PAIR O' DOCS BIO-REJUVENIS (NPI# 1285957811) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285957811 |
| Entity Type | Organization |
| Organization Name | PAIR O' DOCS BIO-REJUVENIS |
| Practice Address |
6030 Line Ave Suite 210 Shreveport LA 71106-2062 |
| Practice Telephone | 3185500050 |
| Practice Fax Number | 3185500053 |
| Mailing Telephone | 3185500050 |
| Mailing Fax Number | 3185500053 |
| Enumeration Date | 2010-03-10 |
| Last Update Date | 2010-03-10 |
| Authorized Official Name | DR. KAREN M'LISS PENDLETON (OWNER) |
| Authorized Official Telephone | 3185500050 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2083P0901X |
Preventive Medicine Specialization: Public Health & General Preventive Medicine |
Allopathic & Osteopathic Physicians |
| Street Address |
6030 LINE AVE SUITE 210 |
| City | SHREVEPORT |
| State | LA |
| Zip Code | 71106-2062 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871781666 | Karen M'liss Pendleton | Ophthalmology | 6030 Line Ave, Suite 210, Shreveport, LA 71106-2062 | 2007-10-05 |
| 1083088520 | Bmmg, LLC | Physical Therapist | 6030 Line Ave, Shreveport, LA 71106-2062 | 2015-11-20 |
| 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 | 2083P0901X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Preventive Medicine |
| Specialization | Public Health & General Preventive Medicine |
| Public health and general preventive medicine focuses on promoting health, preventing disease, and managing the health of communities and defined populations. These practitioners combine population-based public health skills with knowledge of primary, secondary, and tertiary prevention-oriented clinical practice in a wide variety of settings. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Preventive Medicine, 2007. http://www.abprevmed.org/. American Osteopathic Board of Preventive Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Preventive Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Preventive Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386963387 | Steven Budd | Preventive Medicine | 1430 Tulane Ave # Tb3, New Orleans, LA 70112-2632 | 2010-06-01 |
| 1306163241 | Louis Trachtman | Preventive Medicine | 1010 Common St # 1132, New Orleans, LA 70112-2401 | 2010-05-03 |
| 1225266455 | Raoult Claude-bernard Ratard | Preventive Medicine | 4109 Cleveland Pl, Metairie, LA 70003-1343 | 2009-06-25 |
| 1265659528 | Juliette Christine Stefanski | Preventive Medicine | 825 Kaliste Saloom Road, Brandywine IIi, Suite 100, Lafayette, LA 70508 | 2007-04-19 |
| 1568404838 | Rapides Primary Health Care Center, Incorporated | Preventive Medicine | 1217 Willow Glen River Rd, Alexandria, LA 71302-5454 | 2006-06-12 |
| 1730181546 | John Joseph Naponick | Preventive Medicine | 5604b Coliseum Blvd, Alexandria, LA 71303-3709 | 2005-08-11 |
| 1093376527 | Baton Rouge Black Alcoholism Council | Preventive Medicine | 950 E Washington St, Baton Rouge, LA 70802-6622 | 2019-06-25 |
| 1306162672 | Saman Karl Jayasinghe | Preventive Medicine | 131 S Robertson St, Suite 1140, New Orleans, LA 70112-2807 | 2010-04-12 |
| 1821293473 | Frank Joseph Welch | Preventive Medicine | 1450 L and A Rd, Loph Immunization Program, Metairie, LA 70001-6235 | 2007-06-15 |
| 1578765319 | Shelley Coats Jones | Preventive Medicine | 1650 Desiard St, 2nd Floor, Monroe, LA 71201-7722 | 2007-06-04 |
| Find all providers with the same taxonomy | ||||
| City | SHREVEPORT |
| Zip Code | 71106 |
Please comment or provide details below to improve the information on PAIR O' DOCS BIO-REJUVENIS.
| 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.