Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Russell J Wardlaw, MD

Individual provider Specialist · NPI 1376734210

Russell J Wardlaw, MD is a Gastroenterology in Hammond, Louisiana. Graduated from Louisiana State University School of Medicine in New Orleans in 2002, 24 years ago. Practices with Northlake Gastroenterology, a 9-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Louisiana.

Years since qualifying
24
Trained at
Louisiana State University School of Medicine in New Orleans
Licensed in
LA
In the registry since
2007
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

16061 Doctors Blvd Ste B
Hammond, LA 70403-1499
Phone: (985) 542-1334
Fax: (985) 893-9594
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 026005 (LA)

Record details

NPI number1376734210
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 6, 2007
Last updated in NPPESApril 23, 2013

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGASTROENTEROLOGY
Medical schoolLOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN NEW ORLEANS
Graduated 2002 (24 years in practice)
Group practice Northlake Gastroenterology — 9 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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