Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Thomas Gerald Russell Jr., MD

Individual provider Emergency Medicine Physician · NPI 1417080631

Dr. Thomas Gerald Russell Jr., MD is an Emergency Medicine in Mayfield, Kentucky. Graduated from University of Mississippi School of Medicine in 1985, 41 years ago. Practices with West Fairview Emergency Physicians LLC, a 40-clinician group and accepts Medicare assignment. Licensed in Kentucky.

Years since qualifying
41
Trained at
University of Mississippi School of Medicine
Licensed in
KY
In the registry since
2007
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1099 Medical Center Cir
Mayfield, KY 42066-1159
Phone: (270) 251-4242
Fax: (270) 251-4240
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 27843 (KY)

Record details

NPI number1417080631
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMarch 14, 2007
Last updated in NPPESJuly 8, 2007

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyEMERGENCY MEDICINE
Medical schoolUNIVERSITY OF MISSISSIPPI SCHOOL OF MEDICINE
Graduated 1985 (41 years in practice)
Group practice West Fairview Emergency Physicians Llc — 40 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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