Russell J Gross, MD | |
1995 Highway 51 S, Suite 203, Covington, TN 38019-3635 | |
(901) 475-5422 | |
(901) 475-5595 |
Full Name | Russell J Gross |
---|---|
Gender | Male |
Speciality | Surgery - Vascular Surgery |
Location | 1995 Highway 51 S, Covington, Tennessee |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1548228588 | NPI | - | NPPES |
4167965 | Other | TN | BCBS TN |
0989653 | Other | CIGNA | |
42359 | Other | TN | MEDICAID TLC |
1507224 | Medicaid | TN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | A31869 (California) | Secondary |
2086S0129X | Surgery - Vascular Surgery | 40003 (Tennessee) | Primary |
208600000X | Surgery | 31869 (California) | Secondary |
Mailing Address | Practice Location Address |
---|---|
Russell J Gross, MD 965 Ridge Lake Blvd, Suite 103, Memphis, TN 38120-9401 Ph: (901) 227-4068 | Russell J Gross, MD 1995 Highway 51 S, Suite 203, Covington, TN 38019-3635 Ph: (901) 475-5422 |
Karl Crawford Jonas Jr., MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 1995 Highway 51 South, Suite 204, Covington, TN 38019 Phone: 901-476-9087 Fax: 901-476-6901 | |
Gregory E Ginn, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 1995 Highway 51 South, Suite 203, Covington, TN 38018 Phone: 901-475-5422 Fax: 901-475-5595 |