IndividualActive
Christopher Russo, MD
NPI 1033442231 · Interventional Pain Medicine Physician · Grand Rapids, MI
Provider details
- NPI number
- 1033442231
- Entity type
- Individual
- Primary specialty
- Interventional Pain Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 4301064161 (MI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(85/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
710 Kenmoor Ave Se
Suite 200
Grand Rapids, MI 49546-2379
Phone: (616) 588-7246
Fax: (616) 588-7086
Street-level locationGet directions
Mailing address
710 Kenmoor Ave Se
Grand Rapids, MI 49546-2379
Registry dates
- Enumerated
- 2009-09-08
- Last updated
- 2012-04-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.