STERLING SPINE, LLC (NPI# 1801393590) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801393590 |
| Entity Type | Organization |
| Organization Name | STERLING SPINE, LLC |
| Practice Address |
708 N Ashley Ridge Loop Ste 400 Shreveport LA 71106-7234 |
| Mailing Address |
Po Box 5313 Shreveport LA 71135-5313 |
| Practice Telephone | 3186987007 |
| Practice Fax Number | 3186987006 |
| Mailing Telephone | 3187984539 |
| Mailing Fax Number | 3187984601 |
| Enumeration Date | 2018-04-09 |
| Last Update Date | 2018-04-09 |
| Authorized Official Name | BRIAN STERLING DUPREE (MD/OWNER) |
| Authorized Official Telephone | 3184705262 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
MD.300913 | LA | Allopathic & Osteopathic Physicians |
| Street Address |
708 N ASHLEY RIDGE LOOP STE 400 |
| City | SHREVEPORT |
| State | LA |
| Zip Code | 71106-7234 |
| 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 |
| Find all providers in zip 71106 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992046148 | Benjamin Vickers | Radiology | 8601 Rampart Pl, Shreveport, LA 71106-6227 | 2013-03-13 |
| 1053659672 | Lacy Holmes Williams | Radiology | 416 Travis St, Suite 1200, Shreveport, LA 71101-3282 | 2013-01-17 |
| 1710238100 | Thomas Archie Grant | Radiology | 9392 Stonebriar Cir, Shreveport, LA 71115-3728 | 2012-09-25 |
| 1174569412 | Ginger Auer-baker | Radiology | 708 N Ashley Ridge Loop, Suite #400, Shreveport, LA 71106-7234 | 2006-06-22 |
| 1932108578 | Open Mri of Northwest Louisiana LLC | Radiology | 855 Pierremont Rd, Suite 105, Shreveport, LA 71106-2084 | 2005-07-15 |
| 1548656465 | Evangeline Clinical Services, Inc. | Radiology | 855 Pierremont Rd, Suite 105, Shreveport, LA 71106-2084 | 2015-04-07 |
| 1619396702 | Aya Al Asfari | Radiology | 1541 Kings Hwy, Shreveport, LA 71103-4228 | 2014-04-16 |
| 1972947166 | Oluwayemisi M. Ojemakinde | Radiology | 1501 Kings Hwy, Internal Medicine, Shreveport, LA 71103-4228 | 2013-04-18 |
| 1750724555 | Virginia Ann Brown | Radiology | 1501 Kings Hwy, Dept. of Internal Medicine, Shreveport, LA 71103-4228 | 2013-04-10 |
| 1992048177 | Bayou Imaging & Interventions, LLC | Radiology | 708 N Ashley Ridge Loop, Shreveport, LA 71106 | 2013-04-05 |
| Find all providers in SHREVEPORT | ||||
| City | SHREVEPORT |
| Zip Code | 71106 |
Please comment or provide details below to improve the information on STERLING SPINE, LLC.
| 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.