RICKMAN CRITICAL CARE LLC (NPI# 1508358110) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508358110 |
| Entity Type | Organization |
| Organization Name | RICKMAN CRITICAL CARE LLC |
| Practice Address |
1800 Irving Pl Shreveport LA 71101-4608 |
| Mailing Address |
Po Box 64568 Phoenix AZ 85082-4568 |
| Practice Telephone | 3184254096 |
| Practice Fax Number | 3184258438 |
| Mailing Telephone | 3184244008 |
| Mailing Fax Number | 8552301466 |
| Enumeration Date | 2018-05-31 |
| Last Update Date | 2018-05-31 |
| Authorized Official Name | ROBERT TODD RICKMAN (MEMBER) |
| Authorized Official Telephone | 3185253934 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
Allopathic & Osteopathic Physicians |
| Street Address |
1800 IRVING PL |
| City | SHREVEPORT |
| State | LA |
| Zip Code | 71101-4608 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376511493 | Promise Hospital of Louisiana, Inc | Long Term Care Hospital | 1800 Irving Pl, Shreveport, LA 71101-4608 | 2006-03-14 |
| 1215560578 | Benjamin Potter | Nurse Practitioner | 1800 Irving Pl, Shreveport, LA 71101-4608 | 2020-02-14 |
| 1386292134 | Kpc Promise Hospital of Louisiana LLC | Long Term Care Hospital | 1800 Irving Pl, Shreveport, LA 71101-4608 | 2019-08-26 |
| 1629504220 | Imperial Medicine LLC | Internal Medicine | 1800 Irving Pl, Shreveport, LA 71101-4608 | 2017-05-03 |
| 1225579402 | B&l Medical Services LLC | Internal Medicine | 1800 Irving Pl, Shreveport, LA 71101-4608 | 2017-03-20 |
| 1982145157 | Bankai Physicians LLC | Internal Medicine | 1800 Irving Pl, Shreveport, LA 71101-4608 | 2017-03-20 |
| 1598205551 | Anand M Desai Md LLC | Internal Medicine | 1800 Irving Pl, Shreveport, LA 71101-4608 | 2017-02-24 |
| 1063963189 | Basel Kasabali Md Apmc | Internal Medicine | 1800 Irving Pl, Shreveport, LA 71101-4608 | 2016-10-24 |
| 1669864773 | Janice Hollier, LLC | Specialist | 1800 Irving Pl, Shreveport, LA 71101-4608 | 2015-02-26 |
| 1265749436 | Melissa Ann Tingler Frick | Pharmacist | 1800 Irving Pl, Shreveport, LA 71101-4608 | 2010-09-08 |
| 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 | 207RC0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Critical Care Medicine |
| An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316271356 | Critical Care Coverage LLC | Internal Medicine | 624 Travis St Ste 300, Shreveport, LA 71101-3014 | 2009-09-23 |
| 1780689224 | Calvin D. Alexander | Internal Medicine | 6046 S Lakeshore Dr, Shreveport, LA 71119-3704 | 2005-06-20 |
| 1609130475 | Prangthip Charoenpong | Internal Medicine | 1501 Kings Hwy, Shreveport, LA 71103-4228 | 2012-06-26 |
| 1932465358 | Judy Lynn Locati | Internal Medicine | 1501 Kings Hwy, Critical Care Medicine, Shreveport, LA 71103-4228 | 2012-04-10 |
| 1780940320 | Jonathan Sheffield Eaton | Internal Medicine | 1202 Louisiana Ave, Shreveport, LA 71101-3910 | 2012-04-09 |
| 1306139746 | David Maurice Chambers | Internal Medicine | 1541 Kings Hwy, Shreveport, LA 71103 | 2011-05-18 |
| 1952606279 | Kirit S Patel Md Apmc | Internal Medicine | 2120 Bert Kouns Industrial Loop, Suite F, Shreveport, LA 71118-3351 | 2011-01-18 |
| 1558441857 | Louisiana State University Health Sciences Center | Internal Medicine | 1501 Kings Hwy, Shreveport, LA 71103-4228 | 2006-10-17 |
| 1376555672 | John Paul Areno Iv | Internal Medicine | 510 E Stoner Ave, Overton Brooks Vamc, Shreveport, LA 71101-4243 | 2006-08-13 |
| 1073535423 | Shawn Arlen Milligan | Internal Medicine | 1501 Kings Hwy, Department of Medicine Pulmonary Critical Care, Shreveport, LA 71103-4228 | 2006-07-24 |
| 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.