DR. RAYMOND EDWARD DENNIE (NPI# 1467526178) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467526178 |
| Entity Type | Individual |
| Full Name | DR. RAYMOND EDWARD DENNIE |
| Credential | M.D. |
| Practice Address |
2724 Greenwood Rd Shreveport LA 71109-4635 |
| Mailing Address |
6121 Fern Ave 79 Pierremont Place Shreveport LA 71105-4155 |
| Practice Telephone | 3182124248 |
| Practice Fax Number | 3182124545 |
| Mailing Telephone | 3187971356 |
| Mailing Fax Number | 3182124545 |
| Enumeration Date | 2006-11-17 |
| Last Update Date | 2008-08-06 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 4185R | LA | Other Service Providers |
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | MD04185R | LA | Suppliers |
| N | 332900000X | Non-Pharmacy Dispensing Site | AD8213326 DEA | LA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1182621 | 05 |
| Street Address |
2724 GREENWOOD RD |
| City | SHREVEPORT |
| State | LA |
| Zip Code | 71109-4635 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609867415 | Magdy Eskander | Emergency Medicine | 2724 Greenwood Rd, Shreveport, LA 71109-4635 | 2005-11-01 |
| 1689966194 | Paul Forrest Procell | Occupational Therapist | 2724 Greenwood Rd, Shreveport, LA 71109-4635 | 2011-05-03 |
| 1700180049 | Willis Knighton Work Kare | Clinic/Center | 2724 Greenwood Rd, Shreveport, LA 71109-4635 | 2010-12-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548784416 | Barbara Smith | Counselor | 4019 Greenwood Road, Shreveport, LA 71109 | 2017-08-01 |
| 1508306135 | Cherise Sims | Case Manager/Care Coordinator | 3512 Greenbriar Dr, Shreveport, LA 71109 | 2017-03-01 |
| 1174063093 | Nitika Pinesett | Case Manager/Care Coordinator | 3011 Independence Ave, Shreveport, LA 71109 | 2017-02-24 |
| 1831640986 | Aleric Hamilton | Counselor | 2605 Leaf Ln, Shreveport, LA 71109 | 2016-10-24 |
| 1144673963 | Lakeishia Johnson | Technician | 5342 Broadway Ave, Shreveport, LA 71109 | 2016-07-16 |
| 1083074223 | Patricia Pouncy | Counselor | 4019 Greenwood Rd, Shreveport, LA 71109 | 2016-03-01 |
| 1326418518 | Deepasulochana Sivasankaraganesan | Dentist | 3719 Jewella Ave, Shreveport, LA 71109 | 2015-09-30 |
| 1063611838 | Della Edwards Wills | Social Worker | 4615 Monkhouse Drive, Ste A-2-b, Shreveport, LA 71109 | 2007-07-12 |
| 1083743041 | An Endless Love Home Care, LLC | Point of Service | 6259 Tinker Street, Shreveport, LA 71109 | 2007-03-05 |
| 1316009624 | Djenane Rousseau | Pharmacist | 4140 Hollywood, Shreveport, LA 71109 | 2006-12-14 |
| Find all providers in zip 71109 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346879335 | Donesa Walker | Specialist | 8856 Youree Dr Ste D, Shreveport, LA 71115-2514 | 2020-04-02 |
| 1447749304 | Kelly E Rachal, Dvm | Specialist | 4445 Youree Dr, Shreveport, LA 71105-3618 | 2018-05-07 |
| 1407381973 | Dominique Stevenson | Specialist | 6800 Rasberry Lane Apt.1901, Shreveport, LA 71129 | 2017-04-21 |
| 1063816304 | Lisa Dupree | Specialist | 7655 Grimm Rd, Shreveport, LA 71107-3450 | 2014-10-15 |
| 1205256633 | Rhydonia R. Pillars | Specialist | 3110 Bert Kouns Industrial Loop # 11, Ste G, Shreveport, LA 71118-2948 | 2014-04-24 |
| 1912253618 | A Golden Touch Inc | Specialist | 3110 Bert Kouns Industrial Loop Ste G, Box 11, Shreveport, LA 71118 | 2012-07-31 |
| 1396048385 | Thomas J. Worgul, M.d., Apmc | Specialist | 7837 Youree Dr, Shreveport, LA 71105-5505 | 2010-12-13 |
| 1083929954 | Henock G Zabher LLC | Specialist | 8007 Amy Hewes Dr, Shreveport, LA 71115-4605 | 2010-08-16 |
| 1881907624 | Katharine Marie Meldrum | Specialist | 6602 Gilbert Dr, Shreveport, LA 71106-2300 | 2010-07-21 |
| 1033352976 | Jennifer A Perfetto | Specialist | 9809 Hearthside Cir, Shreveport, LA 71118-4830 | 2009-04-08 |
| Find all providers in SHREVEPORT | ||||
| City | SHREVEPORT |
| Zip Code | 71109 |
Please comment or provide details below to improve the information on DR. RAYMOND EDWARD DENNIE.
| 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.