Mark H Smith
WK SOUTH SURGICAL HOSPITALISTS


Address: 1202 Louisiana Ave, Shreveport, LA 71101-3910
Phone: 3182128946

Mark H Smith (NPI# 1104036458, PAC ID# 7810052842) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL SURGERY.

Physician Overview

Nation Provider ID (NPI) 1104036458
PAC ID by PECOS 7810052842
Professional Enrollment ID I20090207000013
Full Name Mark H Smith
Organization Legal Name WK SOUTH SURGICAL HOSPITALISTS
Address 1202 Louisiana Ave
Shreveport
LA 71101-3910
Phone Number 3182128946
Gender M
Medical School LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN SHREVEPORT
Graduation Year 2005
Primary Specialty GENERAL SURGERY
Group Practice PAC ID 1355519745
Number of Group Practice Members 4
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
190111 WILLIS KNIGHTON MEDICAL CENTER
450801 CHRISTUS ST MICHAEL HEALTH SYSTEM

Other Locations

Address Phone Organization
1202 Louisiana Ave, Shreveport, LA 71101-3910 3182128946 WK SOUTH SURGICAL HOSPITALISTS
2751 Albert L Bicknell Dr, Suite 3d, Shreveport, LA 71103-3941 3182214755 WK NORTH LAPAROSCOPIC SURGICAL ASSOCIATES

Individual EP (Eligible Professionals) Public Reporting – Performance Scores
Physician Quality Reporting System (PQRS) and non-PQRS Qualified Clinical Data Registry (QCDR)

Measure Identifier Measure Title Performance Rate Reporting Mechanism
ACI_EC_TRANS_PHCDRR_1 Immunization Registry Reporting %
ACI_EC_TRANS_PHCDRR_1 Immunization Registry Reporting %
ACI_EC_TRANS_PPHI_1 Security Risk Analysis %
ACI_EC_TRANS_PPHI_1 Security Risk Analysis %

Organization Information

Organization Legal Name WK SOUTH SURGICAL HOSPITALISTS
Physicians 2

Physicians with the same organization

Name Specialty Organization Address
Charles R Byrd Sr. General Surgery Wk South Surgical Hospitalists 1202 Louisiana Ave, Shreveport, LA 71101-3910

Office Location

Street Address 1202 LOUISIANA AVE
City SHREVEPORT
State LA
Zip 71101-3910

Physicians in the same location

Name Specialty Organization Address
Caleb Blair Harkins Nurse Practitioner Wk North Pulmonary and Critical Care 1202 Louisiana Ave, Shreveport, LA 71101-3910
Matthew C Raley Internal Medicine Wk North Pulmonary and Critical Care 1202 Louisiana Ave, Shreveport, LA 71101-3910
Christina R Reynolds Neurology Wk Neurology Consultants 1202 Louisiana Ave, Shreveport, LA 71101-3910
Robert Todd Rickman Critical Care (intensivists) Wk North Pulmonary and Critical Care 1202 Louisiana Ave, Shreveport, LA 71101-3910
Venkat Raghav Aachi Neurology Wk Neurology Consultants 1202 Louisiana Ave, Shreveport, LA 71101-3910
Calvin D Alexander Critical Care (intensivists) Wk North Pulmonary and Critical Care 1202 Louisiana Ave, Shreveport, LA 71101-3910
Ernest A Little Neurology Wk Neurology Consultants 1202 Louisiana Ave, Shreveport, LA 71101-3910
Jonathan Eaton Critical Care (intensivists) Wk North Pulmonary and Critical Care 1202 Louisiana Ave, Shreveport, LA 71101-3910
Robert Taylor Pulmonary Disease Wk North Pulmonary and Critical Care 1202 Louisiana Ave, Shreveport, LA 71101-3910
Randy D Bryn Pulmonary Disease Wk North Pulmonary and Critical Care 1202 Louisiana Ave, Shreveport, LA 71101-3910
Find all physicians in the same address

Physicians in the same zip code

Name Specialty Organization Address
Shawn E. Mcneil Psychiatry Wk Center for Psychiatric Support 1111 Line Ave, Shreveport, LA 71101-3841
Jason M Broussard Psychiatry Wk Center for Psychiatric Support 1111 Line Ave, Shreveport, LA 71101-3841
Kirsti N Peavy Physician Assistant Wk Center for Psychiatric Support 1111 Line Ave, Shreveport, LA 71101-3841
Arien M Ward Psychologist, Clinical Wk Center for Psychiatric Support 1111 Line Ave, Shreveport, LA 71101-3841
Devanshi Jani Psychiatry Wk Center for Psychiatric Support 1111 Line Ave, Shreveport, LA 71101-3841
Albert M Aura Internal Medicine 1111 Line Ave, Shreveport, LA 71101-3841
Jeffrey T Overdyke Psychiatry Wk Center for Psychiatric Support 1111 Line Ave, Shreveport, LA 71101-3841
Charles R Byrd Sr. General Surgery Wk South Surgical Hospitalists 1202 Louisiana Ave, Shreveport, LA 71101-3910
Alireza Minagar Neurology Wk Neurology Consultants 1202 Louisiana Ave, Shreveport, LA 71101-3910
Juanita C Roberts Nurse Practitioner Brentwood Acquisition-shreveport, Inc 1006 Highland Ave, Shreveport, LA 71101-4103
Find all physicians in zip 71101

Competitor

Search similar physicians

City SHREVEPORT
Zip Code 71101
Specialty GENERAL SURGERY
City + Specialty SHREVEPORT + GENERAL SURGERY

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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