JOHN LOGAN SOBIESK (NPI# 1538797410) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538797410 |
| Entity Type | Individual |
| Full Name | JOHN LOGAN SOBIESK |
| Credential | MD |
| Practice Address |
534 Unadilla St Shreveport LA 71106-1240 |
| Practice Telephone | 6012971604 |
| Mailing Telephone | 6012971604 |
| Enumeration Date | 2020-03-27 |
| Last Update Date | 2020-04-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 533 Bolivar St Fl 5, New Orleans, LA 701121349 | 2257574160 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508975178 | John D Sobiesk | Otolaryngology | 1605 S 28th Ave, Hattiesburg, MS 39402-3110 | 2006-08-29 |
| Street Address |
534 UNADILLA ST |
| City | SHREVEPORT |
| State | LA |
| Zip Code | 71106-1240 |
| 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 | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295344851 | Kavina Kamlesh Jani | Student in an Organized Health Care Education/Training Program | 2854 Long Lake Dr, Shreveport, LA 71106-8422 | 2020-07-29 |
| 1003444316 | Aya Mouhaffel | Student in an Organized Health Care Education/Training Program | 1501 King Hwy, Anesethesiology, Shreveport, LA 71130 | 2020-03-31 |
| 1679101638 | Brelynn Dianne Witty | Student in an Organized Health Care Education/Training Program | 629 Mccormick St, Shreveport, LA 71104-4905 | 2020-03-27 |
| 1801423751 | Darius Joseph Robinson | Student in an Organized Health Care Education/Training Program | 649 Rutherford St, Shreveport, LA 71104-4333 | 2020-03-23 |
| 1306308176 | Kabir Kashif Husain | Student in an Organized Health Care Education/Training Program | 1501 King Highway, Internal Medicine, Shreveport, LA 71130-3932 | 2019-04-02 |
| 1871052209 | Harrison William Torres | Student in an Organized Health Care Education/Training Program | Ochsner Lsuhsc, Urology - 1501 Kings Highway, Shreveport, LA 71130-3932 | 2019-03-15 |
| 1689144461 | John W Ratliff | Student in an Organized Health Care Education/Training Program | Ochsner, 1501, Shreveport, LA 71130 | 2018-12-05 |
| 1942707096 | Nicholas Lyons Gilbert | Student in an Organized Health Care Education/Training Program | 1501 Kings Hwy # Surgery, Shreveport, LA 71103-4228 | 2018-04-06 |
| 1801390372 | Matthew Taylor Burger | Student in an Organized Health Care Education/Training Program | 3455 Johnette St, Shreveport, LA 71105-2027 | 2018-03-20 |
| 1639670458 | Kristina Moore Stanfield | Student in an Organized Health Care Education/Training Program | 750 Ratcliff St, Shreveport, LA 71104-4912 | 2018-02-27 |
| Find all providers in SHREVEPORT | ||||
| City | SHREVEPORT |
| Zip Code | 71106 |
Please comment or provide details below to improve the information on JOHN LOGAN SOBIESK.
| 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.