KEVIN MARK SITTIG


Address: 1541 Kings Hwy Dept Of, Shreveport, LA 71103-4228
Phone: 3188132655

KEVIN MARK SITTIG (NPI# 1104846989) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1104846989
Entity Type Individual
Full Name KEVIN MARK SITTIG
Credential M.D.
Practice Address 1541 Kings Hwy Dept Of
Shreveport
LA 71103-4228
Mailing Address 1512 W Kirby Pl
Shreveport
LA 71103-3822
Practice Telephone 3188132655
Practice Fax Number 3186754689
Mailing Telephone 3186260287
Mailing Fax Number 3186294808
Enumeration Date 2006-07-21
Last Update Date 2020-08-26
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 208600000X Surgery 017190 LA Allopathic & Osteopathic Physicians
N 2086S0102X Surgery
Specialization: Surgical Critical Care
017190 LA Allopathic & Osteopathic Physicians
Y 2086S0120X Surgery
Specialization: Pediatric Surgery
017190 LA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
LA MEDICARE - PTAN 55714F600 01
LA 1386138 05

Office Location

Street Address 1541 KINGS HWY DEPT OF
City SHREVEPORT
State LA
Zip Code 71103-4228

Providers in the same zip code

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 Information

Taxonomy Code 2086S0120X
Grouping Allopathic & Osteopathic Physicians
Classification Surgery
Specialization Pediatric Surgery

Taxonomy Definition

A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1689672172 Donald Lynn Sorrells Jr. Surgery 2508 Bert Kouns Industrial Loop, Shreveport, LA 71118-3133 2005-07-08
1316386436 Wk Pediatric Surgical Associates Surgery 2508 Bert Kouns Loop, Shreveport, LA 71118-3133 2013-06-21
1689672032 Mark Frederick Brown Surgery One Saint Mary Place, Shreveport, LA 71101-4343 2005-07-11

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1285251884 A'drianne Dorsey Surgery 2742 S Roth Ave, Gonzales, LA 70737-4823 2020-06-30
1427080738 Kenneth W Falterman Surgery 4704 Ambassador Caffery Pkwy, Lafayette, LA 70508-6908 2006-07-07
1518923317 John B Lopoo Jr. Surgery 8200 Constantin Blvd Ste 220, Baton Rouge, LA 70809-3481 2006-04-21
1386943579 Jessica Aya Zagory Surgery 1542 Tulane Ave, Rm 734a, New Orleans, LA 70112-2865 2011-03-28
1720247364 Fabienne Lee Gray Surgery 200 Henry Clay Ave, Office of Pediatric Surgery, New Orleans, LA 70118 2008-06-09
1487863627 Shawn J Stafford Surgery 200 Henry Clay Ave, New Orleans, LA 70118-5720 2007-05-22
1548309156 Pediatric Surgery of Louisiana, LLC Surgery 7777 Hennessy Blvd, Suite 212, Baton Rouge, LA 70808 2007-02-06
1902975543 Benjamin B. Peeler Surgery 1514 Jefferson Hwy, New Orleans, LA 70121-2429 2006-11-07
1801976238 Mary Brandt Surgery 200 Henry Clay Ave, New Orleans, LA 70118-5798 2006-10-17
1144322421 Timothy William Pettitt Surgery 200 Henry Clay Ave, New Orleans, LA 70118 2006-09-05
Find all providers with the same taxonomy

Competitor

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City SHREVEPORT
Zip Code 71103

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Dataset Information

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.

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