DAVID F DIES (NPI# 1205826419) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205826419 |
| Entity Type | Individual |
| Full Name | DAVID F DIES |
| Credential | M.D |
| Practice Address |
3217 Mabel St Shreveport LA 71103 |
| Mailing Address |
3217 Mabel St Shreveport LA 71103-4022 |
| Practice Telephone | 3186319121 |
| Practice Fax Number | 3186319126 |
| Mailing Telephone | 3186319121 |
| Mailing Fax Number | 3186386018 |
| Enumeration Date | 2005-10-27 |
| Last Update Date | 2018-06-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
019419 | LA | Allopathic & Osteopathic Physicians |
| Y | 207RT0003X |
Internal Medicine Specialization: Transplant Hepatology |
019419 | LA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1399493 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467710798 | David Robinson Dies | Emergency Medicine | 2401 S 31st St, Office of Emergency Medicine, Temple, TX 76508-0001 | 2012-04-24 |
| Street Address |
3217 MABEL ST |
| City | SHREVEPORT |
| State | LA |
| Zip Code | 71103 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861495822 | Michael Bivens Brannan | Internal Medicine | 3217 Mabel St, Shreveport, LA 71103-4022 | 2005-05-24 |
| 1770083164 | Shreveport Sedation Associates LLC | Nurse Anesthetist, Certified Registered | 3217 Mabel St, Shreveport, LA 71103-4022 | 2018-02-13 |
| 1275051229 | Dustin Lane Chapman Hadley | Physician Assistant | 3217 Mabel St, Shreveport, LA 71103 | 2017-08-30 |
| 1316492770 | Angela Price Booker | Nurse Practitioner | 3217 Mabel St, Shreveport, LA 71103-4022 | 2016-08-15 |
| 1497101091 | Daniel Robert Martin | Dietitian, Registered | 3217 Mabel St, Shreveport, LA 71103-4022 | 2016-05-12 |
| 1386997351 | Jeremy Payne Davis | Nurse Practitioner | 3217 Mabel St, Shreveport, LA 71103-4022 | 2012-10-16 |
| 1659677540 | Brandi Barber Stephens | Nurse Practitioner | 3217 Mabel St, Shreveport, LA 71103-4022 | 2011-02-10 |
| 1932349412 | Natravis R. Cox | Internal Medicine | 3217 Mabel St, Shreveport, LA 71103 | 2009-02-24 |
| 1518105774 | Lauren Malu Strange | Nurse Anesthetist, Certified Registered | 3217 Mabel St, Shreveport, LA 71103-4022 | 2009-01-27 |
| 1922254002 | Joann E Warrick | Colon & Rectal Surgery | 3217 Mabel St, Shreveport, LA 71103 | 2008-08-08 |
| 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 | 207RT0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Transplant Hepatology |
| An internist with special knowledge and the skill required of a gastroenterologist to care for patients prior to and following hepatic transplantation that spans all phases of liver transplantation. Selection of appropriate recipients requires assessment by a team having experience in evaluating the severity and prognosis of patients with liver disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: new] Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. |
| 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.