John Russell, | |
1201 Camino De Salud Ne, Unm Cancer Center, Albuquerque, NM 87102-4517 | |
(505) 272-4946 | |
Not Available |
Full Name | John Russell |
---|---|
Gender | Male |
Speciality | Surgery |
Location | 1201 Camino De Salud Ne, Albuquerque, New Mexico |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1992712947 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 2003-0662 (New Mexico) | Primary |
Entity Name | Unm Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1831218627 PECOS PAC ID: 4981795267 Enrollment ID: O20070801000589 |
Mailing Address | Practice Location Address |
---|---|
John Russell, 933 Bradbury Dr Se, Ste. 2222, Albuquerque, NM 87106-4374 Ph: (505) 272-3120 | John Russell, 1201 Camino De Salud Ne, Unm Cancer Center, Albuquerque, NM 87102-4517 Ph: (505) 272-4946 |
Dr. Ryan P. Tyner, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 10511 Golf Course Rd Nw, Albuquerque, NM 87114 Phone: 505-262-7281 | |
Krista L Turner, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 2211 Lomas Blvd Ne, Albuquerque, NM 87106 Phone: 505-272-6441 | |
Dr. Sylvia Marina Ramos, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 1010 Las Lomas Rd Ne, Suite #1, Albuquerque, NM 87102 Phone: 505-248-1518 Fax: 505-248-1610 | |
Laura Medina, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 4700 Jefferson St Ne, Albuquerque, NM 87109 Phone: 505-925-7464 | |
Dr. Brian Lee Holt, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 715 Martin Luther King Ave Ne, Suite 301, Albuquerque, NM 87102 Phone: 505-262-7281 Fax: 505-262-7622 | |
Deanna Gonzalez, Surgery Medicare: Not Enrolled in Medicare Practice Location: Msc10 5610 1 University Of New Mexico, Albuquerque, NM 87131 Phone: 505-272-4161 Fax: 505-272-2776 | |
Melvin D Brown, PA-C Surgery Medicare: Accepting Medicare Assignments Practice Location: 1648 Alameda Blvd Nw, Albuquerque, NM 87114 Phone: 505-944-7508 Fax: 505-998-6927 |