Paul D. Wardlaw, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

04-21220 Issued in KS

Practice address

200 S Main St
Russell, KS 67665-2920

Phone

(785) 483-3131

Fax

(785) 483-4859

NPI assigned

Feb 27, 2006

Last updated

Sep 26, 2017By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in KS

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Lincoln County Hospital

  • Critical Access Hospital
  • Lincoln, KS
  • NPI 1831157288
  Medicare reassignment NPD
• Lincoln County Hospital

  dba Lincoln Medical Clinic

  • Rural Health Clinic/Center
  • Lincoln, KS
  • NPI 1841248952
  Medicare reassignment NPD
• Lincoln County Hospital

  • Critical Access Hospital
  • Lincoln, KS
  • NPI 1942265327
  Medicare reassignment NPD
• Rush County Memorial Hospital

  • Rural Acute Care Hospital
  • La Crosse, KS
  • NPI 1841240959
  Medicare reassignment NPD
• Central Kansas Medical Center

  dba St Joseph Family Medicine/Great Bend

  • Family Medicine Physician
  • Great Bend, KS
  • NPI 1467402040
  NPD (past)
• Graham County Hospital

  • Family Medicine Physician
  • Hill City, KS
  • NPI 1629165998
  NPD (past)
• Rural Health Resources of Jackson Co Inc

  dba Family Practice Associates

  • Rural Health Clinic/Center
  • Holton, KS
  • NPI 1639145204

  Family Medicine

  NPD (past)
• Vein-Ity Vein Care Centers of Kansas LLC

  • Vascular Surgery Physician
  • Olathe, KS
  • NPI 1164254090
  NPD (past)
• West Central Kansas Association, Inc.

  dba Russell Regional Hospital Swingbed

  • Skilled Nursing Facility
  • Russell, KS
  • NPI 1538123377
  NPD (past)
• Harrison County Community Hospital District

  dba Harrison County Community Hospital

  • Critical Access Hospital
  • Bethany, MO
  • NPI 1528062569
  NPD (past)
• Saint Luke's Hospital of Trenton

  dba Wright Memorial Hospital

  • Emergency Medicine Physician
  • Trenton, MO
  • NPI 1851572234
  NPD (past)

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

{
    "created_epoch": "1140998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1506384000000",
    "number": "1821064114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1337 S. FOUNTAIN DRIVE",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "66061",
            "telephone_number": "785-483-3131",
            "fax_number": "785-483-4859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 S MAIN ST",
            "city": "RUSSELL",
            "state": "KS",
            "postal_code": "676652920",
            "telephone_number": "785-483-3131",
            "fax_number": "785-483-4859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARDLAW",
        "first_name": "PAUL",
        "middle_name": "D.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-27",
        "last_updated": "2017-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "DR.0055619",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "04-21220",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angelica Van Pelt
• Vintage Place of Russell, Inc.
• Shannon Wagner
• Wallpe Chiropractic Restoration LLC
• Evan Jonathan Wallpe, DC
• Makala Lea Watring
• Debra Lynn Weidner
• Abbie Renee Weigel, ARNP
• Jodie Rochelle Werth, DDS
• West Central Kansas Association Inc. (Russell Regional Hospital)

• Family Medicine Physician in Russell, KS
• Providers in Russell, KS by specialty
• Family Medicine Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2017; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.