VETERANS ADMINISTRATION MEDICAL CENTER (NPI# 1134329451) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134329451 |
| Entity Type | Organization |
| Organization Name | VETERANS ADMINISTRATION MEDICAL CENTER |
| Practice Address |
2495 Shreveport Hwy Pineville LA 71360-4044 |
| Practice Telephone | 3184730010 |
| Practice Fax Number | 3184835065 |
| Mailing Telephone | 3184730010 |
| Mailing Fax Number | 3184835065 |
| Enumeration Date | 2007-07-24 |
| Last Update Date | 2007-07-24 |
| Authorized Official Name | DR. MARK MARIAN WITOSZKA (PHYSICIAN) |
| Authorized Official Telephone | 3184730010 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
MD05460 | RI | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790192631 | Veterans Administration Medical Center | General Acute Care Hospital | 863 Rambling Oaks Dr, Norman, OK 73072-4186 | 2014-07-11 |
| 1528239621 | Veterans Administration Medical Center | Psychiatric Unit | 2 Heathman Road, White Hall, Rm 309, Kingston, RI 02881 | 2008-03-17 |
| 1669579025 | Veterans Administration Medical Center | Clinic/Center | 29431 Charlotte Hall Road, Vamc Clinic, Charlotte Hall, MD 20622 | 2006-09-20 |
| 1861815201 | Veterans Administration Medical Center | Military Hospital | 7305 N Military Trl, Riviera Beach, FL 33410-7417 | 2014-01-21 |
| 1275808321 | Veterans Administration Medical Center | Military Hospital | 100 Emancipation Dr, Hampton, VA 23667-0001 | 2012-03-21 |
| 1205144730 | Veterans Administration Medical Center | General Acute Care Hospital | 1100 Tunnel Rd, Asheville, NC 28805-2576 | 2010-09-17 |
| 1366694465 | Veterans Administration Medical Center | General Acute Care Hospital | 1901 S 1st St, Temple, TX 76504-7451 | 2008-10-21 |
| 1275748006 | Veterans Administration Medical Center | Special Hospital | 601 Highway 6 W, Iowa City, IA 52246-2292 | 2007-05-14 |
| 1861576183 | Veterans Administration Medical Center | General Acute Care Hospital | 2495 Shreveport Hwy, Pineville, LA 71360-4044 | 2006-10-24 |
| 1043393242 | Veterans Administration Medical Center | Counselor | 1100 N College Ave, Fayetteville, AR 72703-1944 | 2006-10-23 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | VETERANS ADMINISTRATION MEDICAL CENTER | 500 W Fort St., Boise, ID 83702-4501 |
| Street Address |
2495 SHREVEPORT HWY |
| City | PINEVILLE |
| State | LA |
| Zip Code | 71360-4044 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922066968 | Alexandria Vamc | Department of Veterans Affairs (VA) Pharmacy | 2495 Shreveport Hwy, 71 North, Pineville, LA 71360-4044 | 2006-05-01 |
| 1164044277 | Jennifer Marie Thompson | Licensed Practical Nurse | 2495 Shreveport Hwy, Pineville, LA 71360-4044 | 2020-05-12 |
| 1043844129 | Megan Guillory Williams | Social Worker | 2495 Shreveport Hwy, Pineville, LA 71360-4044 | 2020-02-27 |
| 1962049320 | Kelby Friday | Registered Nurse | 2495 Shreveport Hwy, Pineville, LA 71360-4044 | 2019-12-04 |
| 1588213888 | Cendi Coutee Carpenter | Nurse Practitioner | 2495 Shreveport Hwy, Pineville, LA 71360-4044 | 2019-09-09 |
| 1821655218 | Kara Elizabeth Love | Social Worker | 2495 Shreveport Hwy, Pineville, LA 71360-4044 | 2019-05-21 |
| 1083270961 | Stephanie Faye Denux | Social Worker | 2495 Shreveport Hwy, Pineville, LA 71360-4044 | 2019-05-15 |
| 1508323478 | Anna Pinkelman | Social Worker | 2495 Shreveport Hwy, Pineville, LA 71360-4044 | 2019-02-26 |
| 1912461914 | Yoshika Hayward | Nurse Practitioner | 2495 Shreveport Hwy, Pineville, LA 71360-4044 | 2019-01-24 |
| 1841765849 | Crystal Atkins-harris | Social Worker | 2495 Shreveport Hwy, Pineville, LA 71360-4044 | 2018-10-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578110789 | Reneisha Armonii Roberts | Pharmacist | 3100 La-28, Pineville, LA 71360 | 2019-08-22 |
| 1396303145 | Tina Marie Lawhorn | Nurse Practitioner | 2945 Shreveport Hwy, Pineville, LA 71360 | 2019-06-05 |
| 1942773213 | Tioga Pharmacy LLC | Pharmacy | 5101 Shreveport Hwy, Pineville, LA 71360 | 2019-01-09 |
| 1649755497 | Jessica Wooten | Nurse Practitioner | 292 Jerry Lofton Rd, Pineville, LA 71360 | 2018-09-27 |
| 1215421995 | Elizabeth Simon-clark | Counselor | Central La State Hospital Unit 6 Meadows Lane, Pineville, LA 71360 | 2018-06-18 |
| 1982116497 | Dm Properties of Rapides, LLC | Radiology | 2705 Highway 28 E Ste B, Pineville, LA 71360 | 2017-10-25 |
| 1508384587 | Marion Patrick Hazelton I | Counselor | Pathways Red River Treatment Center, 242 West Shamrock Ave Unit 6 Melody Lane, Pineville, LA 71360 | 2017-08-30 |
| 1669902557 | Jessica Williams | Social Worker | Unit 6 Wing A Meadow Lane, Pineville, LA 71360 | 2017-06-14 |
| 1104365840 | Naomi Gates | Social Worker | 242 W Shamrock Unit 1, Pineville, LA 71360 | 2017-02-14 |
| 1861930224 | Sharon Humphrey | Counselor | 5400 Service Rd B206, Pineville, LA 71360 | 2017-02-06 |
| Find all providers in zip 71360 | ||||
| Taxonomy Code | 261QM2500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medical Specialty |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
| Notes: [7/1/2003: new] |
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| 1306109350 | Active Spine Care LLC | Clinic/Center | 8108 Picardy Ave Ste E, Baton Rouge, LA 70809-3514 | 2012-06-22 |
| 1003183047 | Clear Imaging LLC | Clinic/Center | 1241a 7th St, Slidell, LA 70458-2041 | 2011-11-18 |
| 1295064004 | Cynthia A. Williams, A.p.m.c. | Clinic/Center | 3555 Loyola Dr, Kenner, LA 70065-7706 | 2009-12-08 |
| 1205075256 | Peter Hertzak M.d. Pmc | Clinic/Center | 985 Robert Blvd Ste 102, Slidell, LA 70458-2063 | 2009-02-16 |
| 1215191903 | Myriam D Hutchinson Md | Clinic/Center | 104 N. Hospital Dr., Abbeville, LA 70510-4039 | 2008-07-11 |
| Find all providers with the same taxonomy | ||||
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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.