MINIMALLY INVASIVE SURGERY CENTER OF LOUISIANA (NPI# 1962500850) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962500850 |
| Entity Type | Organization |
| Organization Name | MINIMALLY INVASIVE SURGERY CENTER OF LOUISIANA |
| Practice Address |
1534 Elizabeth Ave Ste 400 Shreveport LA 71101-4531 |
| Mailing Address |
Po Box 1445 Shreveport LA 71164-1445 |
| Practice Telephone | 3182272121 |
| Mailing Telephone | 3182272121 |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | JAMES ROBERT BARNES (PRESIDENT) |
| Authorized Official Telephone | 3182272121 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 14607R | LA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1437263 | 05 |
| Street Address |
1534 ELIZABETH AVE STE 400 |
| City | SHREVEPORT |
| State | LA |
| Zip Code | 71101-4531 |
| 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 | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| 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 Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730663907 | Ida Molavi | Surgery | Department of Surgery, 1501 Kings Hwy, Shreveport, LA 71103-4228 | 2018-09-24 |
| 1104846989 | Kevin Mark Sittig | Surgery | 1541 Kings Hwy Dept Of, Shreveport, LA 71103-4228 | 2006-07-21 |
| 1285670356 | George Robert Merriman II | Surgery | 949 Olive St, Shreveport, LA 71104-2103 | 2006-06-20 |
| 1417900416 | Milon G Karmakar | Surgery | 3300 Albert L Bicknell Dr, Suite 6, Shreveport, LA 71103-3903 | 2006-05-18 |
| 1821054214 | John Davidson Gladney | Surgery | 8001 Youree Drive, Suite 840, Shreveport, LA 71115-2302 | 2006-04-25 |
| 1801890769 | F Dean Griffen | Surgery | 1501 Kings Hwy, Shreveport, LA 71103-4228 | 2005-06-09 |
| 1053315903 | James Booth Burke | Surgery | 1202 Louisiana Avenue, Shreveport, LA 71101-3910 | 2005-06-09 |
| 1760486609 | William Lewis Norwood Jr. | Surgery | 2751 Albert Bicknell Drive, Suite 3a, Shreveport, LA 71103-3976 | 2005-06-09 |
| 1619588019 | Wk Minimally Invasive Surgery Center | Surgery | 2751 Albert L Bicknell Dr Ste 3a, Shreveport, LA 71103-3976 | 2020-08-11 |
| 1295289932 | Wk Breast Health & Surgical Center | Surgery | 7843 Youree Dr, Shreveport, LA 71105-5505 | 2016-08-11 |
| Find all providers in SHREVEPORT | ||||
| City | SHREVEPORT |
| Zip Code | 71101 |
Please comment or provide details below to improve the information on MINIMALLY INVASIVE SURGERY CENTER OF LOUISIANA.
| 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.