Russell Allan Slack is a Shreveport, Louisiana based nurse anesthetist with 23 years of experience as Anesthesia Administration. He completed he graduation in 2002. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Russell Allan Slack is AP03803 for Anesthesia Administration in Louisiana. his current practice location is 3217 Mabel St, Shreveport. Patients can reach him at 318-631-9121 or can fax him at 318-638-6018. Russell Allan Slack is CRNA with specialization in Anesthesia Administration and he NPI number (Unique professional ID assigned by NPPES) is 1346334992. Russell Allan Slack is a certified registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists.
Complete Profile:
Russell Allan Slack speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Anesthesia Administration
Credentials:
CRNA
Experience:
23+ years
Medical School Attended:
Other
Graduation Year:
2002
Gender:
Male
Accepts Medicare Assignment:
Yes
Practice Address:
3217 Mabel St, Shreveport, Louisiana, 71103-4022
Phone:
318-631-9121
Fax:
318-638-6018
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
6800810797
Enrollment ID:
I20060118000683
NPI Number:
1346334992
NPI Enumeration Date:
03 Oct, 2006
NPI Last Update On:
09 Nov, 2015
Medical Licenses:
Nurses can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Russell Allan Slack are as mentioned below.
License Number
Specialization
State
Status
AP03803
Anesthesia Administration
Louisiana
Primary
Group Practice:
Group practices are run by a group of physicians who share their premises and other resources. Following list states all the group name
with which Russell Allan Slack has association with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Christus Health Northern Louisiana (8628980554)
24
Shreveport Sedation Associates, Llc (3173886736)
8
Other Medical Identifiers:
Other legacy medical identifiers associated with Russell Allan Slack such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
1119831
Medicaid
Louisiana
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
3217 Mabel St, Shreveport, Louisiana
Zip:
71103-4022
Phone Number:
318-631-9121
Fax Number:
318-638-6018
Patients can reach Russell Allan Slack at 3217 Mabel St, Shreveport, Louisiana or can call to book an appointment on 318-631-9121.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 10 March, 2025.