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

Robert James Russo, PA

Individual provider Physician Assistant · NPI 1104871656

Robert James Russo, PA is a Physician Assistant in Dubuque, Iowa. Qualified in 1999, 27 years ago. Practices with Medical Associates Clinic P C, a 227-clinician group and accepts Medicare assignment. Licensed in Iowa.

Years since qualifying
27
Licensed in
IA
In the registry since
2006
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

1000 Langworthy St
Dubuque, IA 52001-7313
Phone: (563) 584-3455
Fax: (563) 584-3177
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 001232 (IA)

Record details

NPI number1104871656
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedMay 23, 2006
Last updated in NPPESSeptember 1, 2010
Mailing address1500 Associates Dr, Dubuque, IA 52002-2201

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1999 (27 years in practice)
Group practice Medical Associates Clinic P C — 227 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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