LAUREN DEROCHE HARRIS (NPI# 1629498902) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629498902 |
| Entity Type | Individual |
| Full Name | LAUREN DEROCHE HARRIS |
| Credential | MD |
| Practice Address |
1501 Kings Hwy Ob/gyn Shreveport LA 71103 |
| Mailing Address |
1501 Kings Hwy Ob/gyn Shreveport LA 71103-4228 |
| Practice Telephone | 3186758700 |
| Practice Fax Number | 3186758706 |
| Mailing Telephone | 3186758700 |
| Mailing Fax Number | 3186758706 |
| Enumeration Date | 2014-04-24 |
| Last Update Date | 2018-06-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 1629498902 | LA | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144864059 | Lauren Leigh Harris | Speech-Language Pathologist | 400 Herron Rd, Knoxville, TN 37934-1706 | 2019-11-04 |
| 1164985156 | Lauren Kate Harris | Student in an Organized Health Care Education/Training Program | Stony Brook Medicine, Department of Ob/gyn, Hsc T9, 101 Nicolls Road, Stony Brook, NY 11794 | 2019-04-08 |
| 1497215214 | Lauren Nicole Harris | Psychologist | 10662 Eastborne Ave, Los Angeles, CA 90024-5903 | 2019-03-20 |
| 1205306776 | Lauren Jane-mirocke Harris | Speech-Language Pathologist | 101 W 151st St # 913586, Olathe, KS 66061-5348 | 2018-11-27 |
| 1851899660 | Lauren Elaine Harris | Specialist/Technologist | 2219 Autumn Dr, Lynchburg, VA 24502-1940 | 2018-01-26 |
| 1184989659 | Lauren Rae Harris | Specialist/Technologist | 87 E Chestnut St, Bechtelsville, PA 19505-9786 | 2012-07-10 |
| 1477837029 | Lauren Ivy Harris | Occupational Therapist | 72 Steuben St Apt 3a, Brooklyn, NY 11205-2646 | 2011-09-30 |
| 1598910622 | Lauren Elyse Harris | Marriage & Family Therapist | 116 Pleasant St Ste 335, Easthampton, MA 01027-2759 | 2008-11-17 |
| 1013061514 | Lauren B Harris | Marriage & Family Therapist | 1424 Ne 155th St., #204, Shoreline, WA 98155 | 2007-01-22 |
| 1659992170 | Lauren Harris | Physical Therapy Assistant | 700 Monroe Rd, Mason, OH 45036-1409 | 2020-05-06 |
| Street Address |
1501 KINGS HWY OB/GYN |
| City | SHREVEPORT |
| State | LA |
| Zip Code | 71103 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801890769 | F Dean Griffen | Surgery | 1501 Kings Hwy, Shreveport, LA 71103-4228 | 2005-06-09 |
| 1336747625 | Lana Nasief | Student in an Organized Health Care Education/Training Program | 1501 Kings Hwy, Shreveport, LA 71103-4228 | 2020-10-09 |
| 1558968834 | Dinesh Regalla | Student in an Organized Health Care Education/Training Program | 1501 Kings Hwy, Shreveport, LA 71103-4228 | 2020-10-08 |
| 1588261283 | Divleen Sidhu | Student in an Organized Health Care Education/Training Program | 1501 Kings Hwy, Shreveport, LA 71103-4228 | 2020-10-06 |
| 1023624517 | Grace Hoffman | Pharmacist | 1501 Kings Hwy, Shreveport, LA 71103-4228 | 2020-09-20 |
| 1194330761 | Yousef Hasan | Student in an Organized Health Care Education/Training Program | 1501 Kings Hwy, Shreveport, LA 71103-4228 | 2020-09-10 |
| 1790399277 | Ricardo Murguia Fuentes | Student in an Organized Health Care Education/Training Program | 1501 Kings Hwy, Shreveport, LA 71103-4228 | 2020-09-02 |
| 1013521509 | Tahir Ahmad | Student in an Organized Health Care Education/Training Program | 1501 Kings Hwy, Shreveport, LA 71103-4228 | 2020-09-02 |
| 1376155309 | Ayesha Malik | Student in an Organized Health Care Education/Training Program | 1501 Kings Hwy, Shreveport, LA 71103-4228 | 2020-08-20 |
| 1104438324 | Elleny Gutierrez | Student in an Organized Health Care Education/Training Program | 1501 Kings Hwy, Shreveport, LA 71103 | 2020-08-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083124887 | Elizabeth Ponder | Case Manager/Care Coordinator | 404 Hearne Avenue, Shreveport, LA 71103 | 2017-10-05 |
| 1245648393 | Madiha Tariq | General Acute Care Hospital | Rheumatology Clinic, 1501 Kings Hwy, Sheveport, LA 71103 | 2014-07-31 |
| 1659782688 | Jennifer G Smith | Pharmacist | 1725 Claiborne Ave, Shreveport, LA 71103 | 2014-05-13 |
| 1336568823 | Taylor Jieun Jung | Student in an Organized Health Care Education/Training Program | Lsu Health Sciences Center 1501 Kings Highway, Department of Oral & Maxillofacial Surgery Room 530, Shreveport, LA 71103 | 2014-04-10 |
| 1578984746 | Jamie Terrell | Pharmacist | 1625 Claiborne Ave, Shreveport, LA 71103 | 2013-12-13 |
| 1346675188 | Srijan Tandukar | Internal Medicine | 2751 Albert L Bicknell Dr Ste 2b, Shreveport, LA 71103 | 2013-09-12 |
| 1699017681 | Deanna Elise Mossallati | Internal Medicine | 8551 Greenwood Rd, Suite 410, Shreveport, LA 71103 | 2013-03-18 |
| 1346527330 | Tim M Smith | Clinical Exercise Physiologist | 3200 Greenwood Rd., Shreveport, LA 71103 | 2011-11-04 |
| 1144451683 | Second Chance Recovery | Durable Medical Equipment & Medical Supplies | 3816 Linwood, Shreveport, LA 71103 | 2009-07-31 |
| 1093919920 | Neeraj Singh | Internal Medicine | 2751 Albert L Bicknell Dr Fl 4, Shreveport, LA 71103 | 2007-06-13 |
| Find all providers in zip 71103 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033554738 | Melissa Fett Jordan | Obstetrics & Gynecology | 3100 Fairfield Ave, Unit 10a, Shreveport, LA 71104-4152 | 2013-05-08 |
| 1285984823 | Wk Ob-gyn Concepts | Obstetrics & Gynecology | 7853 Youree Dr, Shreveport, LA 71105-5505 | 2012-09-11 |
| 1609985381 | Marsha Friedrich | Obstetrics & Gynecology | 1801 Fairfield Avenue Ste 207, Shreveport, LA 71101 | 2006-08-29 |
| 1710956255 | Bradley C. Colvin | Obstetrics & Gynecology | 9111 Susan Dr, Shreveport, LA 71118-3136 | 2006-03-16 |
| 1164417309 | John W Waterfallen | Obstetrics & Gynecology | 7941 Youree Dr, Shreveport, LA 71105-5538 | 2005-09-14 |
| 1952306177 | Stephanie Ann Sockrider | Obstetrics & Gynecology | 8001 Youree Dr, Ste 900, Shreveport, LA 71115-2326 | 2005-06-15 |
| 1891181004 | Caitlin Favaloro Busada | Obstetrics & Gynecology | 1541 Kings Hwy, Shreveport, LA 71103-4228 | 2015-04-14 |
| 1689087355 | Wk Womens Specialists At South | Obstetrics & Gynecology | 2530 Bert Koun Loop, Suite 112, Shreveport, LA 71118-3132 | 2014-06-10 |
| 1952721946 | John Morgan | Obstetrics & Gynecology | 1501 Kings Hwy, Shreveport, LA 71103-4228 | 2014-04-17 |
| 1841634755 | Kilee Heard Lincoln | Obstetrics & Gynecology | 1501 Kings Hwy, Ob/gyn, Shreveport, LA 71103 | 2013-04-22 |
| Find all providers in SHREVEPORT | ||||
| City | SHREVEPORT |
| Zip Code | 71103 |
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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.