KEITH ELIOT STRAIN (NPI# 1558469734) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558469734 |
| Entity Type | Individual |
| Full Name | KEITH ELIOT STRAIN |
| Credential | MD |
| Practice Address |
One Saint Mary Place Shreveport LA 71101-4343 |
| Practice Telephone | 3183816174 |
| Practice Fax Number | 3186816162 |
| Mailing Telephone | 3186816174 |
| Mailing Fax Number | 3186816162 |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2011-05-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208000000X | Pediatrics | 16379 | LA | Allopathic & Osteopathic Physicians |
| Y | 2080P0204X |
Pediatrics Specialization: Pediatric Emergency Medicine |
MD.16379 | LA | Allopathic & Osteopathic Physicians |
| N | 2080P0204X |
Pediatrics Specialization: Pediatric Emergency Medicine |
16379 | LA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1389838 | 05 |
| Street Address |
ONE SAINT MARY PLACE |
| City | SHREVEPORT |
| State | LA |
| Zip Code | 71101-4343 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285632745 | Peyman Roohani | Internal Medicine | One Saint Mary Place, Shreveport, LA 71101-0000 | 2005-07-08 |
| 1215170527 | Heith Edward Pumphrey | Nurse Practitioner | One Saint Mary Place, Shreveport, LA 71101-0000 | 2009-04-16 |
| 1700086063 | Stephen Royce Maxwell | Internal Medicine | One Saint Mary Place, Shreveport, LA 71101-0000 | 2007-07-24 |
| 1225258809 | Radiation Oncology St Mary Place LLC | Radiology | One Saint Mary Place, Cancer Treatment Center, Shreveport, LA 71101-4343 | 2007-04-26 |
| 1710909163 | Kevin Neal Boykin | Surgery | One Saint Mary Place, Shreveport, LA 71101-4343 | 2006-07-24 |
| 1760461875 | Kelly Morgan Carlisle | Internal Medicine | One Saint Mary Place, Shreveport, LA 71101-0000 | 2006-01-17 |
| 1689672032 | Mark Frederick Brown | Surgery | One Saint Mary Place, Shreveport, LA 71101-4343 | 2005-07-11 |
| 1487652970 | Thomas Steen Trawick Jr. | Internal Medicine | One Saint Mary Place, Shreveport, LA 71101-0000 | 2005-07-08 |
| 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 | 2080P0204X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Emergency Medicine |
| A pediatrician who has special qualifications to manage emergencies in infants and children. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467602755 | Childrens Acute Care Inc | Pediatrics | 1 Saint Mary Pl, Box 40, Shreveport, LA 71101-4343 | 2008-09-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558723429 | Courtney Jacobs | Pediatrics | 864 S Clearview Pkwy, Apt 136, River Ridge, LA 70123-6323 | 2016-03-22 |
| 1518161736 | Ronald Anthony Hardey | Pediatrics | 201 Bent Tree Trl, Lafayette, LA 70508-7048 | 2007-06-12 |
| 1922080126 | Maria Stella Serrano | Pediatrics | 1315 Jefferson Highway, New Orleans, LA 70121 | 2005-11-15 |
| 1780003798 | Molly Sonenklar | Pediatrics | 200 Henry Clay Ave, New Orleans, LA 70118-5720 | 2014-04-08 |
| 1558618173 | Shamicka North | Pediatrics | 200 Henry Clay Ave, New Orleans, LA 70118-5798 | 2012-08-14 |
| 1912282831 | Our Lady of The Lake Physician Group LLC | Pediatrics | 7777 Hennessy Blvd, Ste 6002, Baton Rouge, LA 70808-4300 | 2011-10-12 |
| 1316261316 | Emily Jo Harrison | Pediatrics | 200 Henry Clay Ave, New Orleans, LA 70118-5798 | 2010-03-19 |
| 1881835866 | Hitesh Dhiraj Chheda | Pediatrics | 5000 Hennessy Blvd, Baton Rouge, LA 70808-4375 | 2009-03-20 |
| 1285825315 | Andrea Catherine Suen | Pediatrics | 200 Henry Clay Ave, New Orleans, LA 70118-5720 | 2007-08-05 |
| 1568663771 | Children's Hospital | Pediatrics | 200 Henry Clay Ave, New Orleans, LA 70118-5720 | 2007-05-29 |
| Find all providers with the same taxonomy | ||||
| City | SHREVEPORT |
| Zip Code | 71101 |
Please comment or provide details below to improve the information on KEITH ELIOT STRAIN.
| 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.