DR. MARK H SMITH (NPI# 1104036458) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104036458 |
| Entity Type | Individual |
| Full Name | DR. MARK H SMITH |
| Credential | MD |
| Practice Address |
2751 Albert L Bicknell Dr Suite 3d Shreveport LA 71103-3920 |
| Practice Telephone | 3182124799 |
| Practice Fax Number | 3184243642 |
| Mailing Telephone | 3182124799 |
| Mailing Fax Number | 3184243642 |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2013-07-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 201297 | LA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 21489 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871025668 | Mark Robert Smith | Physical Therapist | 11448 Princessa Ln, Jacksonville, FL 32218-4054 | 2017-03-30 |
| 1982148565 | Mark Smith Jr. | Pharmacist | 2850 Venice Rd Sw, Apt 3303, Birmingham, AL 35211-6203 | 2016-12-15 |
| 1396124558 | Mark Andrew Smith | Physical Therapist | 125 S Mcdaniel Dr, Auburn, CA 95603-5742 | 2015-05-21 |
| 1760875181 | Mark Smith | Case Manager/Care Coordinator | 4028 Knollton Rd, Indianapolis, IN 46228-3332 | 2015-03-09 |
| 1366833154 | Mark James Smith | Pharmacist | 2627 Oneida St, Utica, NY 13501-6332 | 2015-02-15 |
| 1568869824 | Mark Smith | Occupational Therapy Assistant | 1160 Old State Rd, New Castle, PA 16101-6417 | 2014-12-01 |
| 1992128581 | Mark Harrison Smith | Case Manager/Care Coordinator | 346 Sycamore Ridge Way, Gahanna, OH 43230-5605 | 2014-02-03 |
| 1881967263 | Mark Steven Smith | Dentist | 7685 Wolf River Cir Ste 102, Germantown, TN 38138-1749 | 2012-02-16 |
| 1225328768 | Mark W Smith | Counselor | 2619 W. 6th St, Suite C, Lawrence, KS 66049 | 2011-04-18 |
| 1053628271 | Mark Thomas Smith | Optometrist | 592 Main St N, Mc Kenzie, TN 38201-1707 | 2010-09-09 |
| Street Address |
2751 ALBERT L BICKNELL DR SUITE 3D |
| City | SHREVEPORT |
| State | LA |
| Zip Code | 71103-3920 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306823596 | Wk North Orthopedic Clinic | Orthopaedic Surgery | 2751 Albert L Bicknell Dr, Suite 1-b, Shreveport, LA 71103-3920 | 2005-12-28 |
| 1104374099 | Britney Brown | Physician Assistant | 2751 Albert L Bicknell Dr, Suite 5c, Shreveport, LA 71103-3920 | 2016-09-20 |
| 1831566777 | Summer Leigh Robin | Nurse Practitioner | 2751 Albert L Bicknell Dr, Shreveport, LA 71103-3920 | 2015-08-26 |
| 1740665694 | Jennifer Michelle Bigbee | Physician Assistant | 2751 Albert L Bicknell Dr, Shreveport, LA 71103-3920 | 2015-07-21 |
| 1235511981 | Chase C White | Nurse Practitioner | 2751 Albert L Bicknell Dr, Suite 3c, Shreveport, LA 71103-3920 | 2015-06-18 |
| 1053705574 | Wellness Center for Skin Therapy LLC | Nurse Practitioner | 2751 Albert L Bicknell Dr, Suite 1a, Shreveport, LA 71103-3920 | 2015-03-23 |
| 1295123644 | Melissa L Lynn Md Apmc | Internal Medicine | 2751 Albert L Bicknell Dr, Suite 3c, Shreveport, LA 71103-3920 | 2015-01-07 |
| 1225433865 | Courtney Moseley | Physician Assistant | 2751 Albert L Bicknell Dr, Suite 3d, Shreveport, LA 71103-3920 | 2014-10-24 |
| 1831527266 | Wk Robotic and Laparoscopic Surgery Clinic | Surgery | 2751 Albert L Bicknell Dr, Suite 3a, Shreveport, LA 71103-3920 | 2013-10-22 |
| 1427484534 | Dustin Greg Allen | Physician Assistant | 2751 Albert L Bicknell Dr, Suite 4a, Shreveport, LA 71103-3920 | 2013-09-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083124887 | Elizabeth Ponder | Case Manager/Care Coordinator | 404 Hearne Avenue, Shreveport, LA 71103 | 2017-10-05 |
| 1245648393 | Madiha Tariq | General Acute Care Hospital | Rheumatology Clinic, 1501 Kings Hwy, Sheveport, LA 71103 | 2014-07-31 |
| 1659782688 | Jennifer G Smith | Pharmacist | 1725 Claiborne Ave, Shreveport, LA 71103 | 2014-05-13 |
| 1336568823 | Taylor Jieun Jung | Student in an Organized Health Care Education/Training Program | Lsu Health Sciences Center 1501 Kings Highway, Department of Oral & Maxillofacial Surgery Room 530, Shreveport, LA 71103 | 2014-04-10 |
| 1578984746 | Jamie Terrell | Pharmacist | 1625 Claiborne Ave, Shreveport, LA 71103 | 2013-12-13 |
| 1346675188 | Srijan Tandukar | Internal Medicine | 2751 Albert L Bicknell Dr Ste 2b, Shreveport, LA 71103 | 2013-09-12 |
| 1699017681 | Deanna Elise Mossallati | Internal Medicine | 8551 Greenwood Rd, Suite 410, Shreveport, LA 71103 | 2013-03-18 |
| 1346527330 | Tim M Smith | Clinical Exercise Physiologist | 3200 Greenwood Rd., Shreveport, LA 71103 | 2011-11-04 |
| 1144451683 | Second Chance Recovery | Durable Medical Equipment & Medical Supplies | 3816 Linwood, Shreveport, LA 71103 | 2009-07-31 |
| 1093919920 | Neeraj Singh | Internal Medicine | 2751 Albert L Bicknell Dr Fl 4, Shreveport, LA 71103 | 2007-06-13 |
| Find all providers in zip 71103 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730663907 | Ida Molavi | Surgery | Department of Surgery, 1501 Kings Hwy, Shreveport, LA 71103-4228 | 2018-09-24 |
| 1962500850 | Minimally Invasive Surgery Center of Louisiana | Surgery | 1534 Elizabeth Ave Ste 400, Shreveport, LA 71101-4531 | 2006-09-21 |
| 1104846989 | Kevin Mark Sittig | Surgery | 1541 Kings Hwy Dept Of, Shreveport, LA 71103-4228 | 2006-07-21 |
| 1285670356 | George Robert Merriman II | Surgery | 949 Olive St, Shreveport, LA 71104-2103 | 2006-06-20 |
| 1417900416 | Milon G Karmakar | Surgery | 3300 Albert L Bicknell Dr, Suite 6, Shreveport, LA 71103-3903 | 2006-05-18 |
| 1821054214 | John Davidson Gladney | Surgery | 8001 Youree Drive, Suite 840, Shreveport, LA 71115-2302 | 2006-04-25 |
| 1801890769 | F Dean Griffen | Surgery | 1501 Kings Hwy, Shreveport, LA 71103-4228 | 2005-06-09 |
| 1053315903 | James Booth Burke | Surgery | 1202 Louisiana Avenue, Shreveport, LA 71101-3910 | 2005-06-09 |
| 1760486609 | William Lewis Norwood Jr. | Surgery | 2751 Albert Bicknell Drive, Suite 3a, Shreveport, LA 71103-3976 | 2005-06-09 |
| 1619588019 | Wk Minimally Invasive Surgery Center | Surgery | 2751 Albert L Bicknell Dr Ste 3a, Shreveport, LA 71103-3976 | 2020-08-11 |
| Find all providers in SHREVEPORT | ||||
| City | SHREVEPORT |
| Zip Code | 71103 |
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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.