Russell Wardlaw Certified Registered Nurse Anesthetist
2500 N State St, Jackson, MS 392164500



Russell Wardlaw is physician registered in the Centers for Medicare & Medicaid Services (CMS). The National Provider Identifier (NPI) of the National Plan and Provider Enumeration System (NPPES) is 1245466168. The unique individual professional ID assigned by Provider Enrollment, Chain, and Ownership System (PECOS) is 6103012281. The primary specialty is CERTIFIED REGISTERED NURSE ANESTHETIST. The organization is STATE OF MISSISSIPPI UNIVERSITY OF MISSISSIPPI MEDICAL CENTER. The address is 2500 N State St, Jackson, MS 392164500. The zip code is 39216.


Russell Wardlaw · 2500 N State St, Jackson, MS 392164500

Nation Provider ID 1245466168
PAC ID by PECOS 6103012281
Professional Enrollment ID I20101201000798
Last Name WARDLAW
First Name RUSSELL
Gender M
Medical School Name OTHER
Graduation Year 2008
Primary Specialty CERTIFIED REGISTERED NURSE ANESTHETIST
Primary Specialty STATE OF MISSISSIPPI UNIVERSITY OF MISSISSIPPI MEDICAL CENTER
Group Practice PAC ID 1850293036
Number of Group Practice Members 767
Address 2500 N STATE ST
JACKSON, MS 392164500
Claims Based Hospital Affiliation Claim Control Number (CCN): 250138
Legal Business Name: RIVER OAKS HOSPITAL LLC
Claims Based Hospital Affiliation Claim Control Number (CCN): 250001
Legal Business Name: STATE OF MISSISSIPPI UNIVERSITY OF MISSISSIPPI MEDICAL CENTER
Professional accepts Medicare Assignment Y
Participates in Medicare Electronic Health Record (EHR) Y

street_number: 2500
route: North State Street (N State St)
neighborhood, political: Fondren
locality, political: Jackson
admin_level_2, political: Hinds County
admin_level_1, political: Mississippi (MS)
country, political: United States (US)
postal_code: 39216
postal_code_suffix: 4500
types : street_address
latitude: 32.329267
longitude: -90.1742229
latlng: (32.329267, -90.1742229)


State of Mississippi University of Mississippi Medical Center · Medicare Physician

Name Address Specialty
Sue Meng 2500 N State St, Jackson, MS 39216 CLINICAL SOCIAL WORKER
Jack Lewin 2500 N State St, Jackson, MS 39216 PATHOLOGY
Wayne Orr 2500 N State St, Jackson, MS 39216 GENERAL SURGERY
Andrew Parent 2500 N State St, Jackson, MS 39216 NEUROSURGERY
Christophor Reed 239 Bowling Green Rd, Lexington, MS 39095 DIAGNOSTIC RADIOLOGY
Vanetta Levesque 2500 N State St, Jackson, MS 39216 ANESTHESIOLOGY
Suwarna Anand 2500 N State St, Jackson, MS 39216 ANESTHESIOLOGY
Kimberly Covington Tarver 2500 N State St, Jackson, MS 39216 GERIATRIC MEDICINE
Rana El Feghaly 2500 N State St, Jackson, MS 39216 PEDIATRIC MEDICINE
Pierre De Delva 2500 N State St, Jackson, MS 39216 GENERAL SURGERY
Bradford Martin 2500 N State St, Jackson, MS 39216 NURSE PRACTITIONER
Douglas Maposa 2500 N State St, Jackson, MS 39216 ANESTHESIOLOGY
Stephanie Jacks 2500 N State St, Jackson, MS 39216 DERMATOLOGY
James Corbett 2500 N State St, Jackson, MS 39216 NEUROLOGY
James Hurt IIi 2500 N State St, Jackson, MS 39216 ORTHOPEDIC SURGERY
Nils Mungan 2500 N State St, Jackson, MS 39216 OPHTHALMOLOGY
Iasmina Craici 2500 N State St, Jackson, MS 39216 NEPHROLOGY
Ching Chen 2500 N State St, Jackson, MS 39216 OPHTHALMOLOGY
Carolyn Hillman 2500 N State St, Jackson, MS 39216 NURSE PRACTITIONER
Scott Stringer 2500 N State St, Jackson, MS 39216 OTOLARYNGOLOGY

Zip 39216 · Certified Registered Nurse Anesthetist · Medicare Physician

Name Address Specialty
Paige Panter 2500 N State St, Jackson, MS 39216 CERTIFIED REGISTERED NURSE ANESTHETIST
Robert May 2500 N State St, Jackson, MS 39216 CERTIFIED REGISTERED NURSE ANESTHETIST
Kelly O Reilly 2500 N State St, Jackson, MS 39216 CERTIFIED REGISTERED NURSE ANESTHETIST
Mary Needham 2500 N State St, Jackson, MS 39216 CERTIFIED REGISTERED NURSE ANESTHETIST
Heather Taylor 2500 N State St, Jackson, MS 39216 CERTIFIED REGISTERED NURSE ANESTHETIST
Melissa Duncan 2500 N State St, Jackson, MS 39216 CERTIFIED REGISTERED NURSE ANESTHETIST
Tommy Rials 2500 N State St, Jackson, MS 39216 CERTIFIED REGISTERED NURSE ANESTHETIST
Cornell Graham 2500 N State St, Jackson, MS 39216 CERTIFIED REGISTERED NURSE ANESTHETIST
Justine Sanders 2500 N State St, Jackson, MS 39216 CERTIFIED REGISTERED NURSE ANESTHETIST
John Hammett 2500 N State St, Jackson, MS 39216 CERTIFIED REGISTERED NURSE ANESTHETIST
Elizabeth Clark 2500 N State St, Jackson, MS 39216 CERTIFIED REGISTERED NURSE ANESTHETIST
Linda Williamson 2500 N State St, Jackson, MS 39216 CERTIFIED REGISTERED NURSE ANESTHETIST
Judith Sumrall 2500 N State St, Jackson, MS 39216 CERTIFIED REGISTERED NURSE ANESTHETIST
Karen Freeman 2500 N State St, Jackson, MS 39216 CERTIFIED REGISTERED NURSE ANESTHETIST
Jennifer Spears 2500 N State St, Jackson, MS 39216 CERTIFIED REGISTERED NURSE ANESTHETIST
Kathy Harvey Fitch 2500 N State St, Jackson, MS 39216 CERTIFIED REGISTERED NURSE ANESTHETIST
Leigh Brister 2500 N State St, Jackson, MS 39216 CERTIFIED REGISTERED NURSE ANESTHETIST
Alexandra Wier 2500 N State St, Jackson, MS 39216 CERTIFIED REGISTERED NURSE ANESTHETIST
Susan Needham 2500 N State St, Jackson, MS 39216 CERTIFIED REGISTERED NURSE ANESTHETIST
Kevin Lott 2500 N State St, Jackson, MS 39216 CERTIFIED REGISTERED NURSE ANESTHETIST

Zip 39216 · Medicare Physician

Name Address Specialty
Roger Smithhart 500 Ke Woodrow Wilson Ave, Jackson, MS 39216 OPTOMETRY
Felicia King 2084 Dunbarton Dr C, Jackson, MS 39216 CHIROPRACTIC
Yong Kim 969 Lakeland Dr, Jackson, MS 39216 DIAGNOSTIC RADIOLOGY
Scott Mcpherson 969 Lakeland Dr, Jackson, MS 39216 DIAGNOSTIC RADIOLOGY
William Tew 969 Lakeland Dr, Jackson, MS 39216 DIAGNOSTIC RADIOLOGY
Robyn Roberts 1904 Lakeland Dr D, Jackson, MS 39216 OCCUPATIONAL THERAPY
Cathy Sanders 1904 Lakeland Dr D, Jackson, MS 39216 PHYSICAL THERAPY
Jackie Simpson 500 E Wooddrow Wilson, Jackson, MS 39216 NURSE PRACTITIONER
Eric Dyess 971 Lakeland Dr, Jackson, MS 39216 INTERNAL MEDICINE
Leandro Mena 500 E Wooddrow Wilson, Jackson, MS 39216 INTERNAL MEDICINE
Raymond Grenfell 971 Lakeland Dr, Jackson, MS 39216 ENDOCRINOLOGY
Todd Adkins 1513 Lakeland Dr, Jackson, MS 39216 ALLERGY/IMMUNOLOGY
Robert Evans 971 Lakeland Dr, Jackson, MS 39216 ENDOCRINOLOGY
Mark Murray 1513 Lakeland Dr, Jackson, MS 39216 ALLERGY/IMMUNOLOGY
David Carroll 971 Lakeland Dr, Jackson, MS 39216 GENERAL SURGERY
Vanessa Sandifer 971 Lakeland Dr, Jackson, MS 39216 ENDOCRINOLOGY
Albert Williams 3000 Old Canton Rd, Jackson, MS 39216 OPHTHALMOLOGY
Daniel Venarske 1513 Lakeland Dr, Jackson, MS 39216 ALLERGY/IMMUNOLOGY
Kelly Engelmann 1855 Lakeland Dr, Jackson, MS 39216 NURSE PRACTITIONER
Erica Bertschler 514 F E Woodrow Wilson Ave, Jackson, MS 39216 NURSE PRACTITIONER