updated in NPPESFebruary 3, 2010
Mailing address3725 Lake Michael Ct, Gretna, LA 70056-8326

Medicare enrollment

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

Medicare specialtyDERMATOLOGY
Medical schoolLOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN NEW ORLEANS
Graduated 1979 (47 years in practice)
Group practice Westside Dermatology Associates A Professional Medical Corporation — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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