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

Individual provider Internal Medicine Physician · NPI 1851323810

Russell Wayne Tynes, MD is an Internal Medicine in Shreveport, Louisiana. Graduated from Louisiana State University School of Medicine in Shreveport in 1982, 44 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Louisiana.

Years since qualifying
44
Trained at
Louisiana State University School of Medicine in Shreveport
Licensed in
LA
In the registry since
2006
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

460 Ashley Ridge Blvd 500
Shreveport, LA 71106-7228
Phone: (318) 212-1610
Fax: (866) 455-7515
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 016884 (LA)

Record details

NPI number1851323810
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJuly 7, 2006
Last updated in NPPESApril 29, 2009

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolLOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN SHREVEPORT
Graduated 1982 (44 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Shreveport