HIGHLAND CLINIC, A PROF MED CORP


Address: 1400 E Bert Koun Loop, #103, Shreveport, LA 71105-5603
Phone: 3182228402

HIGHLAND CLINIC, A PROF MED CORP (NPI# 1891168761) 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) 1891168761
Entity Type Organization
Organization Name HIGHLAND CLINIC, A PROF MED CORP
Practice Address 1400 E Bert Koun Loop
#103
Shreveport
LA 71105-5603
Mailing Address 1455 E Bert Koun Loop
Shreveport
LA 71105-5634
Practice Telephone 3182228402
Practice Fax Number 3182224556
Mailing Telephone 3187984500
Mailing Fax Number 3187984555
Enumeration Date 2015-11-02
Last Update Date 2015-12-08
Authorized Official Name MRS. DEBBIE W. SMITH (ADMINISTRATOR)
Authorized Official Telephone 3187984598
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207W00000X Ophthalmology LA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
LA 1038300 05

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1740897743 Highland Clinic, A Prof Med Corp Orthopaedic Surgery 5025 Shed Rd, Bossier City, LA 71111-5434 2020-09-24
1609297449 Highland Clinic, A Prof Med Corp Non-Pharmacy Dispensing Site 1455 E Bert Kouns Industrial Loop # 101, Shreveport, LA 71105-5634 2013-12-20
1700259678 Highland Clinic, A Prof Med Corp Orthopaedic Surgery 1453 E Bert Koun Loop, #210, Shreveport, LA 71105-6800 2015-11-02
1477925063 Highland Clinic, A Prof Med Corp Ophthalmology 471 Ashley Ridge Blvd, Shreveport, LA 71106-7229 2015-10-22
1053315846 Highland Clinic, A Prof Med Corp Clinic/Center 1455 E Bert Kouns Loop, Shreveport, LA 71105-5634 2005-06-09

Office Location

Street Address 1400 E BERT KOUN LOOP
#103
City SHREVEPORT
State LA
Zip Code 71105-5603

Providers in the same zip code

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 Information

Taxonomy Code 207W00000X
Grouping Allopathic & Osteopathic Physicians
Classification Ophthalmology

Taxonomy Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1043744196 Aigerim B. Saulebayeva Ophthalmology 1501 Kings Hwy Bldg 1-201, Shreveport, LA 71103-4228 2017-04-16
1861838989 James Vernon Ward Ophthalmology 413 Trinity Cir, Shreveport, LA 71106-2340 2013-05-15
1871781666 Karen M'liss Pendleton Ophthalmology 6030 Line Ave, Suite 210, Shreveport, LA 71106-2062 2007-10-05
1295828374 Jerry Welton Drummond Ophthalmology 2514 Bert Kouns Ind Loop, Physicians Plaza #9, Shreveport, LA 71118 2006-10-02
1356320568 Jeffrey M Gosslee Ophthalmology 725 N Ashley Ridge Loop, Ste 400, Shreveport, LA 71106 2006-01-16
1235129818 Donald L Hall Ophthalmology 2611 Greenwood Rd, Shreveport, LA 71103-3907 2005-10-25
1427045814 M. Ashley Wheat-sipes Ophthalmology 7843 Youree Dr, Shreveport, LA 71105-5505 2005-09-30
1932105483 Michael A Holy Ophthalmology 1801 Fairfield Ave, Ste 101, Shreveport, LA 71101-4457 2005-06-21
1386649788 Wilson B Baber Ophthalmology 734 N Ashley Ridge Loop, Shreveport, LA 71106-7209 2005-06-14
1255335121 John D Hinrichsen Ophthalmology 1400 E Bert Kouns Loop, Suite #103, Shreveport, LA 71105-5634 2005-06-09
Find all providers in SHREVEPORT

Competitor

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City SHREVEPORT
Zip Code 71105

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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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