CODY TINGLE MD LLC


Address: 535 Pierremont Rd, Shreveport, LA 71106-2207
Phone: 3182081804

CODY TINGLE MD LLC (NPI# 1790315026) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1790315026
Entity Type Organization
Organization Name CODY TINGLE MD LLC
Practice Address 535 Pierremont Rd
Shreveport
LA 71106-2207
Mailing Address Po Box 19284
Shreveport
LA 71149-0284
Practice Telephone 3182081804
Mailing Telephone 3187730657
Enumeration Date 2020-01-26
Last Update Date 2020-01-26
Authorized Official Name CODY TINGLE (PHYSICIAN)
Authorized Official Telephone 3182081804
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207R00000X Internal Medicine Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
LA 2189328 05

Office Location

Street Address 535 PIERREMONT RD
City SHREVEPORT
State LA
Zip Code 71106-2207

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1972008332 Andrew Joseph Brouillette Dentist 385 Bert Kouns Industrial Loop Ste 700, Shreveport, LA 71106 2018-03-28
1548775885 David Wayne Spears Pharmacist 10460 Norris Ferry Road, Shreveport, LA 71106 2017-12-08
1225559263 Susan Anderson Roblow Physical Therapist 921 Unadilla Street, Shreveport, LA 71106 2017-06-29
1134656382 James Lowder Dentist 8691 Line Ave Ste 300, Shreveport, LA 71106 2017-05-18
1144753708 Laverne Brantley Counselor 328 E 69th St, Shreveport, LA 71106 2017-04-10
1437690849 Biostat Laboratories, LLC Clinical Medical Laboratory 9742 Saint Vincent Ave Ste 200, Shreveport, LA 71106 2017-03-17
1841730728 Cedric Thomas Case Manager/Care Coordinator 6811 Fairfield Avenue, Shreveport, LA 71106 2017-02-27
1225576192 Nick Vergis Pharmacist 5828 Line Avenue, Shreveport, LA 71106 2017-02-10
1184162554 Marilyn Johnson Case Manager/Care Coordinator 9245 Wallace Lake Rd Ste A, Shreveport, LA 71106 2017-02-06
1417499740 Pamela Lee Counselor 8802 Coyth Ln, Shreveport, LA 71106 2016-11-17
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Taxonomy Information

Taxonomy Code 207R00000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine

Taxonomy Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1538654306 Masri Group LLC Internal Medicine 3801 Creswell Ave Unit 19, Shreveport, LA 71106-1257 2018-06-25
1982106456 Hudson Amc LLC Internal Medicine 1800 Irving Place, Shreveport, LA 71101 2018-03-01
1760923064 Martin Marak Internal Medicine 847 Prospect St, Shreveport, LA 71104-3025 2017-03-20
1265883482 Vari LLC Internal Medicine 506 Rock Hollow Dr, Shreveport, LA 71115-2502 2016-06-29
1598140121 Mihir V Patel Md LLC Internal Medicine 9930 Loveland Ct, Shreveport, LA 71106-7795 2015-07-24
1619357209 Chad Michael Gibson Internal Medicine 8001 Youree Dr Ste 4007, Shreveport, LA 71115-2302 2015-06-09
1265829394 Amanda Lynn Callegan-poche' Internal Medicine 1023 Provenance Pl Ste 130, Shreveport, LA 71106-7796 2015-04-15
1699017681 Deanna Elise Mossallati Internal Medicine 8551 Greenwood Rd, Suite 410, Shreveport, LA 71103 2013-03-18
1477807980 Ronald Baylis George Internal Medicine 1821 Willow Point Drive, Shreveport, LA 71119 2012-11-06
1699031237 Cody Tingle Internal Medicine 8001 Youree Dr Ste 400, Shreveport, LA 71115 2012-04-09
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Competitor

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City SHREVEPORT
Zip Code 71106

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Dataset Information

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.

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