NEUROLOGY & SLEEP CLINIC A PROFESSIONAL MEDICAL CORP (NPI# 1548313034) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548313034 |
| Entity Type | Organization |
| Organization Name | NEUROLOGY & SLEEP CLINIC A PROFESSIONAL MEDICAL CORP |
| Practice Address |
2205 E 70th St Shreveport LA 71105-5308 |
| Practice Telephone | 3187971585 |
| Practice Fax Number | 3187976077 |
| Mailing Telephone | 3187971585 |
| Mailing Fax Number | 3187976077 |
| Enumeration Date | 2007-01-19 |
| Last Update Date | 2010-06-08 |
| Authorized Official Name | DR. NABIL A MOUFARREJ IV (PRESIDENT) |
| Authorized Official Telephone | 3187971585 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 261QS1200X |
Clinic/Center Specialization: Sleep Disorder Diagnostic |
Ambulatory Health Care Facilities |
| Street Address |
2205 E 70TH ST |
| City | SHREVEPORT |
| State | LA |
| Zip Code | 71105-5308 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689674590 | Nabil A Moufarrej | Psychiatry & Neurology | 2205 E 70th St, Shreveport, LA 71105-5308 | 2005-07-21 |
| 1215426432 | Kimberly Villemarette Hull | Nurse Practitioner | 2205 E 70th St, Shreveport, LA 71105-5321 | 2018-05-02 |
| 1083958664 | Leah L Reed | Nurse Practitioner | 2205 E 70th St, Shreveport, LA 71105-5321 | 2012-11-20 |
| 1912261173 | Tammy G Harris | Nurse Practitioner | 2205 E 70th St, Shreveport, LA 71105-5321 | 2012-07-02 |
| 1912289919 | Veronica Monique Marshall | Nurse Practitioner | 2205 E 70th St, Shreveport, LA 71105-5321 | 2011-09-15 |
| 1467753707 | Rebecca L Berry | Nurse Practitioner | 2205 E 70th St, Shreveport, LA 71105-5321 | 2010-11-03 |
| 1487893319 | Debra Kay Thompson | Occupational Therapist | 2205 E 70th St, Suite 102, Shreveport, LA 71105-5321 | 2009-02-17 |
| 1811134331 | Linda K. Kiihnl | Speech-Language Pathologist | 2205 E 70th St, Suite 102, Shreveport, LA 71105-5321 | 2009-01-21 |
| 1528284254 | Amy Hermes | Occupational Therapist | 2205 E 70th St, Suite 102, Shreveport, LA 71105-5308 | 2007-04-18 |
| 1316076433 | Courtney Leigh Mclaurin | Speech-Language Pathologist | 2205 E 70th St, Suite 102, Shreveport, LA 71105-5308 | 2007-03-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699245928 | Misty Johnetta Ross | Counselor | 2942 Knight St., Bldg. 4 Suite 426, Shreveport, LA 71105 | 2018-11-29 |
| 1205301868 | Tatjhana Maury | Case Manager/Care Coordinator | 3325 Youree Drive, Shreveport, LA 71105 | 2018-10-10 |
| 1245710920 | Jefferey Douglas Adair Md | Non-Pharmacy Dispensing Site | 8860 Fern Ave., Suite 120, Shreveport, LA 71105 | 2018-08-21 |
| 1679059539 | Michael E Woolbert Dds LLC | Dentist | 7600 Fern Avenue, Building 1100, Shreveport, LA 71105 | 2018-07-13 |
| 1881195675 | Adiba Bibi | Pharmacist | 3555 Greenwood Road, Walgreens, Shreveport, LA 71105 | 2018-02-27 |
| 1740796655 | Allison Borel | Counselor | 2020 E 70th St Ste 201, Shreveport, LA 71105 | 2017-12-15 |
| 1073028148 | Valerie Wooten Barcelona | Physical Therapist | 130 Kayla Street, Shreveport, LA 71105 | 2017-12-11 |
| 1710497615 | Jimmy Carroll | Counselor | 2960 Knight St, Suite 110, Shreveport, LA 71105 | 2017-10-05 |
| 1932618444 | David Louis Bennett | Counselor | 3007 Knight St., Suite 200, Shreveport, LA 71105 | 2017-09-27 |
| 1619496452 | Shaqwana Hodge | Counselor | 2920 Knight St. Suite 110, Shreveport, LA 71105 | 2017-09-13 |
| Find all providers in zip 71105 | ||||
| Taxonomy Code | 261QS1200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Sleep Disorder Diagnostic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679874226 | Easy Sleep Concepts LLC | Clinic/Center | 6030 Line Ave Ste 320, Shreveport, LA 71106-2043 | 2010-11-14 |
| 1497784201 | Sleep Diagnostics Inc. | Clinic/Center | 2800 Youree Dr, Suite 110, Shreveport, LA 71104-3661 | 2006-07-02 |
| 1871571778 | Wellnecessities,inc. | Clinic/Center | 8835 Line Avenue, Suite 400, Shreveport, LA 71106-6718 | 2006-01-03 |
| 1295030351 | Home Sleep Testing of Louisiana | Clinic/Center | 3825 Gilbert Dr, Ste 127, Shreveport, LA 71104-5000 | 2011-01-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457978777 | Complete Sleep Testing LLC | Clinic/Center | 5016 Highway 28 E Ste B, Pineville, LA 71360-4737 | 2020-07-02 |
| 1942841309 | Complete Sleep Services LLC | Clinic/Center | 601 River Highlands Blvd Ste 100, Covington, LA 70433-8913 | 2019-10-07 |
| 1023590908 | Iberia Sleep Center, LLC | Clinic/Center | 715 N Lewis St Ste B, New Iberia, LA 70563-2045 | 2018-09-06 |
| 1902299464 | Sleep Resources of Opelousas, LLC | Clinic/Center | 413 Robin Ln, Opelousas, LA 70570-9113 | 2015-03-09 |
| 1497150619 | Sleep Resource of Opelousas, L.L.C. | Clinic/Center | 431 Robin Lane, Opelousas, LA 70570 | 2014-10-30 |
| 1295034262 | Sleep Corp LLC | Clinic/Center | 20405 Military Heights Dr, Covington, LA 70435-6034 | 2011-03-16 |
| 1245547496 | Sleep Solutions of The Northshore, L.L.C. | Clinic/Center | 2621 N Causeway Blvd, Mandeville, LA 70471-6435 | 2010-09-09 |
| 1568780831 | Home Sleep Delivered, LLC | Clinic/Center | 1327 Eraste Landry Rd, Lafayette, LA 70506-1920 | 2010-05-12 |
| 1588993976 | Sleep Solutions of Gonzales, LLC | Clinic/Center | 211 S Alexander Ave, Gonzales, LA 70737-3505 | 2009-12-14 |
| 1225363443 | Sleep Solutions of Uptown, LLC | Clinic/Center | 1328 Aline St, New Orleans, LA 70115-2403 | 2009-10-06 |
| Find all providers with the same taxonomy | ||||
| City | SHREVEPORT |
| Zip Code | 71105 |
Please comment or provide details below to improve the information on NEUROLOGY & SLEEP CLINIC A PROFESSIONAL MEDICAL CORP.
| 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.