MISS COLLEEN HANNON CLINE (NPI# 1568748986) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568748986 |
| Entity Type | Individual |
| Full Name | MISS COLLEEN HANNON CLINE |
| Other Name | COLLEEN HANNON |
| Credential | PA-C |
| Practice Address |
8383 Millicent Way Shreveport LA 71115-5207 |
| Practice Telephone | 3187976661 |
| Practice Fax Number | 3187958512 |
| Mailing Telephone | 3187976661 |
| Mailing Fax Number | 3187958503 |
| Enumeration Date | 2011-10-31 |
| Last Update Date | 2017-12-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA200506 | LA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363A00000X | Physician Assistant | PA07541 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
8383 MILLICENT WAY |
| City | SHREVEPORT |
| State | LA |
| Zip Code | 71115-5207 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184627986 | Michael O Fleming | Family Medicine | 8383 Millicent Way, Shreveport, LA 71115-5207 | 2005-05-24 |
| 1790249225 | Joshua Phillip White | Family Medicine | 8383 Millicent Way, Shreveport, LA 71115-5207 | 2019-01-29 |
| 1093209686 | Caitlin Shaye Willsie | Nurse Practitioner | 8383 Millicent Way, Shreveport, LA 71115-5207 | 2018-06-18 |
| 1467896738 | Mary M Eskander | Family Medicine | 8383 Millicent Way, Shreveport, LA 71115-5207 | 2013-04-17 |
| 1194019794 | Katie Kerr | Family Medicine | 8383 Millicent Way, Shreveport, LA 71115-5207 | 2011-06-01 |
| 1225298128 | Elizabeth O'brien Hudnall | Family Medicine | 8383 Millicent Way, Shreveport, LA 71115-5207 | 2008-06-13 |
| 1245445980 | Clifton Ross Hamic | Family Medicine | 8383 Millicent Way, Shreveport, LA 71115-5207 | 2007-05-14 |
| 1164443826 | Family Practice Associates Of | Family Medicine | 8383 Millicent Way, Shreveport, LA 71115-5207 | 2006-07-21 |
| 1063489888 | Charles Scott Patton | Family Medicine | 8383 Millicent Way, Shreveport, LA 71115-5207 | 2006-03-01 |
| 1366432577 | Humberto Isidro Aguilar | Internal Medicine | 8383 Millicent Way, Suite B, Shreveport, LA 71115-5207 | 2005-10-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740829217 | Bno Surgical Consultants, LLC | Physician Assistant | 303 Captain Hm Shreve Blvd, Shreveport, LA 71115 | 2020-01-02 |
| 1902310899 | Islam LLC | General Acute Care Hospital | 9815 Paragon Ln, Shreveport, LA 71115 | 2017-11-30 |
| 1508304569 | Marcel White | Case Manager/Care Coordinator | 9050 Youree Dr, Apt 105, Shreveport, LA 71115 | 2017-02-09 |
| 1114392784 | Marilyn Sparks | Counselor | 9999 Smitherman Dr Apt 502, Shreveport, LA 71115 | 2015-12-08 |
| 1699031237 | Cody Tingle | Internal Medicine | 8001 Youree Dr Ste 400, Shreveport, LA 71115 | 2012-04-09 |
| 1629366885 | Pankaj Sharma | Psychiatry & Neurology | Department of Neurology, Lsuhsc Shreveport, 1501 Kings Highway, Shreveport, LA 71115 | 2011-07-21 |
| 1396914750 | Lisa L Jawahar | Radiologic Technologist | 429 Creek Holw, Shreveport, LOUISIANA 71115 | 2008-02-29 |
| 1720291412 | Larry Kenneth Robinson Jr. | Dentist | 8856 Youree Dr, Suite C, Shreveport, LA 71115 | 2007-05-08 |
| 1952471609 | Shining Star Professional Services Inc | Social Worker | 9050 Youree Drive, #1004, Shreveport, LA 71115 | 2006-11-09 |
| 1922178854 | Akee Lj Jackson | Social Worker | 9050 Youree Dr. #1004, Shreveport, LA 71115 | 2006-11-08 |
| Find all providers in zip 71115 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740829217 | Bno Surgical Consultants, LLC | Physician Assistant | 303 Captain Hm Shreve Blvd, Shreveport, LA 71115 | 2020-01-02 |
| 1497394076 | Midday Surgical Consultants, LLC | Physician Assistant | 550 Linden St, Shreveport, LA 71104-4426 | 2019-12-31 |
| 1225677800 | Geaux Surgical Consultants, LLC | Physician Assistant | 370 Gallier Pl, Shreveport, LA 71106-8377 | 2019-12-31 |
| 1962041541 | Ace Surgical Consultants, LLC | Physician Assistant | 11045 Gabriels Path, Shreveport, LA 71106-7791 | 2019-12-31 |
| 1013499763 | Kristi Harrison Gaspard | Physician Assistant | 2508 Bert Koun Loop Ste 106, Shreveport, LA 71118-3175 | 2018-08-29 |
| 1295216125 | Heather White | Physician Assistant | 745 Olive St Ste 200, Shreveport, LA 71104-2246 | 2018-08-28 |
| 1285143669 | Kara Forbis | Physician Assistant | 2600 Kings Hwy Ste 420, Shreveport, LA 71103-3950 | 2017-09-28 |
| 1144748195 | Catherine Murphy Rogers | Physician Assistant | 2727 Hearne Ave Ste 300, Shreveport, LA 71103-3918 | 2017-08-30 |
| 1972955474 | Robin Egan | Physician Assistant | 1811 E Bert Koun Loop Ste 200, Shreveport, LA 71105-5766 | 2016-07-07 |
| 1457733198 | Brfhh Shreveport LLC | Physician Assistant | 1541 Kings Highway, Shreveport, LA 71103-4228 | 2015-06-18 |
| Find all providers in SHREVEPORT | ||||
| City | SHREVEPORT |
| Zip Code | 71115 |
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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.