Dr. Andrew J. Russ, M.D.

Surgery in Knoxville, TN. Individual provider (NPI-1).

NPI number1932145166

StatusActive

Last updated in NPPESJul 9, 2014

Details

NPI: 1932145166
Entity type: Individual (NPI-1)
Name: Dr. Andrew J. Russ
Credential: M.D.
Sex: Male
Sole proprietor: No
Enumeration date: Jun 22, 2006
Last updated: Jul 9, 2014

Medicare and OIG

Medicare enrolled (PECOS): Yes · PRACTITIONER - GENERAL SURGERY
Can order and refer: Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
OIG exclusion list: This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
208600000X	Surgery	51667	TN	Yes
390200000X	Student in an Organized Health Care Education/Training Program	–	WI

Practice location

1924 Alcoa Hwy
Knoxville, TN 37920-1511

Phone 865-305-9000

Mailing address

1924 Alcoa Hwy
Knoxville, TN 37920-1511

Phone 865-305-9000

Is something wrong?

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