Individual
DONALD J RUSSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
353 NEW SHACKLE ISLAND RD, #300C, HENDERSONVILLE, TN 37075-2379
(615) 338-3337
(615) 338-3329
Mailing address
353 NEW SHACKLE ISLAND RD, #300C, HENDERSONVILLE, TN 37075-2379
(615) 338-3337
(615) 338-3329
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
16008
TN
207RC0000X
Cardiovascular Disease Physician
Primary
16008
TN
208M00000X
Hospitalist Physician
44031
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3011296
—
TN
01
—
60515
BCBS OF TN
TN
Enumeration date
08/23/2006
Last updated
04/03/2026
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