NEIL HALIM FAIRFIELD FAMILY CLINIC (NPI# 1275075129) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275075129 |
| Entity Type | Organization |
| Organization Name | NEIL HALIM FAIRFIELD FAMILY CLINIC |
| Practice Address |
1860 Fairfield Ave Shreveport LA 71101-4431 |
| Mailing Address |
314 Blue Fox Cir Haughton LA 71037-7707 |
| Practice Telephone | 3186751313 |
| Enumeration Date | 2016-11-09 |
| Last Update Date | 2016-11-09 |
| Authorized Official Name | CINDER PUCKETT (OFFICE MANAGER) |
| Authorized Official Telephone | 3186751313 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
AP08906 | LA | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104025121 | Neil Halim Fairfield Family Clinic | Family Medicine | 1860 Fairfield Ave, Shreveport, LA 71101-4431 | 2007-07-11 |
| Street Address |
1860 FAIRFIELD AVE |
| City | SHREVEPORT |
| State | LA |
| Zip Code | 71101-4431 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689623548 | Neil L Halim | Family Medicine | 1860 Fairfield Ave, Shreveport, LA 71101-4431 | 2006-05-09 |
| 1659807980 | Megan Ray O'neal | Nurse Practitioner | 1860 Fairfield Ave, Shreveport, LA 71101-4431 | 2017-05-05 |
| 1457704306 | Kasey Lattier | Nurse Practitioner | 1860 Fairfield Ave, Shreveport, LA 71101-4431 | 2016-07-15 |
| 1225417942 | Shannon Koveleskie | Physician Assistant | 1860 Fairfield Ave, Shreveport, LA 71101-4431 | 2015-05-27 |
| 1437408846 | Cheryl Wiley Adair | Family Medicine | 1860 Fairfield Ave, Shreveport, LA 71101-4431 | 2012-08-30 |
| 1669796926 | Kristy Addison Kehoe | Physician Assistant | 1860 Fairfield Ave, Shreveport, LA 71101 | 2010-03-16 |
| 1104025121 | Neil Halim Fairfield Family Clinic | Family Medicine | 1860 Fairfield Ave, Shreveport, LA 71101-4431 | 2007-07-11 |
| 1760418131 | Nancy Clearkin Germany | Family Medicine | 1860 Fairfield Ave, Shreveport, LA 71101-4431 | 2006-06-25 |
| 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 | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
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| 1649328030 | Mills Clinic A Professional Medical Corporation | Clinic/Center | 7225 Fern Avenue, Suite 600, Shreveport, LA 71105-4981 | 2007-01-08 |
| 1639798291 | Sick Day Rx LLC | Clinic/Center | 817 Ardennes Ct, Shreveport, LA 71115-4613 | 2020-04-14 |
| 1376191627 | Integrity Family Medicine Clinic LLC | Clinic/Center | 1800 Buckner St Ste A120, Shreveport, LA 71101-4440 | 2019-08-29 |
| 1316418288 | Drg Medical LLC | Clinic/Center | 1549 Elizabeth Ave, Shreveport, LA 71101-4501 | 2018-12-17 |
| 1952761686 | Jonah Healthcare, A Professional Medical Corporation | Clinic/Center | 2328 Line Ave, Shreveport, LA 71104-2131 | 2016-02-23 |
| 1528432440 | Southern Pediatric Clinic | Clinic/Center | 202 N Thomas Dr, Suite 1, Shreveport, LA 71107-6539 | 2015-11-16 |
| 1649644675 | Sarah C Hamauei, Md, LLC | Clinic/Center | 2133 E Bert Kouns Industrial Loop, Shreveport, LA 71105-5314 | 2015-11-13 |
| 1508237256 | Southern Pediatric Clinic | Clinic/Center | 4571 N Market St, Shreveport, LA 71107-2917 | 2015-10-07 |
| 1992111793 | Arterberry Family Care Center | Clinic/Center | 865 Olive St, Shreveport, LA 71104-2136 | 2014-07-01 |
| Find all providers in SHREVEPORT | ||||
| City | SHREVEPORT |
| Zip Code | 71101 |
Please comment or provide details below to improve the information on NEIL HALIM FAIRFIELD FAMILY CLINIC.
| 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.