NEONATAL CARE SPECIALISTS, INC. (NPI# 1326062076) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326062076 |
| Entity Type | Organization |
| Organization Name | NEONATAL CARE SPECIALISTS, INC. |
| Practice Address |
920 Pierremont Rd Suite 200 Shreveport LA 71106-2079 |
| Mailing Address |
1 Saint Mary Pl Shreveport LA 71101-4343 |
| Practice Telephone | 3188659796 |
| Practice Fax Number | 3188614724 |
| Mailing Telephone | 3188659796 |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2009-01-02 |
| Authorized Official Name | DR. JULIA A ELROD (PRESIDENT) |
| Authorized Official Telephone | 3188659796 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080N0001X |
Pediatrics Specialization: Neonatal-Perinatal Medicine |
========= | LA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 200029700A | 05 | |
| LA | 1440281 | 05 | |
| AR | 136051002 | 05 | |
| TX | 196720001 | 05 |
| Street Address |
920 PIERREMONT RD SUITE 200 |
| City | SHREVEPORT |
| State | LA |
| Zip Code | 71106-2079 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467780411 | Jamie Griswold Scoggin | Social Worker | 920 Pierremont Rd, Suite 205, Shreveport, LA 71106-2079 | 2009-12-03 |
| 1316271877 | Andy Sibley Counseling Services, Inc. | Clinic/Center | 920 Pierremont Rd, Suite 205, Shreveport, LA 71106-2079 | 2009-09-30 |
| 1912145640 | Tiffany Ann Jennings | Clinical Neuropsychologist | 920 Pierremont Rd, Ste 205, Shreveport, LA 71106-2093 | 2009-02-03 |
| 1811186224 | Jennifer Allison Albritton | Social Worker | 920 Pierremont Rd, Suite 312, Shreveport, LA 71106-2079 | 2007-10-22 |
| 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 | 2080N0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Neonatal-Perinatal Medicine |
| A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies. |
| 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 Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194916502 | Sara Sibley Serio | Pediatrics | 4027 Baltimore Ave, Shreveport, LA 71106-1009 | 2007-08-09 |
| 1003809211 | Lea Bonifacio Penales | Pediatrics | 2520 Bert Kouns Loop, Suite 215, Shreveport, LA 71118-3130 | 2005-08-24 |
| 1780848580 | Wk Ark-la-tex Neonatology | Pediatrics | 2510 Bert Kouns Loop, Room 215, Shreveport, LA 71118-3119 | 2008-07-11 |
| 1720242431 | Scott A Walls | Pediatrics | 2510 Bert Kouns Loop, Room 215, Shreveport, LA 71118-3119 | 2008-07-11 |
| 1972697886 | Shabih Manzar | Pediatrics | 1501 Kings Hwy, Shreveport, LA 71103-4228 | 2006-10-03 |
| 1093735961 | Hassan Mohwad Ibrahim | Pediatrics | 1501 Kings Hwy, Department of Pediatrics, Section of Neonatology, Shreveport, LA 71103-4228 | 2006-07-20 |
| 1700806676 | Richard William Krouskop | Pediatrics | 1501 Kings Hwy, Department of Pediatrics, Section of Neonatology, Shreveport, LA 71103-4228 | 2006-07-20 |
| 1497772305 | Janet Blount Ashenbrebber | Pediatrics | 1501 Kings Hwy, Department of Pediatrics, Section of Neonatology, Shreveport, LA 71103-4228 | 2006-07-16 |
| 1285651190 | Arun Kimar Pramanik | Pediatrics | 1501 Kings Hwy, Department of Pediatrics, Section of Neonatology, Shreveport, LA 71103-4228 | 2006-07-16 |
| 1285666487 | Gerald Brent Whitton | Pediatrics | 2510 Bert Kouns Industrial Loop, Room 215, Shreveport, LA 71118-3119 | 2006-07-07 |
| Find all providers in SHREVEPORT | ||||
| City | SHREVEPORT |
| Zip Code | 71106 |
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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.