DR. JERRY WELTON DRUMMOND (NPI# 1295828374) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1295828374 |
Entity Type | Individual |
Full Name | DR. JERRY WELTON DRUMMOND |
Credential | MD |
Practice Address |
2514 Bert Kouns Ind Loop Physicians Plaza #9 Shreveport LA 71118 |
Practice Telephone | 3186885710 |
Practice Fax Number | 3186885766 |
Mailing Telephone | 3186885710 |
Mailing Fax Number | 3186885766 |
Enumeration Date | 2006-10-02 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207W00000X | Ophthalmology | MD03856R | LA | Allopathic & Osteopathic Physicians |
N | 207W00000X | Ophthalmology | 002586FELLOWAMAC | LA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
LA | 1176061 | 05 |
Street Address |
2514 BERT KOUNS IND LOOP PHYSICIANS PLAZA #9 |
City | SHREVEPORT |
State | LA |
Zip Code | 71118 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720620784 | Wk Center for Pediatric Gastroenterology | Pediatrics | Wk Center for Pediatric Gastroenterology, 2530 Bert Kouns Industrial Loop, Ste 113, Shreveport, LA 71118 | 2019-10-11 |
1306302443 | Diamond Marie Willis | Case Manager/Care Coordinator | 9403 Mansfield Rd., Shreveport, LA 71118 | 2019-02-13 |
1194224469 | Latosa Hall | Case Manager/Care Coordinator | 9007 Letha Loop, Shreveport, LA 71118 | 2018-02-01 |
1902321623 | Bersheika Lashay Player | Counselor | 9403 Mansfield Road, Shreveport, LA 71118 | 2017-08-03 |
1518487149 | Clarke Jackson | Case Manager/Care Coordinator | 9730 Baird Rd Apt 2310, Shreveport, LA 71118 | 2017-06-24 |
1770010449 | Darrie'l Smith | Counselor | 2715 Mackey, Shreveport, LA 71118 | 2017-05-12 |
1760917041 | Delilah Wells | Case Manager/Care Coordinator | 9005 Walker Rd Apt 722, Shreveport, LA 71118 | 2017-04-25 |
1790229664 | We Care Transporttion Services LLC | Secured Medical Transport (VAN) | 2529 Summer Grove Dr, Shreveport, LA 71118 | 2016-12-13 |
1063955128 | Commanisha Smith | Social Worker | 2715 Mackey Place, Shreveport, LA 71118 | 2016-11-22 |
1023560802 | Yasmin Newman | Counselor | 9812 West Trails End, Shreveport, LA 71118 | 2016-10-27 |
Find all providers in zip 71118 |
Taxonomy Code | 207W00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Ophthalmology |
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043744196 | Aigerim B. Saulebayeva | Ophthalmology | 1501 Kings Hwy Bldg 1-201, Shreveport, LA 71103-4228 | 2017-04-16 |
1891168761 | Highland Clinic, A Prof Med Corp | Ophthalmology | 1400 E Bert Koun Loop, #103, Shreveport, LA 71105-5603 | 2015-11-02 |
1861838989 | James Vernon Ward | Ophthalmology | 413 Trinity Cir, Shreveport, LA 71106-2340 | 2013-05-15 |
1871781666 | Karen M'liss Pendleton | Ophthalmology | 6030 Line Ave, Suite 210, Shreveport, LA 71106-2062 | 2007-10-05 |
1356320568 | Jeffrey M Gosslee | Ophthalmology | 725 N Ashley Ridge Loop, Ste 400, Shreveport, LA 71106 | 2006-01-16 |
1235129818 | Donald L Hall | Ophthalmology | 2611 Greenwood Rd, Shreveport, LA 71103-3907 | 2005-10-25 |
1427045814 | M. Ashley Wheat-sipes | Ophthalmology | 7843 Youree Dr, Shreveport, LA 71105-5505 | 2005-09-30 |
1932105483 | Michael A Holy | Ophthalmology | 1801 Fairfield Ave, Ste 101, Shreveport, LA 71101-4457 | 2005-06-21 |
1386649788 | Wilson B Baber | Ophthalmology | 734 N Ashley Ridge Loop, Shreveport, LA 71106-7209 | 2005-06-14 |
1255335121 | John D Hinrichsen | Ophthalmology | 1400 E Bert Kouns Loop, Suite #103, Shreveport, LA 71105-5634 | 2005-06-09 |
Find all providers in SHREVEPORT |
City | SHREVEPORT |
Zip Code | 71118 |
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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.