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

Stephen A Russo, PA-C

Individual provider Physician Assistant · NPI 1063783074

Stephen A Russo, PA-C is a Physician Assistant in Lititz, Pennsylvania. Licensed in Florida and Pennsylvania. Registered with an NPI since 2012.

Licensed in
FL, PA
In the registry since
2012
Specialties on file
2
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

1500 Highlands Dr
Lititz, PA 17543-7694
Phone: (717) 988-0000
Fax: (717) 782-5716
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence MA057357 (PA)
Physician Assistant Taxonomy 363A00000X · Licence PA9106297 (FL)

Record details

NPI number1063783074
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJanuary 23, 2012
Last updated in NPPESApril 9, 2021
Certification dateApril 9, 2021
Mailing address1500 Highlands Dr, Lititz, PA 17543-7694

Other providers in Lititz