DR. KEVIN NEAL BOYKIN (NPI# 1710909163) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710909163 |
| Entity Type | Individual |
| Full Name | DR. KEVIN NEAL BOYKIN |
| Credential | M.D. |
| Practice Address |
One Saint Mary Place Shreveport LA 71101-4343 |
| Practice Telephone | 3186816174 |
| Practice Fax Number | 3186816162 |
| Mailing Telephone | 3186816174 |
| Mailing Fax Number | 3186816162 |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2011-05-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208600000X | Surgery | 023569 | LA | Allopathic & Osteopathic Physicians |
| Y | 2086S0120X |
Surgery Specialization: Pediatric Surgery |
MD.023569 | LA | Allopathic & Osteopathic Physicians |
| N | 2086S0120X |
Surgery Specialization: Pediatric Surgery |
023569 | LA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1486507 | 05 |
| Street Address |
ONE SAINT MARY PLACE |
| City | SHREVEPORT |
| State | LA |
| Zip Code | 71101-4343 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285632745 | Peyman Roohani | Internal Medicine | One Saint Mary Place, Shreveport, LA 71101-0000 | 2005-07-08 |
| 1215170527 | Heith Edward Pumphrey | Nurse Practitioner | One Saint Mary Place, Shreveport, LA 71101-0000 | 2009-04-16 |
| 1700086063 | Stephen Royce Maxwell | Internal Medicine | One Saint Mary Place, Shreveport, LA 71101-0000 | 2007-07-24 |
| 1225258809 | Radiation Oncology St Mary Place LLC | Radiology | One Saint Mary Place, Cancer Treatment Center, Shreveport, LA 71101-4343 | 2007-04-26 |
| 1558469734 | Keith Eliot Strain | Pediatrics | One Saint Mary Place, Shreveport, LA 71101-4343 | 2006-09-20 |
| 1760461875 | Kelly Morgan Carlisle | Internal Medicine | One Saint Mary Place, Shreveport, LA 71101-0000 | 2006-01-17 |
| 1689672032 | Mark Frederick Brown | Surgery | One Saint Mary Place, Shreveport, LA 71101-4343 | 2005-07-11 |
| 1487652970 | Thomas Steen Trawick Jr. | Internal Medicine | One Saint Mary Place, Shreveport, LA 71101-0000 | 2005-07-08 |
| 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 | 2086S0120X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Pediatric Surgery |
| A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689672172 | Donald Lynn Sorrells Jr. | Surgery | 2508 Bert Kouns Industrial Loop, Shreveport, LA 71118-3133 | 2005-07-08 |
| 1316386436 | Wk Pediatric Surgical Associates | Surgery | 2508 Bert Kouns Loop, Shreveport, LA 71118-3133 | 2013-06-21 |
| 1689672032 | Mark Frederick Brown | Surgery | One Saint Mary Place, Shreveport, LA 71101-4343 | 2005-07-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285251884 | A'drianne Dorsey | Surgery | 2742 S Roth Ave, Gonzales, LA 70737-4823 | 2020-06-30 |
| 1427080738 | Kenneth W Falterman | Surgery | 4704 Ambassador Caffery Pkwy, Lafayette, LA 70508-6908 | 2006-07-07 |
| 1518923317 | John B Lopoo Jr. | Surgery | 8200 Constantin Blvd Ste 220, Baton Rouge, LA 70809-3481 | 2006-04-21 |
| 1386943579 | Jessica Aya Zagory | Surgery | 1542 Tulane Ave, Rm 734a, New Orleans, LA 70112-2865 | 2011-03-28 |
| 1720247364 | Fabienne Lee Gray | Surgery | 200 Henry Clay Ave, Office of Pediatric Surgery, New Orleans, LA 70118 | 2008-06-09 |
| 1487863627 | Shawn J Stafford | Surgery | 200 Henry Clay Ave, New Orleans, LA 70118-5720 | 2007-05-22 |
| 1548309156 | Pediatric Surgery of Louisiana, LLC | Surgery | 7777 Hennessy Blvd, Suite 212, Baton Rouge, LA 70808 | 2007-02-06 |
| 1902975543 | Benjamin B. Peeler | Surgery | 1514 Jefferson Hwy, New Orleans, LA 70121-2429 | 2006-11-07 |
| 1801976238 | Mary Brandt | Surgery | 200 Henry Clay Ave, New Orleans, LA 70118-5798 | 2006-10-17 |
| 1144322421 | Timothy William Pettitt | Surgery | 200 Henry Clay Ave, New Orleans, LA 70118 | 2006-09-05 |
| 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.