Russell Wardlaw Certified Registered Nurse Anesthetist
1030 River Oaks Dr, Flowood, MS 39232-9553



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 ANESTHESIA CONSULTANTS PA. The address is 1030 River Oaks Dr, Flowood, MS 39232-9553. The zip code is 39232.


Russell Wardlaw · 1030 River Oaks Dr, Flowood, MS 39232-9553

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 ANESTHESIA CONSULTANTS PA
Group Practice PAC ID 4486637881
Number of Group Practice Members 32
Address 1030 RIVER OAKS DR
FLOWOOD, MS 392329553
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: 1030
route: River Oaks Drive (River Oaks Dr)
locality, political: Flowood
admin_level_2, political: Rankin County
admin_level_1, political: Mississippi (MS)
country, political: United States (US)
postal_code: 39232
postal_code_suffix: 9553
types : street_address
latitude: 32.3254871
longitude: -90.1053085
latlng: (32.3254871, -90.1053085)


Anesthesia Consultants Pa · Medicare Physician

Name Address Specialty
Holly Escude 1030 River Oaks Dr, Flowood, MS 39232 CERTIFIED REGISTERED NURSE ANESTHETIST
Charlotte Mcclellan 1030 River Oaks Dr, Flowood, MS 39232 CERTIFIED REGISTERED NURSE ANESTHETIST
Herman Beard 1030 River Oaks Dr, Flowood, MS 39232 ANESTHESIOLOGY
Brandi Betterton 1030 River Oaks Dr, Flowood, MS 39232 CERTIFIED REGISTERED NURSE ANESTHETIST
Grace Costello 3625 University S Blvd, Jacksonville, FL 32216 CERTIFIED REGISTERED NURSE ANESTHETIST
Gregory Boling 1030 River Oaks Dr, Flowood, MS 39232 ANESTHESIOLOGY
Patricia Stone 1030 River Oaks Dr, Flowood, MS 39232 CERTIFIED REGISTERED NURSE ANESTHETIST
Nancy Dalton 3625 University S Blvd, Jacksonville, FL 32216 CERTIFIED REGISTERED NURSE ANESTHETIST
Constantine Zouboukos 1030 River Oaks Dr, Flowood, MS 39232 ANESTHESIOLOGY
Jaime Pulaski 3625 University S Blvd, Jacksonville, FL 32216 ANESTHESIOLOGY

Zip 39232 · Certified Registered Nurse Anesthetist · Medicare Physician

Name Address Specialty
Holly Escude 1030 River Oaks Dr, Flowood, MS 39232 CERTIFIED REGISTERED NURSE ANESTHETIST
Charlotte Mcclellan 1030 River Oaks Dr, Flowood, MS 39232 CERTIFIED REGISTERED NURSE ANESTHETIST
Brandi Betterton 1030 River Oaks Dr, Flowood, MS 39232 CERTIFIED REGISTERED NURSE ANESTHETIST
Patricia Stone 1030 River Oaks Dr, Flowood, MS 39232 CERTIFIED REGISTERED NURSE ANESTHETIST
Janet Jordan 1030 River Oaks Dr, Jackson, MS 39232 CERTIFIED REGISTERED NURSE ANESTHETIST
Katherine Garrison 2466 Flowood Dr, Flowood, MS 39232 CERTIFIED REGISTERED NURSE ANESTHETIST

Zip 39232 · Medicare Physician

Name Address Specialty
Rex Williams 120 Stone Creek Blvd, Flowood, MS 39232 PAIN MANAGEMENT
Teresa Hewlett 120 Stone Creek Blvd, Flowood, MS 39232 NURSE PRACTITIONER
Karla Kregting Matheny 2470 Flowood Dr, Flowood, MS 39232 PHYSICAL THERAPY
Amanda Sullivan 1020 River Oaks Dr, Jackson, MS 39232 NURSE PRACTITIONER
Laura Thornton 290 E Layfair Dr, Flowood, MS 39232 NURSE PRACTITIONER
Holly Escude 1030 River Oaks Dr, Flowood, MS 39232 CERTIFIED REGISTERED NURSE ANESTHETIST
Eric Amundson 2470 Flowood Dr, Flowood, MS 39232 NEUROSURGERY
Lisa Gibson Mckee 291 E Layfair Dr, Flowood, MS 39232 OBSTETRICS/GYNECOLOGY
Wilson Parry 1010 Lakeland Square Ext, Flowood, MS 39232 NEPHROLOGY
Benjamin Jeffcoat 2550 Flowood Dr, Flowood, MS 39232 OTOLARYNGOLOGY
Glenn Brien 290 E Layfair Dr, Flowood, MS 39232 ORTHOPEDIC SURGERY
William Aden 1053 River Oaks Dr, Flowood, MS 39232 OPHTHALMOLOGY
William Bush 1020 River Oaks Dr, Flowood, MS 39232 OBSTETRICS/GYNECOLOGY
Kara Brantley 1020 River Oaks Dr, Jackson, MS 39232 OBSTETRICS/GYNECOLOGY
Roy Kellum 291 E Layfair Dr, Flowood, MS 39232 OBSTETRICS/GYNECOLOGY
Charles Hosemann 290 E Layfair Dr, Flowood, MS 39232 ORTHOPEDIC SURGERY
Susan Berry 2470 Flowood Dr, Flowood, MS 39232 CHIROPRACTIC
Wayne Woo 2610 Courthouse Cir, Flowood, MS 39232 ENDOCRINOLOGY
Shani Meck 1020 River Oaks Dr, Jackson, MS 39232 OBSTETRICS/GYNECOLOGY
Sujith Reddy 294 E Layfair Dr, Flowood, MS 39232 UROLOGY