MANSI SHAH (NPI# 1003090663) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003090663 |
| Entity Type | Individual |
| Full Name | MANSI SHAH |
| Credential | D.O. |
| Practice Address |
1455 E Bert Koun Loop #210 Shreveport LA 71105 |
| Mailing Address |
1455 E Bert Koun Loop #210 Shreveport LA 71105-5634 |
| Practice Telephone | 3187984515 |
| Practice Fax Number | 3187984530 |
| Mailing Telephone | 3187984515 |
| Mailing Fax Number | 3187984578 |
| Enumeration Date | 2007-12-19 |
| Last Update Date | 2018-05-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | PENDING | KY | Allopathic & Osteopathic Physicians |
| Y | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
300501 | LA | Allopathic & Osteopathic Physicians |
| N | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
N1445 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 2409051 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548689763 | Mansi Ramesh Shah | Hospitalist | 125 Paterson St Ste 5200, New Brunswick, NJ 08901 | 2014-04-15 |
| 1356675102 | Mansi Kunal Shah | Physical Therapist | 10 Executive Court, Suite 5 Crescent Rehab Center, South Barrington, IL 60010 | 2009-09-28 |
| 1710121058 | Mansi Shah | Dietitian, Registered | 8300 Manitoba St, Suite # 314, Playa Del Rey, CA 90293-8722 | 2009-04-30 |
| 1053912352 | Mansi Rocky Shah | Pharmacist | 150 Smith Rd, St Charles, IL 60174-5204 | 2020-11-03 |
| 1780147660 | Mansi Parin Shah | Physical Therapist | 10 Columbus Cir, New York, NY 10019-1158 | 2019-04-09 |
| 1912489451 | Mansi Hitendra Shah | Physical Therapist | 9211 Stuart Ln, Clinton, MD 20735-2712 | 2018-08-31 |
| 1477042174 | Mansi Dilipkumar Shah | Physical Therapist | 240 Adriatic Pkwy Ste 200, Mckinney, TX 75070-8278 | 2018-05-08 |
| 1578051298 | Mansi Shah | Physical Therapist | 1245 Park Ave, Henderson, NC 27536-4025 | 2018-04-27 |
| 1609394576 | Mansi N Shah | Dentist | 670 Main St, Torrington, CT 06790-3603 | 2017-08-31 |
| 1679093413 | Mansi R Shah | Student in an Organized Health Care Education/Training Program | 111 N Washington Ave, Scranton, PA 18503-1828 | 2017-06-22 |
| Street Address |
1455 E BERT KOUN LOOP #210 |
| City | SHREVEPORT |
| State | LA |
| Zip Code | 71105 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821096686 | Charles Girard Tisdale | Physician Assistant | 1455 E Bert Koun Loop, #210, Shreveport, LA 71105-5634 | 2005-07-14 |
| 1770005423 | Heather Kramer Mecom | Nurse Practitioner | 1455 E Bert Koun Loop, Shreveport, LA 71105-5634 | 2017-07-14 |
| 1730555616 | Hillary Davis | Physician Assistant | 1455 E Bert Koun Loop, #210, Shreveport, LA 71105-5634 | 2015-08-14 |
| 1497010854 | Ashli M. Davis | Nurse Practitioner | 1455 E Bert Koun Loop, Shreveport, LA 71105-5634 | 2012-07-11 |
| 1295027787 | Sarah Lynn Scotto | Obstetrics & Gynecology | 1455 E Bert Koun Loop, Suite #308, Shreveport, LA 71105-5634 | 2011-05-03 |
| 1649407487 | Chuka Victor Ifeanyi | Otolaryngology | 1455 E Bert Koun Loop, #206, Shreveport, LA 71105-5634 | 2009-06-19 |
| 1891983144 | Kimberly Noland Lorant | Physician Assistant | 1455 E Bert Koun Loop, Suite #210, Shreveport, LA 71105-5634 | 2007-10-11 |
| 1902941099 | Solen Michael Austin | Physician Assistant | 1455 E Bert Koun Loop, Suite #210, Shreveport, LA 71105-5634 | 2007-02-20 |
| 1154349694 | Lauren P Scheffy | Physician Assistant | 1455 E Bert Koun Loop, Shreveport, LA 71105-5634 | 2006-07-17 |
| 1033158837 | James R Barnes | Internal Medicine | 1455 E Bert Koun Loop, Suite #105, Shreveport, LA 71105-5634 | 2006-06-06 |
| Find all providers in the same location | ||||
| 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 Code | 207RR0500X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Rheumatology |
| An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases. |
| 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 Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962794404 | Louisiana Arthritis and Rheumatology,llc | Internal Medicine | 457 Ashley Ridge Blvd Ste C, Shreveport, LA 71106-7229 | 2011-05-03 |
| 1235349580 | Mary Katherine Walton | Internal Medicine | 820 Jordan St Ste 201, Shreveport, LA 71101-4518 | 2007-05-23 |
| 1013132653 | Kyla Lokitz | Internal Medicine | 8508 Line Ave Ste C, Shreveport, LA 71106-6131 | 2007-04-17 |
| 1477639565 | Susan Vanhook Williams | Internal Medicine | 437 Dunmoreland Cir, Shreveport, Shreveport, LA 71106-6101 | 2006-10-31 |
| 1396197216 | Rina Musa | Internal Medicine | 1541 Kings Hwy, Shreveport, LA 71103-4228 | 2016-07-02 |
| 1629429733 | Ahmad Qurie | Internal Medicine | 1541 Kings Hwy, Shreveport, LA 71103-4228 | 2016-06-29 |
| 1255719696 | Harman Fervaha | Internal Medicine | 1501 Kings Hwy, Shreveport, LA 71103-4228 | 2015-05-18 |
| 1023300910 | Haidy Ibrahim Gohar Galous | Internal Medicine | 1501 Kings Hwy, Shreveport, LA 71103-4228 | 2011-05-10 |
| 1902110109 | Mamatha Katikaneni | Internal Medicine | 1501 Kings Hwy, Shreveport, LA 71103-4228 | 2010-07-29 |
| 1851554786 | Aaron Wilton Broadwell | Internal Medicine | 820 Jordan St, Suite 201, Shreveport, LA 71101-4518 | 2008-07-10 |
| Find all providers in SHREVEPORT | ||||
| City | SHREVEPORT |
| Zip Code | 71105 |
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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.