MRS. MICHELLE ANNE BURGOYNE (NPI# 1669623971) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669623971 |
| Entity Type | Individual |
| Full Name | MRS. MICHELLE ANNE BURGOYNE |
| Credential | PA |
| Practice Address |
7045 Youree Dr Shreveport LA 71105-5108 |
| Practice Telephone | 3187983763 |
| Practice Fax Number | 3187982267 |
| Mailing Telephone | 3187983763 |
| Mailing Fax Number | 3187982267 |
| Enumeration Date | 2008-10-06 |
| Last Update Date | 2013-02-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA200211 | LA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1325619 | 05 |
| Street Address |
7045 YOUREE DR |
| City | SHREVEPORT |
| State | LA |
| Zip Code | 71105-5108 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245206077 | Jerel L Raney | Emergency Medicine | 7045 Youree Dr, Shreveport, LA 71105-5108 | 2006-02-23 |
| 1932658598 | Ericka Hufford | Physician Assistant | 7045 Youree Dr, Shreveport, LA 71105-5108 | 2016-09-23 |
| 1497139695 | Amanda Barnes | Physician Assistant | 7045 Youree Dr, Shreveport, LA 71105-5108 | 2015-07-17 |
| 1558666073 | Mollie Berg | Physician Assistant | 7045 Youree Dr, Shreveport, LA 71105-5108 | 2011-01-13 |
| 1013156439 | Amanda Bradshaw Raney | Pediatrics | 7045 Youree Dr, Shreveport, LA 71105-5108 | 2009-02-09 |
| 1720237787 | Velocity Md LLC | Clinic/Center | 7045 Youree Dr, Shreveport, LA 71105-5108 | 2008-09-15 |
| 1659311694 | John J Mclean | Emergency Medicine | 7045 Youree Dr, Shreveport, LA 71105-5108 | 2006-06-07 |
| 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 | 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 | 71105 |
Please comment or provide details below to improve the information on MRS. MICHELLE ANNE BURGOYNE.
| 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.