DR. KURT THOMAS GROZINGER (NPI# 1548264211) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1548264211 |
Entity Type | Individual |
Full Name | DR. KURT THOMAS GROZINGER |
Credential | M.D. |
Practice Address |
2105 Airline Dr Bossier City LA 71111-3105 |
Mailing Address |
Po Box 3509 Shreveport LA 71133-3509 |
Practice Telephone | 3187416078 |
Mailing Telephone | 3187477370 |
Mailing Fax Number | 3187472913 |
Enumeration Date | 2005-06-09 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
X | 2085B0100X |
Radiology Specialization: Body Imaging |
05413R | LA | Allopathic & Osteopathic Physicians |
X | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
05413R | LA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
LA | MEDICAL LICENSE | 05413R | 01 |
Street Address |
2105 AIRLINE DR |
City | BOSSIER CITY |
State | LA |
Zip Code | 71111-3105 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821223991 | Bossier Specialty Hospital,llc | General Acute Care Hospital | 2105 Airline Dr, Bossier City, LA 71111-3105 | 2009-05-19 |
1689829400 | Ahp of Western Louisana, LLC | Anesthesiology | 2105 Airline Dr, Bossier City, LA 71111-3105 | 2008-11-20 |
1740430156 | Ahp of Western Louisiana LLC | Nurse Anesthetist, Certified Registered | 2105 Airline Dr, Bossier City, LA 71111-3105 | 2008-09-22 |
1295858751 | Jon Patrick Jeffcoat | Nurse Anesthetist, Certified Registered | 2105 Airline Dr, Bossier City, LA 71111-3105 | 2007-04-09 |
1851402655 | Martic Smith | Nurse Anesthetist, Certified Registered | 2105 Airline Dr, Bossier City, LA 71111-3105 | 2006-08-31 |
1649201104 | Ethicus Hospital-shreveport, LLC | General Acute Care Hospital | 2105 Airline Dr, Bossier City, LA 71111-3105 | 2006-07-05 |
1750345419 | Bossier Specialty Hospital LLC | Special Hospital | 2105 Airline Dr, Bossier City, LA 71111-3105 | 2006-04-12 |
1265410583 | Radiology Imaging Associates, LLP | Radiology | 2105 Airline Dr, Radiology Department, Bossier City, LA 71111-3105 | 2006-01-06 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669007951 | Tamara 'tammy' Larck | Counselor | 1525 Fullilove Drive, Shreveport, LA 71111 | 2020-03-06 |
1912538315 | Lagniappe Chiropractic | Chiropractor | 2400 Airline Drive, Bossier City, LA 71111 | 2020-02-04 |
1649817420 | Lifecare Medical Transportation, LLC. | Non-emergency Medical Transport (VAN) | 25 Duck Haven Pointe, Bossier City, LA 71111 | 2019-11-29 |
1770126344 | Bertresea White Evans | Nurse Practitioner | Coastal Urgernt Care, 5314 Airline Drive, Bossier City, LA 71111 | 2019-10-25 |
1861964058 | Erika Davis Reed | Counselor | 1515 Doctors Dr # 16, Bossier City, LA 71111 | 2018-12-28 |
1518436898 | Charlotte Mckay | Case Manager/Care Coordinator | 31330 Hwy 22, Ste 101, Bossier City, LA 71111 | 2018-11-16 |
1992271464 | Np2u, LLC | Nurse Practitioner | 2008 Airline Drive Suite 300 #194, Bossier City, LA 71111 | 2018-10-22 |
1114416542 | Lashaunda Autrey | Counselor | 410 Half Moon Lane, Bossier, LA 71111 | 2018-05-01 |
1750887196 | Shenya Williams-pennywell | Counselor | 1007 Gould Drive Bldg 2, Suite 1, Bossier City, LA 71111 | 2018-04-04 |
1336647304 | Patrick Vance | Physical Therapist | 5000 Benton Rd Ste 1, Bossier City, LA 71111 | 2018-01-24 |
Find all providers in zip 71111 |
Taxonomy Code | 2085B0100X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Radiology |
Specialization | Body Imaging |
A Radiology doctor of Osteopathy that specializes in Body Imaging. |
Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: definiton added, source added] Additional Resources: The American Osteopathic Board of Radiology no longer offers a certificate in this specialty. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265410583 | Radiology Imaging Associates, LLP | Radiology | 2105 Airline Dr, Radiology Department, Bossier City, LA 71111-3105 | 2006-01-06 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629332374 | Curtis Duplechain | Radiology | 118 Nicholls Dr., Thibodaux, LA 70301 | 2012-06-27 |
1699072678 | Stephen Clark Prudhomme | Radiology | 828 Myrtle View Dr, Baton Rouge, LA 70810-4226 | 2011-02-28 |
1821279845 | Denny James Dartez | Radiology | 1800 Ryan St Ste 105, Lake Charles, LA 70601-6078 | 2007-11-19 |
1699974550 | Bradley Matthew Spieler | Radiology | 1542 Tulane Ave Rm 343, New Orleans, LA 70112-2865 | 2007-07-12 |
1669483277 | Adam M Dowling | Radiology | 180 West Esplanade Avenue, Kenner, LA 70065 | 2006-08-10 |
1972517746 | Houma Orthopedic Clinic Amc | Radiology | 1001 School Street, Suite B, Houma, LA 70360-4691 | 2006-07-28 |
1366410649 | Joseph Riley Reed Jr. | Radiology | 800 E Main St, Ville Platte Medical, Ville Platte, LA 70586 | 2006-03-10 |
1649265364 | Seth Silverstein | Radiology | 4625 Beau Lac Lane, Metairie, LA 70002-1452 | 2005-09-19 |
1083855068 | Stephen Iversen Johnson | Radiology | 1514 Jefferson Hwy, New Orleans, LA 70121-2429 | 2009-03-20 |
1063668622 | Matthew Ross Lafleur | Radiology | 9001 Summa Ave, Baton Rouge, LA 70809-3726 | 2008-08-14 |
Find all providers with the same taxonomy |
City | BOSSIER CITY |
Zip Code | 71111 |
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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.