ACCUMED OF NORTH LOUISIANA LLC (NPI# 1215997838) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215997838 |
| Entity Type | Organization |
| Organization Name | ACCUMED OF NORTH LOUISIANA LLC |
| Practice Address |
4651 Cambridge Cir Shreveport LA 71107-3535 |
| Practice Telephone | 3186291588 |
| Practice Fax Number | 3186291589 |
| Mailing Telephone | 3186291588 |
| Mailing Fax Number | 3186291589 |
| Enumeration Date | 2006-03-27 |
| Last Update Date | 2007-11-12 |
| Authorized Official Name | WALTER RANDALL PATTON (GENERAL MANAGER) |
| Authorized Official Telephone | 3186291588 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251C2600X |
Physical Therapist Specialization: Cardiopulmonary |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
4651 CAMBRIDGE CIR |
| City | SHREVEPORT |
| State | LA |
| Zip Code | 71107-3535 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598871139 | Billie Elizabeth Bitowski | Nurse Practitioner | 4651 Cambridge Cir, Shreveport, LA 71107-3535 | 2006-08-23 |
| 1588770135 | Pamela Payne Patton | Nurse Practitioner | 4651 Cambridge Cir, Shreveport, LA 71107-3535 | 2006-08-23 |
| 1871550277 | Youree Associates Inc Apc | Family Medicine | 4651 Cambridge Cir, Shreveport, LA 71107-3535 | 2006-04-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306490875 | Kimber Leigh Lumley | Registered Nurse | 1440 Hawn Ave., Shreveport, LA 71107 | 2019-08-01 |
| 1871063461 | Nicole Capito | Case Manager/Care Coordinator | 200 North Thomas Drive Ste 1, Shreveport, LA 71107 | 2018-11-27 |
| 1891260899 | Danielle Leigh Dreher | Dental Assistant | 3610 Gorman Rd, Shreveport, LA 71107 | 2018-10-05 |
| 1255817540 | Shirley Marie Washington | Technician | 3227 Old Mooringsport Rd., Shreveport Rd, LA 71107 | 2018-07-19 |
| 1366928467 | Katrina L Bailey | Case Manager/Care Coordinator | 1111 Hawn Ave Apt A, Shreveport, LA 71107 | 2018-07-12 |
| 1063907970 | James Mcneely IIi | Public Health or Welfare | 5922 Alaska Ln, Shreveport, LA 71107 | 2018-06-25 |
| 1528560067 | Jacarie Guice | Case Manager/Care Coordinator | 4601 N. Market Ste 2, Shreveport, LA 71107 | 2018-03-01 |
| 1467971069 | Tracy Renard Harris | Counselor | 1149 Englemeade Dr, Shreveport, LA 71107 | 2017-09-14 |
| 1427588045 | Mark Rogers | Behavior Technician | 1500 N. Market Unit C Suite 105, Shreveport, LA 71107 | 2017-06-15 |
| 1356871164 | Hope4youth | Voluntary or Charitable | 2850 King Oaks Loop, Shreveport, LA 71107 | 2017-06-14 |
| Find all providers in zip 71107 | ||||
| Taxonomy Code | 2251C2600X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Cardiopulmonary |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598774580 | Heart Rehab Inc. | Physical Therapist | Reily Recreation Center - Tulane University, Mcalister Extension, New Orleans, LA 70118 | 2006-08-07 |
| City | SHREVEPORT |
| Zip Code | 71107 |
Please comment or provide details below to improve the information on ACCUMED OF NORTH LOUISIANA LLC.
| 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.