OVERTON BROOKS VAMC (NPI# 1396774451) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396774451 |
| Entity Type | Organization |
| Organization Name | OVERTON BROOKS VAMC |
| Practice Address |
510 E Stoner Ave 117 Shreveport LA 71101-4243 |
| Practice Telephone | 3184246014 |
| Practice Fax Number | 3184295727 |
| Mailing Telephone | 3184246014 |
| Mailing Fax Number | 3184295727 |
| Enumeration Date | 2006-07-01 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. NGOC XUAN NGUYEN (CHIEF OF SERVICE) |
| Authorized Official Telephone | 3184246014 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | J 3173 | TX | Hospitals |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568822658 | Overton Brooks Vamc | Military Hospital | 200 Hartwell Rd, Minden, LA 71055-6365 | 2016-03-02 |
| 1285925982 | Overton Brooks Vamc | Clinic/Center | 510 E Stoner Ave, Shreveport, LA 71101-4243 | 2011-04-28 |
| 1295974574 | Overton Brooks Vamc | General Acute Care Hospital | 510 E Stoner Ave, Shreveport, LA 71101-4243 | 2009-02-11 |
| Street Address |
510 E STONER AVE 117 |
| City | SHREVEPORT |
| State | LA |
| Zip Code | 71101-4243 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427056456 | Philip Assaad Haddad | Internal Medicine | 510 E Stoner Ave, Shreveport, LA 71101-4243 | 2005-07-13 |
| 1124627344 | Tiffany Knesha Williams | Social Worker | 510 E Stoner Ave, Shreveport, LA 71101-4243 | 2020-10-19 |
| 1255938882 | Michael Phillip Parrott | Registered Nurse | 510 E Stoner Ave, Shreveport, LA 71101-4243 | 2020-10-06 |
| 1013524222 | Brittany Hawkins | Dietitian, Registered | 510 E Stoner Ave, Shreveport, LA 71101-4243 | 2020-09-30 |
| 1598376873 | Martha Stevens | Dietitian, Registered | 510 E Stoner Ave, Shreveport, LA 71101-4243 | 2020-08-11 |
| 1609491844 | Kenneth Charles Sweatman Jr. | Registered Nurse | 510 E Stoner Ave, Shreveport, LA 71101-4243 | 2020-06-13 |
| 1528682663 | Ashley Nicole Denbrock | Registered Nurse | 510 E Stoner Ave, Shreveport, LA 71101-4243 | 2020-06-04 |
| 1154941227 | Angel Escobedo | Registered Nurse | 510 E Stoner Ave, Shreveport, LA 71101-4243 | 2020-04-19 |
| 1679116784 | Allisyn Steele | Registered Nurse | 510 E Stoner Ave, Shreveport, LA 71101-4243 | 2019-10-21 |
| 1811530926 | Comis Waddell | Registered Nurse | 510 E Stoner Ave, Shreveport, LA 71101-4243 | 2019-10-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255988630 | Renee Jewitt | Case Manager/Care Coordinator | 1513 Line Avenue, Suite 225, Shreveport, LA 71101 | 2019-08-21 |
| 1942770094 | Bessie Larry | Case Manager/Care Coordinator | 1513 Line Av, 222, Shreveport, LA 71101 | 2018-12-03 |
| 1750875944 | Jarvis Decarleonne Larry | Community Health Worker | 1513 Line Ave # 222, Shreveport, LA 71101 | 2018-06-20 |
| 1871083485 | Kimberly B. Mcclelland, Lcsw | Counselor | 820 Jordan St. Ste 510w, Shreveport, LA 71101 | 2018-05-18 |
| 1982106456 | Hudson Amc LLC | Internal Medicine | 1800 Irving Place, Shreveport, LA 71101 | 2018-03-01 |
| 1528572955 | Spencer Ron Floyd | Counselor | 1717 Marshall Street, Shreveport, LA 71101 | 2017-11-21 |
| 1578088076 | Brittany Morris | Case Manager/Care Coordinator | 1835 Spring Street Annex Building, Shreveport, LA 71101 | 2017-08-07 |
| 1275058794 | Diane Williams | Case Manager/Care Coordinator | 217 Jones St Apt 510, Shreveport, LA 71101 | 2017-08-04 |
| 1386195972 | Jakeya Woodbury | Counselor | 453 Stoner Ave, Shreveport, LA 71101 | 2016-10-18 |
| 1922459643 | Arlene Huling | Counselor | 449 Egan Street, Shreveport, LA 71101 | 2016-06-23 |
| Find all providers in zip 71101 | ||||
| Taxonomy Code | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902310899 | Islam LLC | General Acute Care Hospital | 9815 Paragon Ln, Shreveport, LA 71115 | 2017-11-30 |
| 1396073409 | Nelson & Nelson Apmc | General Acute Care Hospital | 9512 Balsa Dr, Shreveport, LA 71115-3127 | 2009-12-01 |
| 1912909912 | Brfhh Shreveport LLC | General Acute Care Hospital | 1541 Kings Hwy, Shreveport, LA 71103-4228 | 2005-08-10 |
| 1417950106 | Christus Health Northern Louisiana | General Acute Care Hospital | 1453 E Bert Kouns Industrial Loop, Shreveport, LA 71105-6800 | 2005-05-27 |
| 1366064016 | The Carpenter Center for Palliative Medicine of Shreveport, LLC | General Acute Care Hospital | 8950 E Kings Hwy, Shreveport, LA 71115-2704 | 2020-05-15 |
| 1427536325 | University Health Shreveport LLC | General Acute Care Hospital | 1541 Kings Hwy, Shreveport, LA 71103-4228 | 2018-08-02 |
| 1386034387 | Obvamc | General Acute Care Hospital | 510 E Stoner Ave, Shreveport, LA 71101-4243 | 2015-01-28 |
| 1871927921 | Brfhh Shreveport, LLC | General Acute Care Hospital | 1541 Kings Hwy, Shreveport, LA 71103-4228 | 2013-08-26 |
| 1346585312 | Overton Brooks Va Medical Center | General Acute Care Hospital | 510 E Stoner Ave, Shreveport, LA 71101-4243 | 2012-12-03 |
| 1295974574 | Overton Brooks Vamc | General Acute Care Hospital | 510 E Stoner Ave, Shreveport, LA 71101-4243 | 2009-02-11 |
| Find all providers in SHREVEPORT | ||||
| City | SHREVEPORT |
| Zip Code | 71101 |
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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.