SHREVEPORT SURGERY CENTER PTRSHP (NPI# 1992925135) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992925135 |
| Entity Type | Organization |
| Organization Name | SHREVEPORT SURGERY CENTER PTRSHP |
| Other Organization Name | SHREVEPORT SURGERY ANESTHESIA |
| Practice Address |
745 Olive St Suite 100 Shreveport LA 71104-2246 |
| Mailing Address |
Po Box 4825 Shreveport LA 71134-0825 |
| Practice Telephone | 3182271163 |
| Practice Fax Number | 3182270413 |
| Mailing Telephone | 3182271163 |
| Mailing Fax Number | 3182270413 |
| Enumeration Date | 2007-04-30 |
| Last Update Date | 2013-09-12 |
| Authorized Official Name | MISS MARY BRIDGES (ADMINISTRATOR) |
| Authorized Official Telephone | 3182271163 |
| Authorized Official Credential | RN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207L00000X | Anesthesiology | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1447552 | 05 | |
| LA | MEDICAL STAFF # BCBS LA | 1900G9962Z | 01 |
| Other Name | Type Code |
|---|---|
| Shreveport Surgery Anesthesia | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598804486 | Shreveport Surgery Center Ptrshp | Clinic/Center | 745 Olive St, Suite 100, Shreveport, LA 71104-2246 | 2007-02-06 |
| Street Address |
745 OLIVE ST SUITE 100 |
| City | SHREVEPORT |
| State | LA |
| Zip Code | 71104-2246 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447242680 | Henry Edward Wood Jr. | Internal Medicine | 745 Olive St, Ste 200, Shreveport, LA 71104-2246 | 2005-08-15 |
| 1356713440 | Delta Nephrology LLC | Internal Medicine | 745 Olive St, Suite 200, Shreveport, LA 71104-2246 | 2015-10-28 |
| 1891105151 | Kristy Anne Lynn | Acupuncturist | 745 Olive St, Suite 212, Shreveport, LA 71104-2246 | 2014-05-07 |
| 1700120524 | Shreveport Prosthetics, Inc. | Prosthetic/Orthotic Supplier | 745 Olive St, Shreveport, LA 71104-2246 | 2012-11-16 |
| 1164730396 | Peterson Counseling Services, LLC | Counselor | 745 Olive St, Suite 109b, Shreveport, LA 71104-2246 | 2010-09-22 |
| 1568784031 | Medrx Inc | Pharmacy | 745 Olive St, Suite 201, Shreveport, LA 71104-2246 | 2010-02-24 |
| 1225225782 | Nancy Poshedley Alexander | Nurse Practitioner | 745 Olive St, Suite 200, Shreveport, LA 71104-2246 | 2007-09-28 |
| 1861682205 | Mary Rocks Zapczynski | Nurse Practitioner | 745 Olive St, Suite 200, Shreveport, LA 71104-2246 | 2007-08-01 |
| 1679792014 | Fred A. Lord Jr. | Nurse Anesthetist, Certified Registered | 745 Olive St, Suite 100, Shreveport, LA 71104-2246 | 2007-04-24 |
| 1215155437 | Debra C. Smith | Nurse Anesthetist, Certified Registered | 745 Olive St, Suite 100, Shreveport, LA 71104-2246 | 2007-04-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326582263 | Dana Jackson | Counselor | 2425 Youree Drive, Shreveport, LA 71104 | 2016-12-12 |
| 1154772929 | Belena Cawthorne | Case Manager/Care Coordinator | 2040 Southern Ave, Shreveport, LA 71104 | 2016-06-23 |
| 1437505286 | Courtney Espenan | Counselor | 3825 Gilbert Dr Ste 124, Shreveport, LA 71104 | 2016-05-11 |
| 1215390497 | Joshua Mitchell | Counselor | 1106 Dalzell Street, Shreveport, LA 71104 | 2016-04-04 |
| 1699135426 | Amy Lutricia Krohn | Counselor | 1041 Dalzell St, Shreveport, LA 71104 | 2016-03-07 |
| 1225497779 | Annie Redding II | Counselor | 2525 Youree Dr Suite 110, Shreveport, LA 71104 | 2016-02-12 |
| 1891152328 | Council On Alcoholism and Drug Abuse of Northwest Louisiana | Community/Behavioral Health | 2000 Fairfield Ave, Shreveport, LA 71104 | 2016-01-28 |
| 1922465731 | Marteze Singleton | Case Manager/Care Coordinator | 2525 Youree Dr Ste 10, Shreveport, LA 71104 | 2016-01-25 |
| 1891160297 | Damara Mora | Counselor | 2620 Centenary Blvd Bldg3 Ste 312, Shreveport, LA 71104 | 2015-12-10 |
| 1962876250 | Chastity Shermaine Graham | Counselor | 2620 Centenary Blvd Ste 312, Shreveport, LA 71104 | 2015-11-24 |
| Find all providers in zip 71104 | ||||
| Taxonomy Code | 207L00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery. |
| 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 Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679653331 | Scott F Cassingham | Anesthesiology | 833 Thora Blvd, Shreveport, LA 71106-1519 | 2006-10-17 |
| 1932205846 | Regional Urology Asc LLC | Anesthesiology | 255 Bert Kouns Industrial Loop, Shreveport, LA 71106-8150 | 2006-09-16 |
| 1316957012 | Musculoskeletal Institute of Louisiana, L.L.C. | Anesthesiology | Orthopedic Specialists of La, 1500 Line Ave Ste 100, Shreveport, LA 71101 | 2006-08-08 |
| 1225083652 | Winston E Moore Md | Anesthesiology | 2715 Hardy St, Shreveport, LA 71109-4307 | 2006-05-24 |
| 1538130018 | Randall P. Brewer | Anesthesiology | 8731 Park Plaza Dr, Shreveport, LA 71105 | 2006-01-31 |
| 1588634133 | Emily Hummer Naus | Anesthesiology | 3100 Samford Ave, Shreveport, LA 71103-4239 | 2006-01-25 |
| 1780665828 | Jefferey D Adair | Anesthesiology | 1455 E Bert Kouns Industrial Loop Ste 314, Shreveport, LA 71105-5634 | 2005-11-07 |
| 1376533737 | Robert Craig Jones | Anesthesiology | 1945 E 70th St, Suite B, Shreveport, LA 71105-5347 | 2005-10-26 |
| 1851385215 | William Jeffery Till | Anesthesiology | 1121 Louisiana Ave, Shreveport, LA 71101 | 2005-08-31 |
| 1932109923 | Dayne Daniel Hassell | Anesthesiology | 835 Oneonta St, Shreveport, LA 71106-1129 | 2005-07-30 |
| Find all providers in SHREVEPORT | ||||
| City | SHREVEPORT |
| Zip Code | 71104 |
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| 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.