MILAN G MODY (NPI# 1669414942) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669414942 |
| Entity Type | Individual |
| Full Name | MILAN G MODY |
| Credential | M.D. |
| Practice Address |
7925 Youree Dr Suite 200 Shreveport LA 71105-5127 |
| Practice Telephone | 3182123610 |
| Practice Fax Number | 3182123709 |
| Mailing Telephone | 3182123610 |
| Mailing Fax Number | 3182123709 |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2008-08-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207X00000X | Orthopaedic Surgery | 201245 | LA | Allopathic & Osteopathic Physicians |
| N | 207XS0117X |
Orthopaedic Surgery Specialization: Orthopaedic Surgery of the Spine |
M1943 | TX | Allopathic & Osteopathic Physicians |
| Y | 207XS0117X |
Orthopaedic Surgery Specialization: Orthopaedic Surgery of the Spine |
201245 | LA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1457167 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982082319 | Milan Pankaj Mody | Physician Assistant | 116 Defense Hwy Ste 403, Annapolis, MD 21401-7020 | 2015-05-18 |
| Street Address |
7925 YOUREE DR SUITE 200 |
| City | SHREVEPORT |
| State | LA |
| Zip Code | 71105-5127 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184610271 | James L Zumbrunnen | Orthopaedic Surgery | 7925 Youree Dr, Suite 200, Shreveport, LA 71105-5127 | 2005-09-23 |
| 1154934974 | Jennifer Fogleman | Specialist/Technologist | 7925 Youree Dr, Shreveport, LA 71105-5127 | 2020-08-31 |
| 1285145706 | Georgia Shively Monk | Physician Assistant | 7925 Youree Dr, Shreveport, LA 71105-5127 | 2017-10-24 |
| 1295038149 | Thea C Pennywell | Physician Assistant | 7925 Youree Dr, Suite 220, Shreveport, LA 71105-5127 | 2010-12-15 |
| 1801128616 | Elise Kayser Kowalewski | Physician Assistant | 7925 Youree Dr, Shreveport, LA 71105-5127 | 2010-02-03 |
| 1881844033 | Georgia M. Baker | Nurse Practitioner | 7925 Youree Dr, Suite 200, Shreveport, LA 71105-5127 | 2008-09-24 |
| 1750558953 | Patrick Massey | Orthopaedic Surgery | 7925 Youree Dr, Suite 200, Shreveport, LA 71105-5127 | 2008-05-15 |
| 1700077294 | Wk Mid South Orthopedics | Orthopaedic Surgery | 7925 Youree Dr, Suite 220, Shreveport, LA 71105-5127 | 2007-08-08 |
| 1164649927 | Diane Renee Mcculler | Registered Nurse | 7925 Youree Dr, Suite 280a, Shreveport, LA 71105-5538 | 2007-04-20 |
| 1114003076 | Scott R Gillum | Physician Assistant | 7925 Youree Dr, Suite 200, Shreveport, LA 71105-5127 | 2006-10-31 |
| 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 | 207XS0117X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Orthopaedic Surgery of the Spine |
| Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629369210 | Spine Institute of Louisiana LLC | Orthopaedic Surgery | 1500 Line Ave, Suite 200, Shreveport, LA 71101-4639 | 2011-04-29 |
| 1073735338 | Powell Britain Auer | Orthopaedic Surgery | 1455 E Bert Kouns, Suite #210, Shreveport, LA 71105 | 2007-05-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801394176 | Spine Cin of Baton Rouge LLC | Orthopaedic Surgery | 9655 Perkins Rd Ste C-217, Baton Rouge, LA 70810-1533 | 2018-01-31 |
| 1992203269 | Optimal Health of La, LLC | Orthopaedic Surgery | 9655 Perkins Rd Ste C-219, Baton Rouge, LA 70810-1533 | 2018-01-31 |
| 1982744595 | Mark Mcdonnell | Orthopaedic Surgery | 1103 Kaliste Saloom Rd Ste 310, Lafayette, LA 70508-5784 | 2007-02-06 |
| 1457388035 | Alexis M Waguespack | Orthopaedic Surgery | 1849 Barataria Blvd, Suite C, Marrero, LA 70072-4203 | 2006-06-27 |
| 1538135868 | John Brisbane Logan | Orthopaedic Surgery | 29301 N Dixie Ranch Rd, Lacombe, LA 70445 | 2006-02-27 |
| 1275509549 | The North Institute, Apmc | Orthopaedic Surgery | 29301 N Dixie Ranch Road, Lacombe, LA 70445 | 2006-02-27 |
| 1982606356 | Michael T Acurio | Orthopaedic Surgery | 2005 Landry Drive, Bossier City, LA 71111 | 2005-08-15 |
| 1962000687 | Fairway Medical Center, LLC | Orthopaedic Surgery | 67252 Industry Ln, Covington, LA 70433-8704 | 2020-10-14 |
| 1669092326 | Caroline Schneider | Orthopaedic Surgery | 1514 Jefferson Hwy, New Orleans, LA 70121-2429 | 2020-04-23 |
| 1841820396 | Restore Spine and Pain Specialists, LLC | Orthopaedic Surgery | 15814 Professional Plz, Hammond, LA 70403-1453 | 2020-01-23 |
| Find all providers with the same taxonomy | ||||
| City | SHREVEPORT |
| Zip Code | 71105 |
Please comment or provide details below to improve the information on MILAN G MODY.
| 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.