John C Russell (NPI# 1003918137, PAC ID# 3971638958) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CARDIAC SURGERY.
Nation Provider ID (NPI) | 1003918137 |
PAC ID by PECOS | 3971638958 |
Professional Enrollment ID | I20100316000425 |
Full Name | John C Russell |
Address |
2731 Oak Blf San Antonio TX 78230-3601 |
Phone Number | 2104929131 |
Gender | M |
Medical School | BAYLOR COLLEGE OF MEDICINE |
Graduation Year | 1962 |
Primary Specialty | CARDIAC SURGERY |
Secondary Specialties | GENERAL SURGERY, THORACIC SURGERY, VASCULAR SURGERY |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
450388 | METHODIST HOSPITAL |
Address | Phone | Organization |
---|---|---|
2731 Oak Blf, San Antonio, TX 78230-3601 | 2104929131 |
Street Address |
2731 OAK BLF |
City | SAN ANTONIO |
State | TX |
Zip | 78230-3601 |
Name | Specialty | Organization | Address |
---|---|---|---|
Gloria J Johnson | Physician Assistant | Steven A. Davis Md Pa | 7810 Louis Pasteur, Suite 200, San Antonio, TX 78230 |
Jose Reyes | Family Medicine | 12730 Ih 10, Suite 306, San Antonio, TX 78230-1004 | |
Annela Arredondo | Optometry | 12730 Interstate Hwy 10 W, Suite 310a, San Antonio, TX 78230-1004 | |
Ann P Black | Family Practice | Texas Healthnet Medical Clinic Ltd | 12730 Ih 10, Suite 306, San Antonio, TX 78230-1004 |
John A Marshall Ii | Family Practice | Texas Healthnet Medical Clinic Ltd | 12730 Ih 10, Suite 306, San Antonio, TX 78230-1004 |
Jester J Waller | Family Practice | Texas Healthnet Medical Clinic Ltd | 12730 Ih 10, Suite 306, San Antonio, TX 78230-1004 |
Mary H Garcia Holguin | Psychiatry | 12050 Vance Jackson Rd, Bldg 2, San Antonio, TX 78230-1182 | |
Fredrick L Fox | Psychiatry | 12050 Vance Jackson Rd, Bldg 2 Suite 201, San Antonio, TX 78230-1183 | |
Maria G Dominguez | Psychiatry | 12050 Vance Jackson Rd, Suite 201, San Antonio, TX 78230-1183 | |
Kurt J Sherick | Psychiatry | 12050 Vance Jackson Rd, Suite 201, San Antonio, TX 78230-1183 | |
Find all physicians in zip 78230 |
City | SAN ANTONIO |
Zip Code | 78230 |
Specialty | CARDIAC SURGERY |
City + Specialty | SAN ANTONIO + CARDIAC SURGERY |
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Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.