DR. RUSSELL AUSTIN GRAY


Address: Dept of Defense Us Air Force 377 Mdg, 2050a Second Street Se Kirtland Afb, Albuquerque, NM 87117-5522
Phone: 5058463562

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

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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

Office Location

Street Address DEPT OF DEFENSE US AIR FORCE 377 MDG
2050A SECOND STREET SE KIRTLAND AFB
City ALBUQUERQUE
State NM
Zip Code 87117-5522

Providers in the same zip code

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 Information

Taxonomy Code 390200000X
Grouping Student, Health Care
Classification Student in an Organized Health Care Education/Training Program

Taxonomy Definition

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]

Providers in the same taxonomy and city

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

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City ALBUQUERQUE
Zip Code 87117

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Dataset Information

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.

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