RUSSELL GROSS M D L L C


Address: 1995 Highway 51 S, Suite 101, Covington, TN 38019-3635
Phone: 9014769921

RUSSELL GROSS M D L L C (NPI# 1326151812) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1326151812
Entity Type Organization
Organization Name RUSSELL GROSS M D L L C
Practice Address 1995 Highway 51 S
Suite 101
Covington
TN 38019-3635
Practice Telephone 9014769921
Practice Fax Number 9014759272
Mailing Telephone 9014769921
Mailing Fax Number 9014759272
Enumeration Date 2006-08-17
Last Update Date 2020-08-22
Authorized Official Name RUSSELL J GROSS (OWNER)
Authorized Official Telephone 9014769921
Authorized Official Credential M.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208600000X Surgery Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
TN BLUE CROSS 4112897 01
TN 4112897 05

Office Location

Street Address 1995 HIGHWAY 51 S
SUITE 101
City COVINGTON
State TN
Zip Code 38019-3635

Providers in the same location

NPI Name Taxonomy Address Enumeration
1790775518 James William Martin Family Medicine 1995 Highway 51 S, Suite 101, Covington, TN 38019-3635 2005-10-24
1902459324 Stephanie Castro Tims Nurse Practitioner 1995 Highway 51 S, Covington, TN 38019-3635 2019-07-24
1083170880 Kayla Tiara Mcmorise Nurse Practitioner 1995 Highway 51 S, Covington, TN 38019-3635 2019-02-17
1790231686 Medicone Medical Response Delta Region Inc Ambulance 1995 Highway 51 S, Covington, TN 38019-3635 2016-08-30
1801277363 Jeffrey O'banner Emergency Medicine 1995 Highway 51 S, Covington, TN 38019-3635 2015-06-10
1386037919 Alliance Obstetrics & Gynecology Obstetrics & Gynecology 1995 Highway 51 S, #203, Covington, TN 38019-3635 2015-03-06
1205241304 West Tennessee Orthopaedic Clinic, P.a. Specialist 1995 Highway 51 S, Suite 102, Covington, TN 38019-3635 2014-06-26
1992121834 Rachel Bates Physician Assistant 1995 Highway 51 S, Covington, TN 38019-3635 2014-03-17
1043572837 Premier Women's Care Obstetrics & Gynecology 1995 Highway 51 S, Suite 112, Covington, TN 38019-3635 2012-06-08
1386948891 Eric James Boyer Physician Assistant 1995 Highway 51 S, Covington, TN 38019-3635 2010-12-28
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1255957361 Pcs Midsouth Transport LLC Non-emergency Medical Transport (VAN) 1723 Highway 51 S Ste E, Covington, TN 38019 2020-06-24
1972157410 Deondra Edwards Nurse Practitioner 1618 Highway 51, Suites A&b, Covington, TN 38019 2019-08-01
1609395938 Lauren Hill Physician Assistant 1618 Us 51, Covington, TN 38019 2017-09-19
1871991398 Paul W. Hutchison, D.p.m. Podiatrist 105-d Mueller Brass Road, Covington, TN 38019 2014-12-16
1245586874 Anne Marie Griffin Nurse Practitioner 1997 Highway 51 South, Professional Care Services of West Tennessee, Covington, TN 38019 2012-08-01
1720353782 Katie Ann Daggett Physician Assistant 1618 Us 51 South, Suite A, Covington, TN 38019 2012-03-09
1245491547 Amber Richa Hobbs-buchner Dentist 720 W. Sherrod Ave, Covington, TN 38019 2008-06-19
1598970758 Roger Ganier Jr. Dentist 635 Hwy 51 S., Covington, TN 38019 2007-05-11
1679607923 West Tennessee Eye Optometrist 1999 Hwy 51 South, Suite B, Covington, TN 38019 2007-03-16
1518017771 State of Tennessee Public Health or Welfare 4700 Mueller Brass Road, Covington, TN 38019 2007-01-11
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Taxonomy Information

Taxonomy Code 208600000X
Grouping Allopathic & Osteopathic Physicians
Classification Surgery

Taxonomy Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1578087516 Dorothy Lewis Md, LLC Surgery 52 Oaklawn Dr, Covington, LA 70433-4518 2017-08-01
1770834145 Real Results Clinic LLC Surgery 606 W. 11th Ave., Suite B, Covington, LA 70433 2012-09-26
1063781326 Susan Irving Surgery 15 Whispering Pine Dr, Covington, GA 30016-4294 2011-12-15
1275587883 Karl Crawford Jonas Jr. Surgery 1995 Highway 51 South, Suite 204, Covington, TN 38019-3655 2006-05-19
1871564252 Erica Y Scott Surgery 4181 Hospital Dr Ne Ste 303, Covington, GA 30014-2541 2006-02-01
1053312223 John H Verhulst Surgery 606 W 11th Ave, Covington, LA 70433-3630 2005-08-10
1881694388 Steven R Whitworth Surgery 4181 Hospital Dr Ne, Suite 303, Covington, GA 30014-2541 2005-07-26
1154973360 Lakeshore Surgical Associates of La Surgery 110 Lakeview Dr Ste 200, Covington, LA 70433-7511 2019-07-09
1487000899 James W. Christopher, Md, LLC Surgery 7015 Highway 190 East Service Rd, Ste. 102, Covington, LA 70433-4960 2016-05-05
1962713537 Pavilion Surgical Associates, LLC Surgery 4181 Hospital Dr Ne, Suite 303, Covington, GA 30014-2541 2010-06-29
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Competitor

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City COVINGTON
Zip Code 38019

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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