SHREVEPORT ANESTHESIA PROVIDERS LLC (NPI# 1376936542) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376936542 |
| Entity Type | Organization |
| Organization Name | SHREVEPORT ANESTHESIA PROVIDERS LLC |
| Practice Address |
385 Bert Kouns Industrial Loop Bldg 300 Shreveport LA 71106-8158 |
| Mailing Address |
Po Box 865210 Orlando FL 32886-0001 |
| Practice Telephone | 3182120552 |
| Mailing Telephone | 8883373509 |
| Enumeration Date | 2015-03-12 |
| Last Update Date | 2015-03-12 |
| Authorized Official Name | DR. CARL R NOBACK (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 8883373509 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207L00000X | Anesthesiology | Allopathic & Osteopathic Physicians | ||
| Y | 367500000X | Nurse Anesthetist, Certified Registered | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
385 BERT KOUNS INDUSTRIAL LOOP BLDG 300 |
| City | SHREVEPORT |
| State | LA |
| Zip Code | 71106-8158 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609837020 | Michelle R Ritter | Orthopaedic Surgery | 385 Bert Kouns Industrial Loop, Suite 500, Shreveport, LA 71106-8158 | 2006-03-28 |
| 1063862340 | Osc Anesthesia, LLC | Anesthesiology | 385 Bert Kouns Industrial Loop, Bldg 300, Shreveport, LA 71106-8158 | 2016-06-16 |
| 1922466788 | Julianna Claire Aaron | Nurse Practitioner | 385 Bert Kouns Industrial Loop, Suite 100, Shreveport, LA 71106-8158 | 2016-02-08 |
| 1285092056 | April Nicole Bedingfield | Nurse Practitioner | 385 Bert Kouns Industrial Loop, # 100, Shreveport, LA 71106-8158 | 2016-02-08 |
| 1922409069 | Pediatria Healthcare, LLC | Clinic/Center | 385 Bert Kouns Industrial Loop, Suite 600, Shreveport, LA 71106-8158 | 2014-09-09 |
| 1962840850 | Karen Leigh Haynie | Dentist | 385 Bert Kouns Industrial Loop, Suite 700, Shreveport, LA 71106-8158 | 2013-06-12 |
| 1316383524 | David S Drummond | Podiatrist | 385 Bert Kouns Industrial Loop, Suite 200, Shreveport, LA 71106-8158 | 2013-05-14 |
| 1376771154 | Ahp of Northwestern Louisiana LLC | Anesthesiology | 385 Bert Kouns Industrial Loop, Building 300, Shreveport, LA 71106-8158 | 2009-06-30 |
| 1144491614 | Ambulatory Surgery Center of Louisiana | Clinic/Center | 385 Bert Kouns Industrial Loop, Bldg 300, Shreveport, LA 71106-8124 | 2008-03-12 |
| 1700819752 | Center for Hand Surgery, Inc. | Orthopaedic Surgery | 385 Bert Kouns Industrial Loop, Suite 500, Shreveport, LA 71106-8158 | 2006-07-09 |
| Find all providers in the same location | ||||
| 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 | 367500000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Anesthetist, Certified Registered |
| (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition. |
| Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 548. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043728967 | Sarah Elizabeth Fitzhugh | Nurse Anesthetist, Certified Registered | 1500 Line Ave Ste 206, Shreveport, LA 71101-4649 | 2018-01-12 |
| 1013386507 | Kurvis Antione Davis | Nurse Anesthetist, Certified Registered | 367 Carrollton Ave, Shreveport, LA 71105-3205 | 2015-09-15 |
| 1134519044 | Comfort Anesthesia LLC | Nurse Anesthetist, Certified Registered | 9423 Acadiana Place Blvd, Shreveport, LA 71115-3704 | 2015-01-29 |
| 1598066599 | Kristi Rae Hylan | Nurse Anesthetist, Certified Registered | 848 Gladstone Blvd, Shreveport, LA 71104-4202 | 2010-11-06 |
| 1366773400 | Michael Jeff Lewis | Nurse Anesthetist, Certified Registered | 905 Crescent Rd, Shreveport, LA 71107-3908 | 2010-01-28 |
| 1669611463 | Kimberly Leach Grantham | Nurse Anesthetist, Certified Registered | 1171 Pelican Creek Dr, Shreveport, LA 71106-8539 | 2009-02-18 |
| 1477734820 | Red River Anesthesia Services, A.p.m.c. | Nurse Anesthetist, Certified Registered | 3217 Mabel Street, Shreveport, LA 71103-4022 | 2007-11-14 |
| 1164638474 | Gary Cornell Wilkins | Nurse Anesthetist, Certified Registered | 5850 Yarbrough, Shreveport, LA 71119 | 2007-05-15 |
| 1588750319 | Curtis James Ardoin | Nurse Anesthetist, Certified Registered | 1 St Mary Place, Pfs- Professional Billing, Shreveport, LA 71101 | 2006-10-05 |
| 1609960111 | Andrea Cariere Leazer | Nurse Anesthetist, Certified Registered | 1 Saint Mary Place, Pfs-prof Billing, Shreveport, LA 71101 | 2006-10-02 |
| 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.