Russell Wardlaw Certified Registered Nurse Anesthetist
1030 River Oaks Dr, Flowood, MS 392329553



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 392329553. The zip code is 39232.


Russell Wardlaw · 1030 River Oaks Dr, Flowood, MS 392329553

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
Jaime Pulaski 3625 University S Blvd, Jacksonville, FL 32216 ANESTHESIOLOGY
Constantine Zouboukos 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

Zip 39232 · Certified Registered Nurse Anesthetist · Medicare Physician

Name Address Specialty
Patricia Stone 1030 River Oaks Dr, Flowood, MS 39232 CERTIFIED REGISTERED NURSE ANESTHETIST
Katherine Garrison 2466 Flowood Dr, Flowood, MS 39232 CERTIFIED REGISTERED NURSE ANESTHETIST
Janet Jordan 1030 River Oaks Dr, Jackson, MS 39232 CERTIFIED REGISTERED NURSE ANESTHETIST

Zip 39232 · Medicare Physician

Name Address Specialty
John Dawson 4810 Lakeland Dr, Flowood, MS 39232 OPTOMETRY
Eugene Wood 1026 N Flowood Dr, Jackson, MS 39232 FAMILY PRACTICE
Fred Ingram 1020 River Oaks Dr, Jackson, MS 39232 OBSTETRICS/GYNECOLOGY
Kevin Young 1 Layfair Dr, Flowood, MS 39232 FAMILY PRACTICE
William Johnson 3531 Lakeland Dr, Flowood, MS 39232 NURSE PRACTITIONER
Christopher Evans 1053 River Oaks Dr, Flowood, MS 39232 OPTOMETRY
Lewis Norville 1000 Lakeland Square Ext, Flowood, MS 39232 CHIROPRACTIC
Mark Klein 1010 Lakeland Square Ext B, Flowood, MS 39232 NEPHROLOGY
Christopher Wiggs 291 E Layfair Dr, Flowood, MS 39232 OBSTETRICS/GYNECOLOGY
Justin Daniels 1030 River Oaks Dr, Flowood, MS 39232 EMERGENCY MEDICINE
Eugene Wood 2470 Flowood Dr, Flowood, MS 39232 ORTHOPEDIC SURGERY
Alysia Byers 1010 Lakeland Square Ext, Flowood, MS 39232 NURSE PRACTITIONER
Kathryn Arnold 120 Stone Creek Blvd, Flowood, MS 39232 NURSE PRACTITIONER
Brooks Barham 1045 N Flowood Dr, Jackson, MS 39232 DIAGNOSTIC RADIOLOGY
Larry Nixon 1030 River Oaks Dr, Jackson, MS 39232 ANESTHESIOLOGY
Lauren Buckalew 151 E Metro, Flowood, MS 39232 PHYSICAL THERAPY
Vinta Gulanikar 1026 River Oaks Dr, Flowood, MS 39232 ANESTHESIOLOGY
Temeka Johnson 1020 River Oaks Dr, Jackson, MS 39232 OBSTETRICS/GYNECOLOGY
Aaron Katzenmeyer 4290 Lakeland Dr A, Flowood, MS 39232 NURSE PRACTITIONER
James Baugh 2540 Flowood Dr, Flowood, MS 39232 CLINICAL PSYCHOLOGIST