Mark D Russ (NPI# 1629018767, PAC ID# 6800864281) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ORTHOPEDIC SURGERY.
| Nation Provider ID (NPI) | 1629018767 |
| PAC ID by PECOS | 6800864281 |
| Professional Enrollment ID | I20040923000171 |
| Full Name | Mark D Russ |
| Address |
767 Wood E Ave Big Stone Gap VA 24219-3023 |
| Gender | M |
| Credential | MD |
| Medical School | GEORGE WASHINGTON UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1993 |
| Primary Specialty | ORTHOPEDIC SURGERY |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 490114 | WELLMONT LONESOME PINE HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 767 Wood E Ave, Big Stone Gap, VA 24219-3023 |
| Street Address |
767 WOOD E AVE |
| City | BIG STONE GAP |
| State | VA |
| Zip | 24219-3023 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sharon C Deel | Nurse Practitioner | Post Acute Consultants of Virginia PC | 205 Valley View Dr, Big Stone Gap, VA 24219 |
| Rob Sawyer | Optometry | 516 Powell Ave, Big Stone Gap, VA 24219-2346 | |
| Robert Andrew Botts | Optometry | Drs. Botts and Botts, Optometrists PC | 606 Powell E Ave, Big Stone Gap, VA 24219-2348 |
| Robert E Botts | Optometry | Drs. Botts and Botts, Optometrists PC | 606 Powell E Ave, Big Stone Gap, VA 24219-2348 |
| Bernard Manatu | Pediatric Medicine | Bernard Manatu PC | 320 Cloverleaf Sq, Big Stone Gap, VA 24219-2752 |
| Theresa A Dunton | Chiropractic | 1 Cloverleaf Sq, Bldg A2, Big Stone Gap, VA 24219-2758 | |
| Samantha G Addison | Nurse Practitioner | Wellmont Medical Associates Inc | 323 Cloverleaf Sq, Suite 1, Big Stone Gap, VA 24219-2760 |
| Lauren Burns | Family Medicine | Wellmont Medical Associates Inc | 323 Cloverleaf Sq, Suite 1, Big Stone Gap, VA 24219-2760 |
| Christopher M Basham | Family Medicine | Wellmont Medical Associates Inc | 323 Cloverleaf Sq, Suite 1, Big Stone Gap, VA 24219-2760 |
| Bryan Watson | Internal Medicine | Wellmont Medical Associates Inc | 323 Cloverleaf Sq, Suite 1, Big Stone Gap, VA 24219-2760 |
| Find all physicians in zip 24219 | |||
| City | BIG STONE GAP |
| Zip Code | 24219 |
| Specialty | ORTHOPEDIC SURGERY |
| City + Specialty | BIG STONE GAP + ORTHOPEDIC SURGERY |
Please comment or provide details below to improve the information on Mark D Russ.
| 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.