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

Michael James Russo, PAC

Individual provider Surgical Physician Assistant · NPI 1952551749

Michael James Russo, PAC is a Physician Assistant in Salisbury, Maryland. Qualified in 2008, 18 years ago. Practices with Peninsula Orthopaedic Assoc PA, a 55-clinician group and accepts Medicare assignment. Licensed in Maryland.

Years since qualifying
18
Licensed in
MD
In the registry since
2008
What do these letters mean?
PAC — Physician Assistant, Certified
A physician assistant holding current national certification; usually written PA-C.

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Practice location Address checks out

1675 Woodbrooke Dr
Salisbury, MD 21804-8502
Phone: (410) 749-4154
Fax: (410) 860-9583
Show map & directions

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

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence C03866 (MD)

Record details

NPI number1952551749
Entity typeIndividual (Type 1)
GenderMale
Credentials PAC
Sole proprietorNo
NPI enumeratedSeptember 29, 2008
Last updated in NPPESAugust 15, 2025
Certification dateAugust 15, 2025
Mailing addressPo Box 69709, Baltimore, MD 21264-9709

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice Peninsula Orthopaedic Assoc Pa — 55 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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