BELLAH MEDICAL, LLC (NPI# 1154561223) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154561223 |
| Entity Type | Organization |
| Organization Name | BELLAH MEDICAL, LLC |
| Practice Address |
1801 Fairfield Ave Suite 409 Shreveport LA 71101-4443 |
| Mailing Address |
1801 Fairfield Ave. Suite 409 Shreveport LA 71104 |
| Practice Telephone | 3188412801 |
| Practice Fax Number | 3188412800 |
| Mailing Telephone | 3188412801 |
| Mailing Fax Number | 3188412800 |
| Enumeration Date | 2009-03-02 |
| Last Update Date | 2009-03-02 |
| Authorized Official Name | DR. LLOYD D BELLAH (OWNER) |
| Authorized Official Telephone | 3188412801 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
K0260 | TX | Allopathic & Osteopathic Physicians |
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
12606R | LA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1539384 | 05 |
| Street Address |
1801 FAIRFIELD AVE SUITE 409 |
| City | SHREVEPORT |
| State | LA |
| Zip Code | 71101-4443 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932105483 | Michael A Holy | Ophthalmology | 1801 Fairfield Ave, Ste 101, Shreveport, LA 71101-4457 | 2005-06-21 |
| 1033482492 | Stephanie Ann Presley | Nurse Practitioner | 1801 Fairfield Ave, Suite #301, Shreveport, LA 71101-4443 | 2012-02-15 |
| 1598045551 | Emily Downs | Counselor | 1801 Fairfield Ave, Suite 409, Shreveport, LA 71101-4443 | 2011-08-23 |
| 1275836264 | W. Ronald Skowsky, Md. LLC. | Specialist | 1801 Fairfield Ave, Ste 307, Shreveport, LA 71101-4443 | 2010-12-13 |
| 1407189772 | Eyecare Specialists of Louisiana | Ophthalmology | 1801 Fairfield Ave, Suite 103, Shreveport, LA 71101-4457 | 2009-09-17 |
| 1831334051 | Pediatric Gi Specialists, LLC | Pediatrics | 1801 Fairfield Ave, Suite 305, Shreveport, LA 71101-4467 | 2008-12-03 |
| 1831350016 | Saimah Talukder | Obstetrics & Gynecology | 1801 Fairfield Ave, Suite 401, Shreveport, LA 71101-4443 | 2008-06-20 |
| 1114187713 | Marsha A. Friedrich Md | Specialist | 1801 Fairfield Ave, Suite 207, Shreveport, LA 71101-4443 | 2008-06-17 |
| 1790956068 | Rajan Khanna Md Apmc | Internal Medicine | 1801 Fairfield Ave, Suite 303, Shreveport, LA 71101-4443 | 2008-03-14 |
| 1730367798 | Drs. Eddleman and Gladney, Amp | Surgery | 1801 Fairfield Ave, Suite 306, Shreveport, LA 71101-4443 | 2008-02-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255988630 | Renee Jewitt | Case Manager/Care Coordinator | 1513 Line Avenue, Suite 225, Shreveport, LA 71101 | 2019-08-21 |
| 1942770094 | Bessie Larry | Case Manager/Care Coordinator | 1513 Line Av, 222, Shreveport, LA 71101 | 2018-12-03 |
| 1750875944 | Jarvis Decarleonne Larry | Community Health Worker | 1513 Line Ave # 222, Shreveport, LA 71101 | 2018-06-20 |
| 1871083485 | Kimberly B. Mcclelland, Lcsw | Counselor | 820 Jordan St. Ste 510w, Shreveport, LA 71101 | 2018-05-18 |
| 1982106456 | Hudson Amc LLC | Internal Medicine | 1800 Irving Place, Shreveport, LA 71101 | 2018-03-01 |
| 1528572955 | Spencer Ron Floyd | Counselor | 1717 Marshall Street, Shreveport, LA 71101 | 2017-11-21 |
| 1578088076 | Brittany Morris | Case Manager/Care Coordinator | 1835 Spring Street Annex Building, Shreveport, LA 71101 | 2017-08-07 |
| 1275058794 | Diane Williams | Case Manager/Care Coordinator | 217 Jones St Apt 510, Shreveport, LA 71101 | 2017-08-04 |
| 1386195972 | Jakeya Woodbury | Counselor | 453 Stoner Ave, Shreveport, LA 71101 | 2016-10-18 |
| 1922459643 | Arlene Huling | Counselor | 449 Egan Street, Shreveport, LA 71101 | 2016-06-23 |
| Find all providers in zip 71101 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285235739 | Precision Telemed, LLC | Psychiatry & Neurology | 8977 Brandon Dr, Shreveport, LA 71118-2341 | 2020-11-02 |
| 1992165591 | Alinejad Wellness,inc | Psychiatry & Neurology | 1066 Rochel Dr, Shreveport, LA 71115-3889 | 2016-02-25 |
| 1255775052 | Shawn E. Mcneil | Psychiatry & Neurology | 1111 Line Ave Fl 3, Shreveport, LA 71101 | 2013-04-23 |
| 1609194356 | Wk Center for Psychiatric Support | Psychiatry & Neurology | 1111 Line Ave 3rd Floor Tower 2, Shreveport, LA 71101-3981 | 2010-05-05 |
| 1982836284 | Patrick E. Sewell Sr. | Psychiatry & Neurology | 3311 Line Ave., Shreveport, LA 71104 | 2009-08-20 |
| 1740481506 | Anshuman Jyoti | Psychiatry & Neurology | 2508 Bert Kouns Industrial Loop Ste 203, Shreveport, LA 71118-3175 | 2007-05-30 |
| 1942411483 | Kenneth Gregory Stephens | Psychiatry & Neurology | 727 Edgemont St, Shreveport, LA 71106-2223 | 2007-05-25 |
| 1770794083 | Devanshi K. Jani | Psychiatry & Neurology | 1666 E. Bert Kouns, Suite 220, Shreveport, LA 71105-5714 | 2007-05-25 |
| 1669584876 | Cecil Clifton Dopson Jr. | Psychiatry & Neurology | 610 Herndon St, Shreveport, LA 71101-4704 | 2006-09-01 |
| 1588773675 | Frances Edna Hagaman | Psychiatry & Neurology | 2924 Knight St, Building 3 Suite 350, Shreveport, LA 71105-2415 | 2006-08-30 |
| Find all providers in SHREVEPORT | ||||
| City | SHREVEPORT |
| Zip Code | 71101 |
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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.