NEUROLOGY & HEADACHE CENTER INC (NPI# 1326220955) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326220955 |
| Entity Type | Organization |
| Organization Name | NEUROLOGY & HEADACHE CENTER INC |
| Practice Address |
3555 Youree Dr Shreveport LA 71105-2119 |
| Practice Telephone | 3188651200 |
| Enumeration Date | 2007-12-05 |
| Last Update Date | 2007-12-05 |
| Authorized Official Name | DR. SURESH KUMAR (OWNER) |
| Authorized Official Telephone | 3188651200 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 204D00000X | Neuromusculoskeletal Medicine & OMM | MD204501 | LA | Allopathic & Osteopathic Physicians |
| Street Address |
3555 YOUREE DR |
| City | SHREVEPORT |
| State | LA |
| Zip Code | 71105-2119 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396929535 | Neurology & Headache Center Inc. | Clinic/Center | 3555 Youree Dr, Shreveport, LA 71105-2119 | 2007-12-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699245928 | Misty Johnetta Ross | Counselor | 2942 Knight St., Bldg. 4 Suite 426, Shreveport, LA 71105 | 2018-11-29 |
| 1205301868 | Tatjhana Maury | Case Manager/Care Coordinator | 3325 Youree Drive, Shreveport, LA 71105 | 2018-10-10 |
| 1245710920 | Jefferey Douglas Adair Md | Non-Pharmacy Dispensing Site | 8860 Fern Ave., Suite 120, Shreveport, LA 71105 | 2018-08-21 |
| 1679059539 | Michael E Woolbert Dds LLC | Dentist | 7600 Fern Avenue, Building 1100, Shreveport, LA 71105 | 2018-07-13 |
| 1881195675 | Adiba Bibi | Pharmacist | 3555 Greenwood Road, Walgreens, Shreveport, LA 71105 | 2018-02-27 |
| 1740796655 | Allison Borel | Counselor | 2020 E 70th St Ste 201, Shreveport, LA 71105 | 2017-12-15 |
| 1073028148 | Valerie Wooten Barcelona | Physical Therapist | 130 Kayla Street, Shreveport, LA 71105 | 2017-12-11 |
| 1710497615 | Jimmy Carroll | Counselor | 2960 Knight St, Suite 110, Shreveport, LA 71105 | 2017-10-05 |
| 1932618444 | David Louis Bennett | Counselor | 3007 Knight St., Suite 200, Shreveport, LA 71105 | 2017-09-27 |
| 1619496452 | Shaqwana Hodge | Counselor | 2920 Knight St. Suite 110, Shreveport, LA 71105 | 2017-09-13 |
| Find all providers in zip 71105 | ||||
| Taxonomy Code | 204D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neuromusculoskeletal Medicine & OMM |
| The Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician directs special attention to the neuromusculoskeletal system and its interaction with other body systems. Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine encompasses increased knowledge and understanding of osteopathic principles and practice and heightened technical skills of osteopathic manipulative medicine, and integrates each of these into the management of pediatric, adolescent, adult, and geriatric patients. |
| Notes: Source: American Osteopathic Association, 2017 [7/1/2017: added definition] - Additional Resources: American Osteopathic Board of Neuromusculoskeletal Medicine, 2017, http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073742425 | Creighton E Shute | Neuromusculoskeletal Medicine & OMM | 5750 Johnston St Ste 101, Lafayette, LA 70503-5334 | 2009-07-07 |
| 1629263553 | Anil Prasad | Neuromusculoskeletal Medicine & OMM | 1425 Fremaux Ave, Suite A, Slidell, LA 70458-3150 | 2007-09-13 |
| 1063411478 | Michael A Wilensky | Neuromusculoskeletal Medicine & OMM | 2005 Veterans Memorial Blvd, 7 Th Floor, Metairie, LA 70002-6320 | 2005-07-18 |
| 1689085490 | Lauren Justine Leslie | Neuromusculoskeletal Medicine & OMM | 1201 S Clearview Pkwy Bldg B, New Orleans, LA 70121 | 2014-05-14 |
| 1720352388 | Wendy V. Jamison, Md, Apmc | Neuromusculoskeletal Medicine & OMM | 4224 Houma Blvd, Suite 350, Metairie, LA 70006-2933 | 2012-02-29 |
| 1578737763 | Central Louisiana 'cenla' Neurology LLC | Neuromusculoskeletal Medicine & OMM | 3311 Prescott Rd, Suite 311, Alexandria, LA 71301-3900 | 2008-04-17 |
| 1730158965 | Edward O Coleman | Neuromusculoskeletal Medicine & OMM | 109 Regency Pl, West Monroe, LA 71291-4453 | 2006-03-17 |
| 1144210717 | Charles C. Ugokwe | Neuromusculoskeletal Medicine & OMM | 2223 Worley Dr, Alexandria, LA 71301-3631 | 2005-10-25 |
| 1235138645 | Wendy V Jamison | Neuromusculoskeletal Medicine & OMM | 4224 Houma Blvd, Suite 350, Metairie, LA 70006-2933 | 2005-07-18 |
| City | SHREVEPORT |
| Zip Code | 71105 |
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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.