DR. RUSSELL AUSTIN GRAY (NPI# 1427341015) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1427341015 |
Entity Type | Individual |
Full Name | DR. RUSSELL AUSTIN GRAY |
Credential | MD |
Practice Address |
Dept of Defense Us Air Force 377 Mdg 2050a Second Street Se Kirtland Afb Albuquerque NM 87117-5522 |
Mailing Address |
2200 Bergquist Dr Ste 1 Jbsa Lackland TX 78236-5300 |
Practice Telephone | 5058463562 |
Mailing Telephone | 5015173441 |
Enumeration Date | 2011-05-16 |
Last Update Date | 2018-09-05 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023678778 | Russell Lamar Gray | Optometrist | 1926 W State St, Boise, ID 83702-3957 | 2019-06-15 |
1831633452 | Russell Gray | Counselor | 139 Renaissance Pkwy Ne, Atlanta, GA 30308-2324 | 2016-12-16 |
1144524885 | Russell Clinton Gray | Social Worker | 37 Eagle Way, West Chazy, NY 12992-2562 | 2011-01-10 |
1265499065 | Russell Gray | Anesthesiology | 1500 E Duarte Rd, Duarte, CA 91010 | 2006-04-27 |
Street Address |
DEPT OF DEFENSE US AIR FORCE 377 MDG 2050A SECOND STREET SE KIRTLAND AFB |
City | ALBUQUERQUE |
State | NM |
Zip Code | 87117-5522 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245614544 | Rowland Coyle | Military Health Care Provider | 701 Stephen Moody Rd, Albuquerque, NM 87117 | 2015-07-16 |
1649619511 | National Vision Optical | Technician/Technologist | 7901 Gibson Blvd, Bldg 20176, Kirtland, NM 87117 | 2013-06-24 |
1437493020 | Sarah Michael Workman | Nurse Practitioner | 1501 San Pedro Drive Se, Bld 47, 377mdg/mdos/sgow, Albuquerque, NM 87117 | 2012-11-20 |
1871852210 | Sunland Optical Co., Inc. | Eyewear Supplier (Equipment, not the service) | Kirtland Afb Building 20170, Albuquerque, NM 87117 | 2012-05-04 |
1528180502 | Gay C Davis | Speech-Language Pathologist | 25000 East Kirtland Afb, Wherry Es, Albuquerque, NM 87117 | 2007-04-03 |
1952493017 | Angela Marie Albrecht | Family Medicine | 377 Medical Group 2050 A Second St Se, Albuquerque, NM 87117 | 2006-09-28 |
1104930734 | Lesley Dale Pacheco | Social Worker | 2050 A 2nd Street, Kirtland Afb, NM 87117 | 2006-08-19 |
1053355735 | Joseph Agage Ouma | Family Medicine | 377th Mdg, Kirtland Afb, 2050 A Second St, Se, Albuquerque, NM 87117 | 2006-06-15 |
1033762927 | Mary Mauldin | Registered Nurse | 1515 Eubank Blvd, Albuquerque, NM 87117 | 2019-07-19 |
1811540834 | Angie Leigh Avila-quigley | Registered Nurse | 1515 Eubank, Albuquerque, NM 87117 | 2019-07-18 |
Find all providers in zip 87117 |
Taxonomy Code | 390200000X |
Grouping | Student, Health Care |
Classification | Student in an Organized Health Care Education/Training Program |
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
Notes: [1/1/2005: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457952228 | Toshiyuki Shiina | Student in an Organized Health Care Education/Training Program | Unmh Hospital, 2211 Lomas Blvd Ne, Albuquerque, NM 87106-2719 | 2020-11-06 |
1629679808 | Jorge Licano | Student in an Organized Health Care Education/Training Program | Unmh Hospital 2211 Lomas Blvd Ne, Albuquerque, NM 87106 | 2020-11-04 |
1730780032 | Joseph Sanchez | Student in an Organized Health Care Education/Training Program | (unmh Hospital 2211 Lomas Blvd Ne, Albuquerque, NM 87106 | 2020-11-03 |
1447869144 | Tarab Mansoor | Student in an Organized Health Care Education/Training Program | Msc10 5620 1 University of New Mexico Albuquerque Nm, Albuquerque, NM 87131-0001 | 2020-07-28 |
1306454392 | Yusra Azhar | Student in an Organized Health Care Education/Training Program | Msc 5615 1 University of New Mexico, Albuquerque, NM 87131-0001 | 2020-07-16 |
1154949360 | Muhammad Abdur Raafey | Student in an Organized Health Care Education/Training Program | Msc11 6025 University of New Mexico, Albuquerque, NM 87131-0001 | 2020-07-14 |
1194347344 | Waseem Zechariah Wagrees | Student in an Organized Health Care Education/Training Program | Department of Neurology Msc 105620, University of New Mexico, Albuquerque, NM 87131-0001 | 2020-05-11 |
1508487562 | Jonathan G Swope | Student in an Organized Health Care Education/Training Program | Msc (aegd) 1 University of New Mexico, Albuquerque, NM 87131-0001 | 2020-04-30 |
1619598844 | Syed Faraz Faraz Kazim | Student in an Organized Health Care Education/Training Program | Department of Neurosurgery, Msc 10-5615, University of New Mexico School of Medicine, Albuquerque, NM 87131-0001 | 2020-04-28 |
1700407939 | Ravi Soni | Student in an Organized Health Care Education/Training Program | Department of Neurology 1 University of New Mexico, Albuquerque, NM 87131-0001 | 2020-04-28 |
Find all providers in ALBUQUERQUE |
City | ALBUQUERQUE |
Zip Code | 87117 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.