MARC DENNIS BREEHL (NPI# 1538124144) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538124144 |
| Entity Type | Individual |
| Full Name | MARC DENNIS BREEHL |
| Credential | MD |
| Practice Address |
510 E Stoner Ave Shreveport LA 71101-4243 |
| Mailing Address |
104 Calais Ct Bossier City LA 71111-5482 |
| Practice Telephone | 3182218411 |
| Practice Fax Number | 3189905710 |
| Mailing Telephone | 3183478129 |
| Enumeration Date | 2006-04-18 |
| Last Update Date | 2016-05-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207L00000X | Anesthesiology | 206991 | LA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | BCBSTX | 8G1548 | 01 |
| OK | 100065320A | 05 | |
| TX | 175924301 | 05 |
| Street Address |
510 E STONER AVE |
| 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 | 207L00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery. |
| 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 Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679653331 | Scott F Cassingham | Anesthesiology | 833 Thora Blvd, Shreveport, LA 71106-1519 | 2006-10-17 |
| 1932205846 | Regional Urology Asc LLC | Anesthesiology | 255 Bert Kouns Industrial Loop, Shreveport, LA 71106-8150 | 2006-09-16 |
| 1316957012 | Musculoskeletal Institute of Louisiana, L.L.C. | Anesthesiology | Orthopedic Specialists of La, 1500 Line Ave Ste 100, Shreveport, LA 71101 | 2006-08-08 |
| 1225083652 | Winston E Moore Md | Anesthesiology | 2715 Hardy St, Shreveport, LA 71109-4307 | 2006-05-24 |
| 1538130018 | Randall P. Brewer | Anesthesiology | 8731 Park Plaza Dr, Shreveport, LA 71105 | 2006-01-31 |
| 1588634133 | Emily Hummer Naus | Anesthesiology | 3100 Samford Ave, Shreveport, LA 71103-4239 | 2006-01-25 |
| 1780665828 | Jefferey D Adair | Anesthesiology | 1455 E Bert Kouns Industrial Loop Ste 314, Shreveport, LA 71105-5634 | 2005-11-07 |
| 1376533737 | Robert Craig Jones | Anesthesiology | 1945 E 70th St, Suite B, Shreveport, LA 71105-5347 | 2005-10-26 |
| 1851385215 | William Jeffery Till | Anesthesiology | 1121 Louisiana Ave, Shreveport, LA 71101 | 2005-08-31 |
| 1932109923 | Dayne Daniel Hassell | Anesthesiology | 835 Oneonta St, Shreveport, LA 71106-1129 | 2005-07-30 |
| 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.