REGIONAL UROLOGY ASC LLC (NPI# 1265437743) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265437743 |
| Entity Type | Organization |
| Organization Name | REGIONAL UROLOGY ASC LLC |
| Practice Address |
255 Bert Kouns Loop Shreveport LA 71106-8150 |
| Mailing Address |
Po Box 6270 Shreveport LA 71136-6270 |
| Practice Telephone | 3186830411 |
| Practice Fax Number | 3186035461 |
| Mailing Telephone | 3186830411 |
| Enumeration Date | 2005-06-20 |
| Last Update Date | 2010-03-24 |
| Authorized Official Name | GERMAN D GERMANY JR. (PHYSICIAN/OWNER) |
| Authorized Official Telephone | 3186830411 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
100 | LA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | BLUE CROSS OF LA | 20117 | 01 |
| RAILROAD MEDICARE | 490004967 | 01 | |
| LA | 1180793 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932205846 | Regional Urology Asc LLC | Anesthesiology | 255 Bert Kouns Industrial Loop, Shreveport, LA 71106-8150 | 2006-09-16 |
| Street Address |
255 BERT KOUNS LOOP |
| City | SHREVEPORT |
| State | LA |
| Zip Code | 71106-8150 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902801467 | James Robert Noble | Urology | 255 Bert Kouns Loop, Shreveport, LA 71106-8150 | 2005-06-20 |
| 1629620083 | Catie Arnold Griffith | Licensed Practical Nurse | 255 Bert Kouns Loop, Shreveport, LA 71106-8150 | 2019-07-15 |
| 1174575591 | Regional Urology Oncology and Radiation Treatment Center | Radiology | 255 Bert Kouns Loop, Shreveport, LA 71106-8150 | 2006-05-16 |
| 1588661599 | Misty N Miller | Nurse Anesthetist, Certified Registered | 255 Bert Kouns Loop, Shreveport, LA 71106-8150 | 2005-07-05 |
| 1245237742 | Regional Urology LLC. | Urology | 255 Bert Kouns Loop, Shreveport, LA 71106-8150 | 2005-06-30 |
| 1710983127 | William Thazter Hall | Urology | 255 Bert Kouns Loop, Shreveport, LA 71106-8150 | 2005-06-22 |
| 1881699395 | Tobin Hodge Grigsby | Urology | 255 Bert Kouns Loop, Shreveport, LA 71106-8150 | 2005-06-21 |
| 1699770107 | Kevin James Cline | Urology | 255 Bert Kouns Loop, Shreveport, LA 71106-8150 | 2005-06-21 |
| 1811992373 | Thomas Evan Palmer | Urology | 255 Bert Kouns Loop, Shreveport, LA 71106-8150 | 2005-06-20 |
| 1275538738 | Malcolm A Mcmillan | Nurse Anesthetist, Certified Registered | 255 Bert Kouns Loop, Shreveport, LA 71106-8150 | 2005-06-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972008332 | Andrew Joseph Brouillette | Dentist | 385 Bert Kouns Industrial Loop Ste 700, Shreveport, LA 71106 | 2018-03-28 |
| 1548775885 | David Wayne Spears | Pharmacist | 10460 Norris Ferry Road, Shreveport, LA 71106 | 2017-12-08 |
| 1225559263 | Susan Anderson Roblow | Physical Therapist | 921 Unadilla Street, Shreveport, LA 71106 | 2017-06-29 |
| 1134656382 | James Lowder | Dentist | 8691 Line Ave Ste 300, Shreveport, LA 71106 | 2017-05-18 |
| 1144753708 | Laverne Brantley | Counselor | 328 E 69th St, Shreveport, LA 71106 | 2017-04-10 |
| 1437690849 | Biostat Laboratories, LLC | Clinical Medical Laboratory | 9742 Saint Vincent Ave Ste 200, Shreveport, LA 71106 | 2017-03-17 |
| 1841730728 | Cedric Thomas | Case Manager/Care Coordinator | 6811 Fairfield Avenue, Shreveport, LA 71106 | 2017-02-27 |
| 1225576192 | Nick Vergis | Pharmacist | 5828 Line Avenue, Shreveport, LA 71106 | 2017-02-10 |
| 1184162554 | Marilyn Johnson | Case Manager/Care Coordinator | 9245 Wallace Lake Rd Ste A, Shreveport, LA 71106 | 2017-02-06 |
| 1417499740 | Pamela Lee | Counselor | 8802 Coyth Ln, Shreveport, LA 71106 | 2016-11-17 |
| Find all providers in zip 71106 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598390015 | Christus Surgery Center Villages LLC | Clinic/Center | 385 Bert Kouns Industrial Loop Ste 300, Shreveport, LA 71106-8158 | 2020-03-04 |
| 1376055897 | Northern Louisiana Cardiac Services LLC | Clinic/Center | 1453 E Bert Kouns Industrial Loop Ste 220, Shreveport, LA 71105-6810 | 2017-10-25 |
| 1427384924 | Red River Surgery Center LLC | Clinic/Center | 708 N Ashley Ridge Loop Bldg 400, Shreveport, LA 71106-7234 | 2009-10-19 |
| 1386893758 | Surgical Suites At The Wall Center, LLC | Clinic/Center | 8600 Fern Avenue, Ste. 200, Shreveport, LA 71105 | 2008-09-10 |
| 1659356392 | Laser & Cataract Center of Shreveport LLC | Clinic/Center | 445 Ashley Ridge Blvd, Shreveport, LA 71106 | 2005-12-14 |
| 1174863336 | Slsc Medical Staff | Clinic/Center | 8711 Line Ave, Shreveport, LA 71106-6813 | 2013-02-26 |
| 1144491614 | Ambulatory Surgery Center of Louisiana | Clinic/Center | 385 Bert Kouns Industrial Loop, Bldg 300, Shreveport, LA 71106-8124 | 2008-03-12 |
| 1598804486 | Shreveport Surgery Center Ptrshp | Clinic/Center | 745 Olive St, Suite 100, Shreveport, LA 71104-2246 | 2007-02-06 |
| 1316970916 | Surgical Specialty Center, LLC | Clinic/Center | 1500 Line Ave, Suite 204, Shreveport, LA 71101-4639 | 2006-07-08 |
| 1245215706 | Southside Foot Clinic of Shreveport Inc A Professional Corporation | Clinic/Center | 9308 Mansfield Rd, Suite 300, Shreveport, LA 71118-3134 | 2005-12-07 |
| Find all providers in SHREVEPORT | ||||
| City | SHREVEPORT |
| Zip Code | 71106 |
Please comment or provide details below to improve the information on REGIONAL UROLOGY ASC 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.