Russell Hargrove (NPI# 1700193018, PAC ID# 3476735424) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA).
| Nation Provider ID (NPI) | 1700193018 |
| PAC ID by PECOS | 3476735424 |
| Professional Enrollment ID | I20160926002026 |
| Full Name | Russell Hargrove |
| Organization Legal Name | TIP TOP ANESTHESIA GROUP INC |
| Address |
50 N La Cienega Blvd Suite 203 Beverly Hills CA 90211-2246 |
| Phone Number | 3239880896 |
| Gender | M |
| Graduation Year | 2010 |
| Primary Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| Group Practice PAC ID | 0941429872 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050763 | SILVER LAKE MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 50 N La Cienega Blvd, Suite 203, Beverly Hills, CA 90211-2246 | 3239880896 | TIP TOP ANESTHESIA GROUP INC |
| Organization Legal Name | TIP TOP ANESTHESIA GROUP INC |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christy L Davis | Certified Registered Nurse Anesthetist (crna) | Tip Top Anesthesia Group Inc | 50 N La Cienega Blvd, Suite 203, Beverly Hills, CA 90211-2246 |
| Daniel Ranchez | Certified Registered Nurse Anesthetist (crna) | Tip Top Anesthesia Group Inc | 50 N La Cienega Blvd, Suite 203, Beverly Hills, CA 90211-2246 |
| Alla Kryukova | Certified Registered Nurse Anesthetist (crna) | Tip Top Anesthesia Group Inc | 50 N La Cienega Blvd, Suite 203, Beverly Hills, CA 90211-2246 |
| Street Address |
50 N LA CIENEGA BLVD SUITE 203 |
| City | BEVERLY HILLS |
| State | CA |
| Zip | 90211-2246 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Hormoz Zahiri | Orthopedic Surgery | 50 N La Cienega Blvd, Suite 100, Beverly Hills, CA 90211-2241 | |
| Yaron S Rabinowitz | Ophthalmology | Cornea Genetic Management Group Inc | 50 N La Cienega Blvd, Suite 340, Beverly Hills, CA 90211-2227 |
| Marshal Paul Fichman | Internal Medicine | 50 N La Cienega Blvd, Suite 204, Beverly Hills, CA 90211-2246 | |
| Amanuel Sima | Internal Medicine | 50 N La Cienega Blvd, Suite 220, Beverly Hills, CA 90211-2246 | |
| Christy L Davis | Certified Registered Nurse Anesthetist (crna) | Tip Top Anesthesia Group Inc | 50 N La Cienega Blvd, Suite 203, Beverly Hills, CA 90211-2246 |
| Daniel Ranchez | Certified Registered Nurse Anesthetist (crna) | Tip Top Anesthesia Group Inc | 50 N La Cienega Blvd, Suite 203, Beverly Hills, CA 90211-2246 |
| Alla Kryukova | Certified Registered Nurse Anesthetist (crna) | Tip Top Anesthesia Group Inc | 50 N La Cienega Blvd, Suite 203, Beverly Hills, CA 90211-2246 |
| Christopher A Zahiri | Orthopedic Surgery | 50 N La Cienega Blvd, Suite 100, Beverly Hills, CA 90211-2241 | |
| Kamran Hakimian | Physical Medicine and Rehabilitation | 50 N La Cienega Blvd, Suite 219, Beverly Hills, CA 90211-2246 | |
| Victor Gura | Internal Medicine | 50 N La Cienega Blvd, Suite 310, Beverly Hills, CA 90211-2241 | |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Carl Millner | Internal Medicine | Aids Healthcare Foundation | 99 N La Cienega Blvfd, Ste200, Beverly Hills, CA 90211 |
| Lindsey N Zamarripa | Nurse Practitioner | Aids Healthcare Foundation | 99 N La Cienega Blvfd, Ste200, Beverly Hills, CA 90211 |
| David Irwin Lintz | Infectious Disease | Aids Healthcare Foundation | 99 N La Cienega Blvfd, Beverly Hills, CA 90211 |
| Martha Roman | Nurse Practitioner | Aids Healthcare Foundation | 99 N La Cienega Blvfd, Ste200, Beverly Hills, CA 90211 |
| Richard P Nigro | Anesthesiology | Brotman Medical Anesthesia Group | 9090 Wilshire Blvd, Beverly Hills, CA 90211-0001 |
| Michael Ryan Kelly | Anesthesiology | Brotman Medical Anesthesia Group | 9090 Wilshire Blvd, Beverly Hills, CA 90211-0001 |
| Martin Lawrence Gordon | Anesthesiology | 9090 Burton Way, Beverly Hills, CA 90211-1661 | |
| Vanessa M Spooner | Clinical Psychologist | 329 N Wetherly Dr, Beverly Hills, CA 90211-1675 | |
| Robert O Ruder | Otolaryngology | 8816 Burton Way, First Floor, Beverly Hills, CA 90211-1715 | |
| Jeffrey S Jumaily | Otolaryngology | 8816 Burton Way, Suite 1, Beverly Hills, CA 90211-1715 | |
| Find all physicians in zip 90211 | |||
| City | BEVERLY HILLS |
| Zip Code | 90211 |
| Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| City + Specialty | BEVERLY HILLS + CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.