ENDOVASCULAR TECHNOLOGIES, LLC (NPI# 1902138498) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902138498 |
| Entity Type | Organization |
| Organization Name | ENDOVASCULAR TECHNOLOGIES, LLC |
| Practice Address |
2300 Hospital Dr Suite 450 Bossier City LA 71111-2394 |
| Mailing Address |
Po Box 1760 Shreveport LA 71166-1760 |
| Practice Telephone | 3187522328 |
| Practice Fax Number | 3187460160 |
| Mailing Telephone | 3187522328 |
| Mailing Fax Number | 3187460160 |
| Enumeration Date | 2010-02-08 |
| Last Update Date | 2010-02-08 |
| Authorized Official Name | WILLIAM BRITTON EAVES II (OWNER) |
| Authorized Official Telephone | 3187522328 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
021588 | LA | Allopathic & Osteopathic Physicians |
| Street Address |
2300 HOSPITAL DR SUITE 450 |
| City | BOSSIER CITY |
| State | LA |
| Zip Code | 71111-2394 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124010939 | Norman A. Zaffater Jr. | Ophthalmology | 2300 Hospital Dr, Suite 300, Bossier City, LA 71111-2394 | 2005-08-17 |
| 1861860629 | Wk Premier Pediatrics | Pediatrics | 2300 Hospital Dr, Suite 420, Bossier City, LA 71111-2394 | 2015-09-10 |
| 1245623040 | Wk Bossier Ob Gyn Specialists | Obstetrics & Gynecology | 2300 Hospital Dr, Suite 350, Bossier City, LA 71111-2394 | 2015-03-18 |
| 1851783955 | Wk Internal Medicine and Pediatric Specialists | Pediatrics | 2300 Hospital Dr, Suite 300, Bossier City, LA 71111-2394 | 2015-02-26 |
| 1508295338 | Wk Bossier Hyperbaric and Wound Care Center | Family Medicine | 2300 Hospital Dr, Suite 130, Bossier City, LA 71111-2394 | 2013-11-02 |
| 1912345208 | Wk Behavorial Health Med Center | Psychiatry & Neurology | 2300 Hospital Dr, Suite 340, Bossier City, LA 71111-2394 | 2013-06-07 |
| 1356784359 | Wk Ctr for Ear Nose and Throat Disorders | Otolaryngology | 2300 Hospital Dr, Suite 460, Bossier City, LA 71111-2394 | 2013-04-10 |
| 1104172535 | Stacey Wright Eaves | Nurse Practitioner | 2300 Hospital Dr, Ste. 450, Bossier City, LA 71111-2394 | 2012-08-03 |
| 1972863231 | Robert Charles Smith II | Family Medicine | 2300 Hospital Dr, Suite 200, Bossier City, LA 71111-2394 | 2012-05-21 |
| 1750647376 | Adrian Pavlick | Family Medicine | 2300 Hospital Dr, Suite 180, Bossier City, LA 71111-2394 | 2012-04-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669007951 | Tamara 'tammy' Larck | Counselor | 1525 Fullilove Drive, Shreveport, LA 71111 | 2020-03-06 |
| 1912538315 | Lagniappe Chiropractic | Chiropractor | 2400 Airline Drive, Bossier City, LA 71111 | 2020-02-04 |
| 1649817420 | Lifecare Medical Transportation, LLC. | Non-emergency Medical Transport (VAN) | 25 Duck Haven Pointe, Bossier City, LA 71111 | 2019-11-29 |
| 1770126344 | Bertresea White Evans | Nurse Practitioner | Coastal Urgernt Care, 5314 Airline Drive, Bossier City, LA 71111 | 2019-10-25 |
| 1861964058 | Erika Davis Reed | Counselor | 1515 Doctors Dr # 16, Bossier City, LA 71111 | 2018-12-28 |
| 1518436898 | Charlotte Mckay | Case Manager/Care Coordinator | 31330 Hwy 22, Ste 101, Bossier City, LA 71111 | 2018-11-16 |
| 1992271464 | Np2u, LLC | Nurse Practitioner | 2008 Airline Drive Suite 300 #194, Bossier City, LA 71111 | 2018-10-22 |
| 1114416542 | Lashaunda Autrey | Counselor | 410 Half Moon Lane, Bossier, LA 71111 | 2018-05-01 |
| 1750887196 | Shenya Williams-pennywell | Counselor | 1007 Gould Drive Bldg 2, Suite 1, Bossier City, LA 71111 | 2018-04-04 |
| 1336647304 | Patrick Vance | Physical Therapist | 5000 Benton Rd Ste 1, Bossier City, LA 71111 | 2018-01-24 |
| Find all providers in zip 71111 | ||||
| Taxonomy Code | 207RI0011X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Interventional Cardiology |
| An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/ Board Certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. ACGME Accredited Residency Program Requirements: 1 year of training plus a prerequisite of 3 years Internal Medicine, 3 years Cardiovascular Disease for a total of 7 years. ABMS Approved Subspecialty Certificate (Internal Medicine) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639633274 | Posina Enterprises LLC | Internal Medicine | 5911 Settlers Dr, Alexandria, LA 71303-6007 | 2019-01-28 |
| 1235638321 | Cardiac and Peripheral Vascular Services, LLC | Internal Medicine | 8050 W Judge Perez Dr Ste 2800, Chalmette, LA 70043-1740 | 2018-02-05 |
| 1629576996 | Cardiac Cin of Louisiana LLC | Internal Medicine | 3436 Magazine St Ste 550, New Orleans, LA 70115-2413 | 2018-01-31 |
| 1275031544 | Cardiac Cin of Baton Rouge LLC | Internal Medicine | 9655 Perkins Rd Ste C-220, Baton Rouge, LA 70810-1533 | 2018-01-31 |
| 1720423478 | Lafayette Cardiovascular Center of Excellence,llc | Internal Medicine | 318 Guilbeau Rd, Lafayette, LA 70506-6914 | 2013-05-08 |
| 1073820676 | Nurtured Heart, LLC | Internal Medicine | 324 Settlers Trace Blvd, Lafayette, LA 70508-6060 | 2010-09-03 |
| 1063724326 | Nayan Agarwal | Internal Medicine | 6550 Main St Ste 1000, Zachary, LA 70791-4092 | 2010-07-02 |
| 1164665477 | Salil Sethi | Internal Medicine | 3311 Prescott Rd Ste 112, Alexandria, LA 71301-3917 | 2009-04-16 |
| 1265687503 | Syed Bilal Akhtar Rizvi | Internal Medicine | 501 Medical Center Dr Ste 250, Alexandria, LA 71301-8124 | 2008-12-01 |
| 1972714889 | Sai Konduru | Internal Medicine | 2727 Hearne Ave Ste 301, Shreveport, LA 71103-3918 | 2007-05-24 |
| Find all providers with the same taxonomy | ||||
| City | BOSSIER CITY |
| Zip Code | 71111 |
Please comment or provide details below to improve the information on ENDOVASCULAR TECHNOLOGIES, 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.