Russell J Wardlaw, MD

Primary specialty

SpecialistTaxonomy code 174400000X

License

026005 Issued in LA

Practice address

16061 Doctors Blvd
Suite B
Hammond, LA 70403-1499

Phone

(985) 542-1334

Fax

(985) 893-9594

NPI assigned

Aug 6, 2007

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in LA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Gastroenterology

Education

Louisiana State University School of Medicine in New Orleans, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Northlake GastroenterologyGroup PAC ID 9234197419, 9 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• St Tammany Parish Hospital Hospital, Covington, LA, CCN 190045
• East Jefferson General Hospital Hospital, Metairie, LA, CCN 190176
• North Oaks Medical Center Hospital, Hammond, LA, CCN 190015
• Ochsner Medical Center Acute Hospital, New Orleans, LA, CCN 190036

Merit-based Incentive Payment System (MIPS)

Final score

89.58 of 100Reported as group

Quality

72.72

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Northlake Gastroenterology

  • Specialist
  • Hammond, LA
  • NPI 1861484842
  Medicare reassignment Care Compare group NPD
• Gastroenterology Anesthesia LLC

  • Specialist
  • Hammond, LA
  • NPI 1699089581
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• North Oaks Medical Center, LLC

  • Rural Acute Care Hospital
  • Hammond, LA
  • NPI 1144227539
  Care Compare affiliation
• Ochsner Clinic Foundation

  • General Acute Care Hospital
  • New Orleans, LA
  • NPI 1811973100
  Care Compare affiliation
• St Tammany Parish Hospital Service District No 1

  • Internal Medicine Physician
  • Covington, LA
  • NPI 1083793582

  Hospital

  Care Compare affiliation
• St Tammany Parish Hospital Service District No 1

  • Pulmonary Disease Physician
  • Covington, LA
  • NPI 1285285874

  Hospital

  Care Compare affiliation
• St. Tammany Parish Hospital Service District No 1

  • General Acute Care Hospital
  • Covington, LA
  • NPI 1598798597
  Care Compare affiliation
• University Healthcare System, L.C.

  • Ambulance
  • Metairie, LA
  • NPI 1023717683

  Hospital

  Care Compare affiliation
• University Healthcare System, L.C.

  • General Acute Care Hospital
  • New Orleans, LA
  • NPI 1033611454
  Care Compare affiliation
• University Healthcare System, L.C.

  • General Acute Care Hospital
  • Metairie, LA
  • NPI 1497792527
  Care Compare affiliation
• University Healthcare System, L.C.

  • Psychiatric Hospital Unit
  • Covington, LA
  • NPI 1790722825
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1186358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366675200000",
    "number": "1376734210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16061 DOCTORS BLVD",
            "address_2": "SUITE B",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704031499",
            "telephone_number": "985-542-1334",
            "fax_number": "985-893-9594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16061 DOCTORS BLVD",
            "address_2": "SUITE B",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704031499",
            "telephone_number": "985-542-1334",
            "fax_number": "985-893-9594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARDLAW",
        "first_name": "RUSSELL",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-06",
        "last_updated": "2013-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "LA",
            "license": "026005",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1056529",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Charlsa McGregor Waller, RN
• Daniel P. Waller, LOTR
• Clarence Walls
• Jeshanna Nicole Walter
• James Waltner
• Jontay Warner
• Denise Nicole Warren
• Kisten Louise Warren
• Claire Nicole Wascom
• Latoya Washington

• Specialist in Hammond, LA
• Providers in Hammond, LA by specialty
• Specialist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.