BEN H QUINNEY JR. (NPI# 1245239342) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245239342 |
| Entity Type | Individual |
| Full Name | BEN H QUINNEY JR. |
| Credential | M.D. |
| Practice Address |
850 Olive St Ste A Shreveport LA 71104-2162 |
| Mailing Address |
Po Box 4506 Shreveport LA 71134-0506 |
| Practice Telephone | 3182394860 |
| Practice Fax Number | 8052954715 |
| Mailing Telephone | 3182394860 |
| Mailing Fax Number | 8052954715 |
| Enumeration Date | 2005-07-20 |
| Last Update Date | 2019-11-07 |
| NPI Deactivation Date | 03/20/2006 |
| NPI Reactivation Date | 2006-03-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
011157 | LA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1136816 | 05 |
| Street Address |
850 OLIVE ST STE A |
| City | SHREVEPORT |
| State | LA |
| Zip Code | 71104-2162 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942853551 | Quest Diagnostics Clinical Laboratories Inc | Clinical Medical Laboratory | 850 Olive St Ste A, Shreveport, LA 71104-2162 | 2019-07-23 |
| 1033544465 | Binod Pokhrel | Internal Medicine | 850 Olive St Ste A, Shreveport, LA 71104-2162 | 2013-09-04 |
| 1194921718 | Richa Dhawan | Internal Medicine | 850 Olive St Ste A, Shreveport, LA 71104-2162 | 2007-06-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326582263 | Dana Jackson | Counselor | 2425 Youree Drive, Shreveport, LA 71104 | 2016-12-12 |
| 1154772929 | Belena Cawthorne | Case Manager/Care Coordinator | 2040 Southern Ave, Shreveport, LA 71104 | 2016-06-23 |
| 1437505286 | Courtney Espenan | Counselor | 3825 Gilbert Dr Ste 124, Shreveport, LA 71104 | 2016-05-11 |
| 1215390497 | Joshua Mitchell | Counselor | 1106 Dalzell Street, Shreveport, LA 71104 | 2016-04-04 |
| 1699135426 | Amy Lutricia Krohn | Counselor | 1041 Dalzell St, Shreveport, LA 71104 | 2016-03-07 |
| 1225497779 | Annie Redding II | Counselor | 2525 Youree Dr Suite 110, Shreveport, LA 71104 | 2016-02-12 |
| 1891152328 | Council On Alcoholism and Drug Abuse of Northwest Louisiana | Community/Behavioral Health | 2000 Fairfield Ave, Shreveport, LA 71104 | 2016-01-28 |
| 1922465731 | Marteze Singleton | Case Manager/Care Coordinator | 2525 Youree Dr Ste 10, Shreveport, LA 71104 | 2016-01-25 |
| 1891160297 | Damara Mora | Counselor | 2620 Centenary Blvd Bldg3 Ste 312, Shreveport, LA 71104 | 2015-12-10 |
| 1962876250 | Chastity Shermaine Graham | Counselor | 2620 Centenary Blvd Ste 312, Shreveport, LA 71104 | 2015-11-24 |
| Find all providers in zip 71104 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437449949 | Tyler Donald Lash | Internal Medicine | 2600 Kings Hwy Ste 340, Shreveport, LA 71103-3951 | 2011-04-18 |
| 1528279965 | Kirtan Nalin Koticha | Internal Medicine | 1455 E Bert Koun Loop # 101, Shreveport, LA 71105-5634 | 2007-05-25 |
| 1427056456 | Philip Assaad Haddad | Internal Medicine | 510 E Stoner Ave, Shreveport, LA 71101-4243 | 2005-07-13 |
| 1225442254 | Poornima Ramadas | Internal Medicine | 1541 Kings Hwy, Shreveport, LA 71103-4228 | 2014-06-18 |
| 1477841682 | Samip Rajendra Master | Internal Medicine | 1501 Kings Hwy, Hematology/oncology, Shreveport, LA 71103-4228 | 2011-07-21 |
| 1649561473 | Ashish Dutta Dwary | Internal Medicine | 1501 Kings Hwy, Hematology/oncology, Shreveport, LA 71103-4228 | 2011-04-27 |
| 1568694321 | Kavitha Beedupalli | Internal Medicine | 1501 Kings Hwy, Shreveport, LA 71103-4228 | 2009-08-12 |
| 1275776718 | Kevin Gallagher | Internal Medicine | 510 E Stoner Ave, Shreveport, LA 71101-4243 | 2009-04-14 |
| 1124174644 | Anil Veluvolu | Internal Medicine | 2600 Kings Hwy, Suite 340, Shreveport, LA 71103-3950 | 2007-01-26 |
| 1447271739 | Richard Preston Mansour | Internal Medicine | 1501 Kings Hwy, Department of Medicine Hematology, Shreveport, LA 71103-4228 | 2006-07-21 |
| Find all providers in SHREVEPORT | ||||
| City | SHREVEPORT |
| Zip Code | 71104 |
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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.