Russell, Mark R
Russell, Mark R is an individual health care provider with primary practice located at 3601 The Vanderbilt Clinic , Nashville TN 37232-2201. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Russell, Mark R can be contacted via phone (615) 322-3000.Contact Information
Primary practice address
3601 The Vanderbilt Clinic
Nashville TN 37232-2201
Phone: (615) 322-3000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | MD0000017613 | Tennessee |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 17613 | Tennessee |
Profile Details
| NPI number | 1053307223 |
|---|---|
| LBN Legal business name | Russell, Mark R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 23rd, 2005 |
| Last updated | Jun 21st, 2023 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1053307223 | NPPES |
| Tennessee | MEDICAID | 0093881 |
Popular Providers
-
Overfield, Ronald Edwin
222 22Nd Ave N Suite 100, Nashville TN 37203-1852 -
Kunz, David Paul
3601 The Vanderbilt Clinic , Nashville TN 37232-1620 -
Lefler, Lee M
210 25Th Ave N Ste 602 , Nashville TN 37203-1631 -
Rieck, Richard W.
210 25Th Ave N Ste 602, Nashville TN 37203-1606 -
Banovac, Filip
Dept Of Radiology Vanderbilt Univ Med Ctr 1161 Medical Center Drive, Nashville TN 37232-2675 -
Mahoney, Robert Jeffrey
3601 The Vanderbilt Clinic , Nashville TN 37232-0001 -
Allen, Barry E
8247 River Road Pike , Nashville TN 37209 -
Jacob, Pradeep K
210 25Th Ave N Ste 1204 , Nashville TN 37203-1620