LOUISIANA STATE UNIVERSITY HEALTH SCIENCES CENTER (NPI# 1649438532) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649438532 |
| Entity Type | Organization |
| Organization Name | LOUISIANA STATE UNIVERSITY HEALTH SCIENCES CENTER |
| Other Organization Name | LSUHSC NEPHROLOGY GROUP |
| Practice Address |
1501 Kings Hwy Department of Internal Medicine - Section of Nephrology Shreveport LA 71103-4228 |
| Mailing Address |
1501 Kings Hwy Department of Internal Medicine - Nephrology Section Shreveport LA 71103-4228 |
| Practice Telephone | 3184244008 |
| Practice Fax Number | 3184246606 |
| Mailing Telephone | 3186757402 |
| Mailing Fax Number | 3186755913 |
| Enumeration Date | 2008-05-28 |
| Last Update Date | 2008-05-28 |
| Authorized Official Name | MRS. MELANIE SOTAK (DIRECTOR OF MANAGED CARE) |
| Authorized Official Telephone | 3186757737 |
| Authorized Official Credential | MHSA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
142 | LA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1444715 | 05 |
| Other Name | Type Code |
|---|---|
| LSUHSC Nephrology Group | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871765982 | Louisiana State University Health Sciences Center | Family Medicine | 2351 Vandenburg Drive, Alexandria, LA 71311 | 2008-03-28 |
| 1154461937 | Louisiana State University Health Sciences Center | Audiologist | 3735 Blair Dr, Shreveport, LA 71103-4601 | 2007-02-08 |
| 1346609526 | Louisiana State University Health Sciences Center | Durable Medical Equipment & Medical Supplies | 1450 Claiborne Ave, Shreveport, LA 71103-4204 | 2016-02-17 |
| 1801239926 | Louisiana State University Health Sciences Center | General Acute Care Hospital | 5825 Airline Hwy, Baton Rouge, LA 70805-2408 | 2013-04-08 |
| 1144544529 | Louisiana State University Health Sciences Center | Counselor | 1450 Claiborne Ave, Shreveport, LA 71103-4204 | 2010-03-15 |
| 1689901316 | Louisiana State University Health Sciences Center | Counselor | 1450 Claiborne Ave, Shreveport, LA 71103-4204 | 2009-11-18 |
| 1437383106 | Louisiana State University Health Sciences Center | Clinical Medical Laboratory | 1501 Kings Hwy, Dpeartment of Surgery Histocompatibility Laboratory, Shreveport, LA 71103-4228 | 2009-05-11 |
| 1316119167 | Louisiana State University Health Sciences Center | Internal Medicine | 4864 Jackson St, Monroe, LA 71202-6400 | 2008-04-01 |
| 1962674713 | Louisiana State University Health Sciences Center | Emergency Medicine | 4864 Jackson St, Monroe, LA 71202-6400 | 2008-04-01 |
| 1952573701 | Louisiana State University Health Sciences Center | General Acute Care Hospital | 1501 Kings Hwy, Shreveport, LA 71103-4228 | 2008-04-01 |
| Street Address |
1501 KINGS HWY DEPARTMENT OF INTERNAL MEDICINE - SECTION OF NEPHROLOGY |
| City | SHREVEPORT |
| State | LA |
| Zip Code | 71103-4228 |
| 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 | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346675188 | Srijan Tandukar | Internal Medicine | 2751 Albert L Bicknell Dr Ste 2b, Shreveport, LA 71103 | 2013-09-12 |
| 1093919920 | Neeraj Singh | Internal Medicine | 2751 Albert L Bicknell Dr Fl 4, Shreveport, LA 71103 | 2007-06-13 |
| 1629187422 | John Stephen Kilpatrick | Internal Medicine | 745 Olive St Ste 207, Shreveport, LA 71104-2250 | 2006-08-29 |
| 1831184407 | Marwan Kaskas | Internal Medicine | 2501 Greenwood Rd, Shreveport, LA 71103-3905 | 2005-09-20 |
| 1710972559 | Arnold E Barz | Internal Medicine | 1800 Buckner St, Suite C120, Shreveport, LA 71101-4440 | 2005-09-19 |
| 1447242680 | Henry Edward Wood Jr. | Internal Medicine | 745 Olive St, Ste 200, Shreveport, LA 71104-2246 | 2005-08-15 |
| 1083615520 | Marisa Johnson | Internal Medicine | 1303 Line Ave, Ste 400, Shreveport, LA 71101-4628 | 2005-08-09 |
| 1194292516 | Southern Kidney Associates Pllc | Internal Medicine | 1815 E 70th St, Shreveport, LA 71105-5301 | 2018-10-24 |
| 1356713440 | Delta Nephrology LLC | Internal Medicine | 745 Olive St, Suite 200, Shreveport, LA 71104-2246 | 2015-10-28 |
| 1386013670 | John S Kilpatrick Md A Professional Medical Corporation | Internal Medicine | 745 Olive St Ste 207, Shreveport, LA 71104-2250 | 2015-09-17 |
| Find all providers in SHREVEPORT | ||||
| City | SHREVEPORT |
| Zip Code | 71103 |
Please comment or provide details below to improve the information on LOUISIANA STATE UNIVERSITY HEALTH SCIENCES CENTER.
| 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.