PARK PLAZA ANESTHESIA ASSOCIATES, LLC (NPI# 1093335705) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093335705 |
| Entity Type | Organization |
| Organization Name | PARK PLAZA ANESTHESIA ASSOCIATES, LLC |
| Practice Address |
8731 Park Plaza Dr Ste B Shreveport LA 71105-5682 |
| Practice Telephone | 3187032643 |
| Practice Fax Number | 3187032645 |
| Mailing Telephone | 3187032643 |
| Mailing Fax Number | 3187032645 |
| Enumeration Date | 2020-04-22 |
| Last Update Date | 2020-04-23 |
| Authorized Official Name | MS. REBECCA LYNN ADAMS (CHIEF OPERATING OFFICER) |
| Authorized Official Telephone | 2252812274 |
| Authorized Official Credential | RN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207L00000X | Anesthesiology | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NPI | 1538130018 | 01 |
| Street Address |
8731 PARK PLAZA DR STE B |
| City | SHREVEPORT |
| State | LA |
| Zip Code | 71105-5682 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346871605 | Park Plaza Surgical Specialists LLC | Anesthesiology | 8731 Park Plaza Dr Ste B, Shreveport, LA 71105-5682 | 2020-01-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699245928 | Misty Johnetta Ross | Counselor | 2942 Knight St., Bldg. 4 Suite 426, Shreveport, LA 71105 | 2018-11-29 |
| 1205301868 | Tatjhana Maury | Case Manager/Care Coordinator | 3325 Youree Drive, Shreveport, LA 71105 | 2018-10-10 |
| 1245710920 | Jefferey Douglas Adair Md | Non-Pharmacy Dispensing Site | 8860 Fern Ave., Suite 120, Shreveport, LA 71105 | 2018-08-21 |
| 1679059539 | Michael E Woolbert Dds LLC | Dentist | 7600 Fern Avenue, Building 1100, Shreveport, LA 71105 | 2018-07-13 |
| 1881195675 | Adiba Bibi | Pharmacist | 3555 Greenwood Road, Walgreens, Shreveport, LA 71105 | 2018-02-27 |
| 1740796655 | Allison Borel | Counselor | 2020 E 70th St Ste 201, Shreveport, LA 71105 | 2017-12-15 |
| 1073028148 | Valerie Wooten Barcelona | Physical Therapist | 130 Kayla Street, Shreveport, LA 71105 | 2017-12-11 |
| 1710497615 | Jimmy Carroll | Counselor | 2960 Knight St, Suite 110, Shreveport, LA 71105 | 2017-10-05 |
| 1932618444 | David Louis Bennett | Counselor | 3007 Knight St., Suite 200, Shreveport, LA 71105 | 2017-09-27 |
| 1619496452 | Shaqwana Hodge | Counselor | 2920 Knight St. Suite 110, Shreveport, LA 71105 | 2017-09-13 |
| Find all providers in zip 71105 | ||||
| Taxonomy Code | 207L00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679653331 | Scott F Cassingham | Anesthesiology | 833 Thora Blvd, Shreveport, LA 71106-1519 | 2006-10-17 |
| 1932205846 | Regional Urology Asc LLC | Anesthesiology | 255 Bert Kouns Industrial Loop, Shreveport, LA 71106-8150 | 2006-09-16 |
| 1316957012 | Musculoskeletal Institute of Louisiana, L.L.C. | Anesthesiology | Orthopedic Specialists of La, 1500 Line Ave Ste 100, Shreveport, LA 71101 | 2006-08-08 |
| 1225083652 | Winston E Moore Md | Anesthesiology | 2715 Hardy St, Shreveport, LA 71109-4307 | 2006-05-24 |
| 1538130018 | Randall P. Brewer | Anesthesiology | 8731 Park Plaza Dr, Shreveport, LA 71105 | 2006-01-31 |
| 1588634133 | Emily Hummer Naus | Anesthesiology | 3100 Samford Ave, Shreveport, LA 71103-4239 | 2006-01-25 |
| 1780665828 | Jefferey D Adair | Anesthesiology | 1455 E Bert Kouns Industrial Loop Ste 314, Shreveport, LA 71105-5634 | 2005-11-07 |
| 1376533737 | Robert Craig Jones | Anesthesiology | 1945 E 70th St, Suite B, Shreveport, LA 71105-5347 | 2005-10-26 |
| 1851385215 | William Jeffery Till | Anesthesiology | 1121 Louisiana Ave, Shreveport, LA 71101 | 2005-08-31 |
| 1932109923 | Dayne Daniel Hassell | Anesthesiology | 835 Oneonta St, Shreveport, LA 71106-1129 | 2005-07-30 |
| Find all providers in SHREVEPORT | ||||
| City | SHREVEPORT |
| Zip Code | 71105 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.