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

Mrs. Corrine M Russo, PA-C

Individual provider Physician Assistant · NPI 1093236945

Mrs. Corrine M Russo, PA-C is a Physician Assistant in Columbia, Maryland. Qualified in 2017, 9 years ago. Practices with Center for Vein Restoration Ga Corp, a 7-clinician group, works from 2 locations and accepts Medicare assignment.

Years since qualifying
9
In the registry since
2017
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

8860 Columbia 100 Pkwy Ste 400
Columbia, MD 21045
Phone: (410) 964-8346
Fax: (410) 964-4412
Show map & directions

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

Additional practice locations (1)

  • 2001 Medical Pkwy, Annapolis, MD 21401-3773 — (443) 481-1000

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1093236945
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJune 30, 2017
Last updated in NPPESJuly 9, 2018

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Center For Vein Restoration Ga Corp — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations12 on file with Medicare

Other providers in Columbia