| Jeffrey W Russell, MD | |
|
85 N Grand Ave, 2nd Floor, Fort Thomas, KY 41075-1793 | |
| (859) 781-2628 | |
| (859) 572-4403 |
| Full Name | Jeffrey W Russell |
|---|---|
| Gender | Male |
| Speciality | Surgery |
| Location | 85 N Grand Ave, Fort Thomas, Kentucky |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659337988 | NPI | - | NPPES |
| 64213226 | Medicaid | KY | |
| 2564238 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 35037666R (Ohio) | Secondary |
| 208600000X | Surgery | 21322 (Kentucky) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Jeffrey W Russell, MD 85 N Grand Ave, 2nd Floor, Fort Thomas, KY 41075-1793 Ph: (859) 781-2628 | Jeffrey W Russell, MD 85 N Grand Ave, 2nd Floor, Fort Thomas, KY 41075-1793 Ph: (859) 781-2628 |
Heidi C Murley, MD Surgery Medicare: Medicare Enrolled Practice Location: 85 N Grand Ave, 2nd Floor, Fort Thomas, KY 41075 Phone: 859-781-2628 Fax: 859-572-4403 | |
Susan M Yelich, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 85 N Grand Ave, 2nd Floor, Fort Thomas, KY 41075 Phone: 859-781-2628 Fax: 859-572-4403 | |
Audrey Ertel, Surgery Medicare: Accepting Medicare Assignments Practice Location: 85 N Grand Ave, Fort Thomas, KY 41075 Phone: 859-781-2628 Fax: 859-572-4403 |