{"npi":"1942298369","type":"NPI-1","status":"active","name":{"display":"Dr. Scott Russo MD","other":[],"first":"SCOTT","last":"RUSSO","middle":"S","credential":"MD"},"specialty":{"primary_taxonomy":"207XS0117X","primary_taxonomy_description":"Orthopaedic Surgery of the Spine","slug":"orthopedic-spine-surgery","schema_org_specialty":"Surgical","all":[{"code":"207XS0117X","description":"Orthopaedic Surgery of the Spine","primary":true,"state":"MI","license":"4301405099"}]},"addresses":[{"purpose":"LOCATION","street_1":"750 E BELTLINE AVE NE","city":"GRAND RAPIDS","state":"MI","postal_code":"495256049","country_code":"US","street_2":"SUITE 301","phone":"6164597101","fax":"6169426879"},{"purpose":"MAILING","street_1":"1111 LEFFINGWELL AVE NE","city":"GRAND RAPIDS","state":"MI","postal_code":"495256406","country_code":"US","street_2":"SUITE 300","phone":"6164597101","fax":"6169426879"}],"license":{"state":"MI","number":"4301405099"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"4761530","state":"MI","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20031121000488","type_code":"14-20","type_desc":"PRACTITIONER - ORTHOPEDIC SURGERY","state":"MI","pac_id":"6507760527"}]},"enumeration_date":"2005-10-10","last_updated":"2013-02-04","_meta":{"source":"NPPES","snapshot_date":"2013-02-04","doc_url":"https://findmynpi.com/api"}}