R SHANE BARTON MD AND WILLIS-KNIGHTON MEDICAL CENTER (NPI# 1689619769) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689619769 |
| Entity Type | Organization |
| Organization Name | R SHANE BARTON MD AND WILLIS-KNIGHTON MEDICAL CENTER |
| Practice Address |
7925 Youree Dr Suite 200 Shreveport LA 71105-5538 |
| Practice Telephone | 3187986700 |
| Practice Fax Number | 3187986799 |
| Mailing Telephone | 3187986700 |
| Mailing Fax Number | 3187986799 |
| Enumeration Date | 2006-06-20 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | GREG J GAVIN (NETWORK ADMINISTRATOR) |
| Authorized Official Telephone | 3187986700 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
Allopathic & Osteopathic Physicians |
| Street Address |
7925 YOUREE DR SUITE 200 |
| City | SHREVEPORT |
| State | LA |
| Zip Code | 71105-5538 |
| 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 | 207XX0005X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Sports Medicine |
| An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton changed, source changed] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. ACGME Accredited Program Requirements: 1 year GME in the specialty + 5 years of Orthopaedic Surgery for a total of 6 years |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306823596 | Wk North Orthopedic Clinic | Orthopaedic Surgery | 2751 Albert L Bicknell Dr, Suite 1-b, Shreveport, LA 71103-3920 | 2005-12-28 |
| 1710095690 | Bone & Joint Clinic | Orthopaedic Surgery | 1202 Louisiana Ave, Shreveport, LA 71101-3910 | 2006-08-29 |
| 1275529083 | Richard Shane Barton | Orthopaedic Surgery | 7925 Youree Dr, Suite 200, Shreveport, LA 71105-5538 | 2005-09-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003337478 | Orthopaedic Clinic of Monroe | Orthopaedic Surgery | 309 Mcmillan Rd, West Monroe, LA 71291-5323 | 2017-07-06 |
| 1669926887 | Kindl Works LLC | Orthopaedic Surgery | 1570 Lindberg Dr Ste 6, Slidell, LA 70458 | 2016-08-04 |
| 1033536529 | David Leslie | Orthopaedic Surgery | 1201 S Clearview Pkwy Bldg B, Jefferson, LA 70121-1015 | 2014-03-24 |
| 1215290580 | Paul Phillips Iv | Orthopaedic Surgery | 478 S Johnson St Fl 6, New Orleans, LA 70112-2238 | 2012-06-20 |
| 1295938892 | Michael Jesse Mcnulty Iv | Orthopaedic Surgery | 3800 Houma Boulevard, Suite 200, Metairie, LA 70006 | 2007-06-09 |
| 1205925070 | Ronald D. Sylvest | Orthopaedic Surgery | 7414 Picardy, Ste A, Baton Rouge, LA 70808 | 2006-10-12 |
| 1336144757 | William S Bundrick | Orthopaedic Surgery | 2449 Hospital Dr Ste 200, Bossier City, LA 71111-2382 | 2005-06-14 |
| 1013574961 | Ochsner Clinic Foundation | Orthopaedic Surgery | 1221 S Clearview Pkwy, Jefferson, LA 70121-1011 | 2019-05-28 |
| 1891216263 | Orthopaedic Clinic of Monroe | Orthopaedic Surgery | 707 S Vienna St, Ruston, LA 71270-5845 | 2017-07-06 |
| 1154876670 | Orthobr LLC | Orthopaedic Surgery | 7414 Picardy Ave, Suite A, Baton Rouge, LA 70808-4696 | 2016-08-25 |
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| City | SHREVEPORT |
| Zip Code | 71105 |
Please comment or provide details below to improve the information on R SHANE BARTON MD AND WILLIS-KNIGHTON MEDICAL 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.