DR. BRUCE EDWARD RAYBURN (NPI# 1033292461) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033292461 |
| Entity Type | Individual |
| Full Name | DR. BRUCE EDWARD RAYBURN |
| Credential | MD |
| Practice Address |
390 Griffith St Pineville LA 71360 |
| Practice Telephone | 3184936323 |
| Practice Fax Number | 3184436189 |
| Mailing Telephone | 3184436323 |
| Mailing Fax Number | 3184436189 |
| Enumeration Date | 2006-10-21 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 018519 | LA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1911895 | 05 |
| Street Address |
390 GRIFFITH ST |
| City | PINEVILLE |
| State | LA |
| Zip Code | 71360 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578110789 | Reneisha Armonii Roberts | Pharmacist | 3100 La-28, Pineville, LA 71360 | 2019-08-22 |
| 1396303145 | Tina Marie Lawhorn | Nurse Practitioner | 2945 Shreveport Hwy, Pineville, LA 71360 | 2019-06-05 |
| 1942773213 | Tioga Pharmacy LLC | Pharmacy | 5101 Shreveport Hwy, Pineville, LA 71360 | 2019-01-09 |
| 1649755497 | Jessica Wooten | Nurse Practitioner | 292 Jerry Lofton Rd, Pineville, LA 71360 | 2018-09-27 |
| 1215421995 | Elizabeth Simon-clark | Counselor | Central La State Hospital Unit 6 Meadows Lane, Pineville, LA 71360 | 2018-06-18 |
| 1982116497 | Dm Properties of Rapides, LLC | Radiology | 2705 Highway 28 E Ste B, Pineville, LA 71360 | 2017-10-25 |
| 1508384587 | Marion Patrick Hazelton I | Counselor | Pathways Red River Treatment Center, 242 West Shamrock Ave Unit 6 Melody Lane, Pineville, LA 71360 | 2017-08-30 |
| 1669902557 | Jessica Williams | Social Worker | Unit 6 Wing A Meadow Lane, Pineville, LA 71360 | 2017-06-14 |
| 1104365840 | Naomi Gates | Social Worker | 242 W Shamrock Unit 1, Pineville, LA 71360 | 2017-02-14 |
| 1861930224 | Sharon Humphrey | Counselor | 5400 Service Rd B206, Pineville, LA 71360 | 2017-02-06 |
| Find all providers in zip 71360 | ||||
| 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 |
|---|---|---|---|---|
| 1255400511 | Vaman Shripad Diwan | Surgery | 335 Williamson Ave, Pineville, WV 24874-1470 | 2006-11-08 |
| 1154412856 | Dave M. Rayburn | Surgery | 390 Griffith St., Pineville, LA 71360 | 2006-09-27 |
| 1467496190 | Huey P. Long Medical Center | Surgery | 352 Hospital Rd, Pineville, LA 71360 | 2006-06-15 |
| 1629018346 | Jean Baptiste Dorval | Surgery | 352 Hospital Blvd, Pineville, LA 71361-5352 | 2006-06-08 |
| 1982692364 | Ihor Andrew Zakaluzny | Surgery | 2495 Shreveport Hwy # 71, Pineville, LA 71360-4044 | 2005-10-11 |
| 1477759918 | Hays Surgery Group, Pllc | Surgery | 121 W Virginia Ave, Suite H-100, Pineville, KY 40977-1600 | 2007-06-22 |
| 1295806545 | William T Gaunt | Surgery | 850 Riverview Ave, Pineville, KY 40977-1452 | 2006-11-10 |
| 1801970397 | Watts R Webb | Surgery | 352 Hospital Blvd, Pineville, LA 71361-5352 | 2006-10-24 |
| 1730107699 | James Harrison Muchmore | Surgery | 352 Hospital Blvd, Pineville, LA 71360-6903 | 2006-07-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376172767 | Chloe Elizabeth Callier | Surgery | 1514 Jefferson Hwy # At2, New Orleans, LA 70121-2429 | 2020-04-07 |
| 1598234338 | Wk Bossier Surgical Associates | Surgery | 2400 Hospital Dr Ste 250, Bossier City, LA 71111-2390 | 2018-11-23 |
| 1730663907 | Ida Molavi | Surgery | Department of Surgery, 1501 Kings Hwy, Shreveport, LA 71103-4228 | 2018-09-24 |
| 1336622158 | The Surgery Clinic of Northeast Louisiana LLC | Surgery | 1503 N 19th St, Monroe, LA 71201-4941 | 2018-09-07 |
| 1578087516 | Dorothy Lewis Md, LLC | Surgery | 52 Oaklawn Dr, Covington, LA 70433-4518 | 2017-08-01 |
| 1417318304 | Colin Stewart Linke | Surgery | 2020 Gravier St Ste 602, New Orleans, LA 70112-2272 | 2016-03-18 |
| 1477922904 | Lafayette Health Ventures, Inc. | Surgery | 121 Audubon Blvd, Lafayette, LA 70503-2606 | 2015-09-15 |
| 1801263926 | Phillip P Crace Md Facs | Surgery | 10440 Hooper Rd, Baton Rouge, LA 70818-3203 | 2015-08-24 |
| 1164805719 | Lafayette Health Ventures, Inc. | Surgery | 900 E Saint Mary Blvd, Suite 106, Lafayette, LA 70503-2377 | 2015-07-01 |
| 1811319353 | Gary Lafleur Sr. | Surgery | 351 N 6th St, Eunice, LA 70535-4138 | 2014-01-17 |
| Find all providers with the same taxonomy | ||||
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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.