BONE & JOINT CLINIC (NPI# 1710095690) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710095690 |
| Entity Type | Organization |
| Organization Name | BONE & JOINT CLINIC |
| Practice Address |
1202 Louisiana Ave Shreveport LA 71101-3910 |
| Practice Telephone | 3184258701 |
| Mailing Telephone | 3184258701 |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. WAYNE SMITH (ADMINISTRATOR) |
| Authorized Official Telephone | 3184258701 |
| Authorized Official Credential | MANAGER |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
09700 | LA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174522122 | Bone & Joint Clinic | Physician Assistant | 4633 Wichers Dr, Marrero, LA 70072-3002 | 2005-07-20 |
| 1659455673 | Bone & Joint Clinic | Physician Assistant | 2600 Belle Chasse Hwy, Suite I, Terrytown, LA 70056-7156 | 2006-10-25 |
| Street Address |
1202 LOUISIANA AVE |
| City | SHREVEPORT |
| State | LA |
| Zip Code | 71101-3910 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841222544 | Wk Physicians Network | Internal Medicine | 1202 Louisiana Ave, Shreveport, LA 71101-3910 | 2006-07-06 |
| 1760938278 | Wk Neurology Consultants | Neurological Surgery | 1202 Louisiana Ave, Shreveport, LA 71101-3910 | 2016-08-26 |
| 1306265103 | Christina Ruth Reynolds | Hospitalist | 1202 Louisiana Ave, Shreveport, LA 71101 | 2014-04-09 |
| 1255770467 | Wk North Laparoscopic Surgical Associates | Surgery | 1202 Louisiana Ave, Shreveport, LA 71101-3910 | 2013-06-20 |
| 1255676870 | Gi Specialists Hospitalists At Wkmc | Internal Medicine | 1202 Louisiana Ave, Shreveport, LA 71101-3910 | 2012-12-07 |
| 1780940320 | Jonathan Sheffield Eaton | Internal Medicine | 1202 Louisiana Ave, Shreveport, LA 71101-3910 | 2012-04-09 |
| 1760779508 | Wk South Surgical Hospitalists | Surgery | 1202 Louisiana Ave, Shreveport, LA 71101-3910 | 2011-06-30 |
| 1548408628 | Wk Pediatric Eye Specialists | General Practice | 1202 Louisiana Ave, Shreveport, LA 71101-3910 | 2009-01-28 |
| 1972753358 | Karen M Payne | Nurse Practitioner | 1202 Louisiana Ave, Shreveport, LA 71101-3910 | 2008-09-23 |
| 1720242282 | Chi-cheng Morehead-yang | Hospitalist | 1202 Louisiana Ave, Shreveport, LA 71101-3910 | 2008-07-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255988630 | Renee Jewitt | Case Manager/Care Coordinator | 1513 Line Avenue, Suite 225, Shreveport, LA 71101 | 2019-08-21 |
| 1942770094 | Bessie Larry | Case Manager/Care Coordinator | 1513 Line Av, 222, Shreveport, LA 71101 | 2018-12-03 |
| 1750875944 | Jarvis Decarleonne Larry | Community Health Worker | 1513 Line Ave # 222, Shreveport, LA 71101 | 2018-06-20 |
| 1871083485 | Kimberly B. Mcclelland, Lcsw | Counselor | 820 Jordan St. Ste 510w, Shreveport, LA 71101 | 2018-05-18 |
| 1982106456 | Hudson Amc LLC | Internal Medicine | 1800 Irving Place, Shreveport, LA 71101 | 2018-03-01 |
| 1528572955 | Spencer Ron Floyd | Counselor | 1717 Marshall Street, Shreveport, LA 71101 | 2017-11-21 |
| 1578088076 | Brittany Morris | Case Manager/Care Coordinator | 1835 Spring Street Annex Building, Shreveport, LA 71101 | 2017-08-07 |
| 1275058794 | Diane Williams | Case Manager/Care Coordinator | 217 Jones St Apt 510, Shreveport, LA 71101 | 2017-08-04 |
| 1386195972 | Jakeya Woodbury | Counselor | 453 Stoner Ave, Shreveport, LA 71101 | 2016-10-18 |
| 1922459643 | Arlene Huling | Counselor | 449 Egan Street, Shreveport, LA 71101 | 2016-06-23 |
| Find all providers in zip 71101 | ||||
| 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 |
| 1689619769 | R Shane Barton Md and Willis-knighton Medical Center | Orthopaedic Surgery | 7925 Youree Dr, Suite 200, Shreveport, LA 71105-5538 | 2006-06-20 |
| 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 |
| Find all providers with the same taxonomy | ||||
| City | SHREVEPORT |
| Zip Code | 71101 |
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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.